HomeMy WebLinkAbout53777 ELLIS MECHANICAL INC INDIANA RETAIL TAX EXEMPT PAGE 1
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CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 53777
35-60000972
Of It:.WIVIC SQUARE
CARMEL!UDIAi1A 322-22E84 THIS NUMBER MUST APPEAR ON INVOICES,A/P
- - - - - VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/15/2019 10/28/19 21787 369349 Service Call No Heat in Director's Office
Ellis Mechanical, Inc. MCC-West
2929 Bluff Road 1235 Central Park Drive East
VENDOR Indianapolis, IN 46225 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Labor to disassemble and clean burners, gas orifices,and $287.000 $287.00
flame sensor
GLAccount#1125300-4350000
Send Invoice To:
$287.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY James Ransford
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ///'''��� V\\
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE `(`� `,
CLERK-TREASURER 1� l
DOCUMENT CONTROL NO. 53777 VENDOR COPY