51502 ELLIS MECHANICAL, INC. INDIANA RETAIL TAX EXEMPT PAGE 1
City of
fCERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
CarmelFEDERAL EXCISE TAX EXEMPT 51502
35-60000972
ONE CMC'SQUARE
r''..Ri{tt_L,€€^fMAAlf=i 4.':0.2-2554 THIS NUMBER MUST APPEAR ON INVOICES.A/P
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
6/5/2018 05/08/18 16179 369349 Service Call-Admin Conference Room AC
Ellis Mechanical, Inc. MCC-East
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 EXTENSION
1.000 each Labor and material to replace motor and capacitor $635.5900 $635.59
GLAccount#1125402-4350100
Send Invoice To:
$635.59
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P 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 Kurtis Baumgartner
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
TITLE 1'{li
CLERK-TREASURER V�
DOCUMENT CONTROL NO. 51502 VENDOR COPY