50839 ELLIS MECHANICAL INC INDIANA RETAIL TAX EXEMPT PAGE 1
City of :lZarinel
CERTIZZ2 °-=
ATE X EXEMPT PURCHASE ORDER NUMBER50839
35-60000972
ONE CMC SQUARE
CARMEL IMSlANA,46O32-2f84 THIS NUMBER MUST APPEAR ON INVOICES,AJP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE,
x FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE 1 DATE REQUIRED r REQUISITION NO. VENDOR NO. J DESCRIPTION
1/30/201801113(18 14967 369349
IHeat repair on Park Maintenance Office building
Ellis Mechanical, Inc. Parks Maintenance
2929 Bluff Road 1427 E. 116th Street ATfN:Courtney
VENDOR Indianapolis,IN 46225 SHIP
HP Carmel, IN 46032
TO
CONFIRMATION BLANKET I CONTRACT 1 PAYMENT TERMS FREIGHT—
QUANTITY I UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
1.000 each Labor and material to repair furnace on east wing of $957.0700 $957.07
maintenance office.
GLAccount#1125413-4350100
Send Invoice To:
$957.07
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1. ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• AIP 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 Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER '\�
DOCUMENT CONTROL NO. 50839 VENDOR COPY