50911 ELLIS MECHANICAL INC •
City
INDIANA RETAIL TAX EXEMPT I i PAGE 1
f . 1 CERTIFICATE N0.003120155 002 0 „.,
�_,,__._._ ISE I PURCHASE ORDER NUMBER I
FEDERAL EXCISE TAX EXEMPT 50911 i
35-60000972
INE CIVIC SQUARE. _.._..._..._..__...__ ... K I
CARMELi•lND NA46032-25$4 THIS NUMBER MUST APPEAR ON INVOICES,A/P I
VOUCHER,DELIVERY MEMO,PACKING SLIPS, l
i SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 i. __ _...__...._......__..._....._.................___'s
PURCHASE ORDER DATE 1 DATE REQUIRED I REQUISITION NO 3 VENDOR NO, 1 DESCRIPTION
2/15/2018 02/19/18 ^15360 369349 I Change:Serivice Call For Heatting Unit
Ellis Mechanical,Inc. MCC-East
2929 Bluff Road 1235 Central Park Drive East
VENDOR Indianapolis, IN 46225 TOHIP Carmel, IN 46032
CONFIRMATION BLANKET l CONTRACT 1 PAYMENT TERMS 'I FREIGHT
I
I
_ -II-
QUANTITY 1 UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE 1. EXTENSION
1.000 each Serivice Call For Heating In Staff Room $1,412.2600 $1,412.26
GLAccount#1125408-4350100
Send Invoice To:
$1,412.26
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT1l
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 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 Paula Schlemmer
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50911 VENDOR COPY