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1INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
35-6000972
Page 1 of 1
PURCHASE ORDER NUMBER
33064
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DEUVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
6130/2015
GRAYBAR ELECTRIC CO, INC
VENDOR 12431 COLLECTIONS CENTER DRIVE
CHICAGO
IL 60693 -
114000
SHIP
TO
Battery Backup Power Systems
Communications
31 1st Avenue N.W.
Carmel, IN 46032-
(317) 571-2576
J
CONFIRMATION
BLANKET
CONTRACT PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE DESCRIPTION
UNIT PRICE
EXTENSION
Account: 44-670.99
Department: 1115 Fund: 101 General Fund
4 Each CPS1500AVR Battery backup power
Send Invoice To:
Communications
31 1st Avenue N.W.
Carmel, IN 46032 -
Quote No. 222922341
PLEASE INVOICE IN DUPLICATE
$322.73
$1,290.92
Sub Total $1,290.92
DEPARTMENT ACCOUNT
PROJECT
PROJECT ACCOUNT
SHIPPING INSTRUCTIONS
'SHIP PREPAID.
'C.O.D. SHIPMENT CANNOT BE ACCEPTED.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS.
'THIS ORDER ISSUED IN COMPUANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 33064
ORDERED
TI E Di ector
CLERK -TREASURER
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 AFFIDAVIT ATTACHED.
' I HEREBY CERTIFY THAT THERE IS • N UNOBLIGATED BALANCE IN
THIS AEPROP•IATION SUF TO PAY FOR THE ABOVE ORDER.
AMOUNT
$1,290.92