51345 ELLIS MECHANICAL, INC. INDIANA RETAIL TAX EXEMPT PAGE 1
City CERTICATE NO.003120155 002 0���!!! Caa..111m PURCHASE ORDER NUMBER
���•//+ FEDERAL EXCISE TAX EXEMPT 51345
35-60000972
OHS CMC SQUARE
cARMEL!IIDIATIA 48032-2E84 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
5/15/2018 04/21/18 15961 369349 Service call for Inlow Splash Pad Inspection
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 I EXTENSION
1.000 each Labor and material to repair broken pipes with leaks and $2,925.0100 $2,925.01
changed pump belt
GLAccount#1125300-4350000
Send Invoice To:
$2,925.01
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I 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.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Terese McAninch
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER ��
DOCUMENT CONTROL NO. 51345 VENDOR COPY