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319016 11/22/17 CITY OF CARMEL, INDIANA VENDOR: 114000 ONE CIVIC SQUARE ORAYBAR ELECTRIC CO, INC CHECK AMOUNT: $*******245.20* r. � CARMEL, INDIANA 46032 12431 COLLECTIONS CENTER DRIVE CHECK NUMBER: 319016 9�;,roN,Go` CHICAGO IL 60693 CHECK DATE: 11/22/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4237000 100917 245.20 PIT COMP SC 12F ZIR B Prescribed by State Board of Accounts City Form No.201 (Rev.1995) VOUCHER NO. WARRANT NO. . ALLOWED: 20 ACCOUNTS PAYABLE VOUCHER Vendor# 114000 . . GRAYBAR ELECTRIC CO, INC irySUM ol.$ CITY OF CARMEL .12431 COLLECTIONS CENTER DRIVE;. An invoice or bill to be properly itemized must show:kind of seivice where performed,dates service rendered;by whom,rates per day,number of hours,rate:per hour,number of units,price per unit,etc. CHICAGO, IL 60693 Payee $245.20 so Purchase.Order# ON ACCOUNT OF APPROPRIATION FOR Communications Terms Date Due . PO# : ACCT# .. :. DATE INVOICE# DESCRIPTION DEPT# INVOICE#!: Fund#. :AMOUNT Board Members. DEPT# FUND# (or note attached invoice(s)or.bill(s)) AMOUNT. 100917 9301060725 42-370.00 $245.20 j hereby certify that the attached invoice(s),or 11)14/17 9301060725 $245.20 1115 101 1115" 101 bill(s)is(are)true and correct;and that the, materials or services itemized thereon for which charge is made were ordered and received except Monday, November 20,2017 Arnone, Janet Admin Assistant I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5711-10-1.6 20 Cost distribution ledger classification.if claim paid motor vehicle highway fund. Clerk-Treasurer INVOICE ~Invoice Email 9 9222 Orly Rd. 317-821-5700 or ARQuestions@graybar.com Gr%&aR. INDIANAPOLIS IN 46241 Invoice No: 9301060725 Invoice Date: 11/14/2017 Account Number: 0000154108 Account Name: CARMEL CLAY COMM CENTER Rema ,a ;mentis . s GRAYBAR ELECTRIC COMPANY 12431 COLLECTIONS CENTER DRIVE CHICAGO IL 60693-2431 2485 1 AB 0.403 E0270X 10448 D3037046565 S2 P4827735 0001:0001 Ship to: I'IIII'I"1"IIIIIIII'II'IIII��II���II�II'I'1'IIIII"II11'1"IIII CARMEL CLAY COMM CENTER CARMEL CLAY COMMUNICATION FZin CARMEL CLAY COMM CENTER TIMOTHY RENICK 317-571-2576 CARMEL CLAY COMMUNICATION 31 FIRST AVE N.W. 9 TIMOTHY RENICK 317-571-2576 CARMEL IN 46032-1715 31 1 STAVE NW CARMEL IN 46032-1715 Order No: 100917 SOM 361755842 Del.Doc.#: PRO# Routing Date Shipped Shipped From _ _ F.O.B. Rt.To _ 8017422629 1GRAYBAR 11/13/2017 ZONE-JOLIET, IL S/P-F/A Signed For By: ARNOME Quantity Catalog#/Description Unit Price/Unit Amount 4 5F100-21-C LEVITON MANUFACTURING COMPANY, INC 61.30/1 245.20 PLT COMP SC 12F ZIR BLU Terms of Payment Sub Total 245.20 Net 30 Days Freight 0.00 As a condition of the sales agreement,a monthly service charge of the lesser of Handling 0.00 1-1/2%or the maximum permitted by law may be added to all accounts not paid by net due date.Visa,MasterCard,American Express,and Discover credit cards Tax 0.00 are accepted at point of purchase only. Total Due 245.20 SUBJECT TO THE STANDARD TERMS AND CONDITIONS LISTED ON WWW.GRAYBAR.COM. 0001:0001 Page 1 of 1 Gr%4)a . G aybo Sr as Dr eet National Zone IIIIIIIIIIII IIIIIII III III Joliet IL 60432 USA Phone: 317-821-5700 Fax: 317-821-5750 Scheduled Ship Date:11-13-2017 Customer :0000067991 CARMEL CLAY COMM CENTER Date Ordered:11-13-2017 Ref. Doc#:0361755842 Date: 11-13-2017 Packing List Customer PO : TBD Tracking # : NONE Ship To: Bill To: CARMEL CLAY COMM CENTER CARMEL CLAY COMM CENTER CARMEL CLAY COMMUNICATION 31 FIRST AVE N.W. 31 FIRST AVE N.W. TIMOTHY RENICK 317-571-2576 TIMOTHY RENICK 317-571-2576 CARMEL IN 46032-1715 CARMEL IN 46032-1715 Delivery # 8017422629 Signed Print name Route:CROSS DOCK DEDICATED Part and Q u a n t i t y Other Description Ordered Ship Backordered Shipments LEV 5F100-2LC 4 EA �� 4 PLT COMP SC 12F ZIR BLU Mat#: 2 177 TOTAL NUMBER OF: Boxes Pieces Bundles Coils Reels Pallets IN THIS SHIPMENT Page #1 ININCD