HomeMy WebLinkAbout55007 ELLIS MECHANICAL INC INDIANA RETAIL TAX EXEMPT PAGE 1
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RTIFICATE NO.003120155 002
FEDERAL EXCISE TAX EXEMPT O PURCHASE ORDER NUMBER
Parkec ti 35-60000972 55007
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141.1 L 11 m Street
THIS NUMBER MUST APPEAR ON INVOICES,A/P
Carmel,IN 46032 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
12/4/2020 12/07/20 24521 369349 2021 Wilfong HVAC PM Contract
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 EXTENSION
4.000 each HVAC Quarterly PM Contract 1-1-2021 to 12-31-2021 $424.460 $ 1,697.84
GLAccount# 1102000-4350100
Send Invoice To:
$ 1,697.84
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE MCC Facility Maintenance Coordinator
CONTROLLER
DOCUMENT CONTROL NO. 55007 VII::::NIDOR COPY