Loading...
50875 ELLIS MECHANICAL INC i INDIANA RETAIL TAX EXEMPT PAGE 1 t 1 City CERTIFICATEN00031201550020 PURCHASE ORDER NUMBER P FEDERAL EXCISE TAX EXEMPT_ 50875 I 35-60000972 j ONE CNICS.DUAAE ....... . CAMEL,..1714NA484322E 84 THIS NUMBER MUST APPEAR ON INVOICES,NP I VOUCHER,DELIVERY MEMO.PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. I FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 ' PURCHASE ORDER DATE l DATE REQUIRED REQUISITION NO. VENDOR NO, DESCRIPTION NW 2/5/2018 02/10/18 15264 369349 Service Call-Leaking Water Line at AO Pool house Ellis Mechanical,Inc. MCC-West 2929 Bluff Road 1235 Central Park Drive East VENDOR Indianapolis, IN 46225 SH Carmel, IN 46032 CONFIRMATION I BLANKET 1 CONTRACT j PAYMENT TERMS I FREIGHT a . I QUANTITY I UNIT OF MEASURE I DESCRIPTIONUNIT PRICE EXTENSION 1.000 each Labor and Utility Locate Service-found no access $ 1,133.0000 $1,133.00 GLAccount#1125402-4235000 Send Invoice To: $1,133.00 PLEASE INVOICE IN DUPLICATE DEPARTMENT I ACCOUNT PROJECT .PROJECT ACCOUNT AMOUNT PAYMENT • NP 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.0 SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper ]p� • THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 �✓h AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Is .- -4"' CLERK-TREASURER DOCUMENT CONTROL NO. 50875 VENDOR COPY