50874 ELLIS MECHANICAL INC I INDIANA RETAIL TAX EXEMPT PAGE 1
City .of Carmel , CERTIFICATE N0.003120155 002 0
.w ._ PURCHASE ORDER NUMBER
r FEDERAL EXCISE TAX EXEMPT
1 I 50874
35-60000972I
ONE:CHIC SQUARE
CARMEL,JNOIANA 46032 2584 !THIS NUMBER MUST APPEAR ON INVOICES,NP
i 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 1 DATE REQUIRED REQUISITION NO. VENDOR NO. ( DESCRIPTIONS
2/5/2018 01/07/18 114908 369349 Service Call For Heating Unit At AO
Ellis Mechanical, Inc. MCC-East
2929 Bluff Road 1235 Central Park Drive East
VENDOR Indianapolis,IN 46225 To P Carmel, IN 46032
CONFIRMATION( BLANKET CONTRACT 1 PAYMENT TERMS ! FREIGHT
I I.
t I
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE ) EXTENSION
1.000 each Labor and Material to repair failed inducer motor on unit $538.1500 $538.15
GLAccount#1125402-4350100
Send Invoice To:
$538.15
PLEASE INVOICE IN DUPLICATE
DEPARTMENT i ACCOUNT 1 PROJECT j PROJECT ACCOUNT 1 AMOUNT
PAYMENT
• Alp 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 UNOBUGATED 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 Freddy Delfin
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 7�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE 11
/e �1►
CLERK-TREASURER \\1.
DOCUMENT CONTROL NO. 50874 VENDOR COPY �'