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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