52579 ELLIS MECHANICAL INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
CityO ,C a r PURCHASE ORDER NUMBER
jjj ���,,,/// ( i FEDERAL EXCISE TAX EXEMPT 52579
35-60000972
_II1E CIIIC SQUARE
THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DELIVERY MEMO,PACKING SUPS,
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
3/21/2019 03/10/19 19035 369349 Service Call-AO Director's Office Heat Issue
Ellis Mechanical, Inc. MCC-West
2929 Bluff Road 1235 Central Park Drive East
VENDOR Indianapolis, IN 46225 TOHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Labor to repair corrosion blocking orifice $371.0000 $371.00
GLAccount# 1125402-4350100
•
Send Invoice To:
$371.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT J 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 James Ransford
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE _
CLERK-TREASURER
DOCUMENT CONTROL NO. 52579 VENDOR COPY