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HomeMy WebLinkAbout101874 GRAYBAR ELECTRIC CO City oINDIANA RETAIL TAX EXEMPT Page 1 of 1 o f �( c�Jrir]r1 I' CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER �/((„� JL Jl JL JL FEDERAL EXCISE TAX EXEMPT 101874 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 8/20/2018 114000 Fiber Optic parts GRAYBAR ELECTRIC CO, INC ICS VENDOR 12431 COLLECTIONS CENTER DRIVE SHIP 31 1st Avenue N.W. TO Carmel, IN 46032- CHICAGO, IL 60693- Timothy Renick (317)571-2576 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 28630 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1115 Fund: 101 General Fund Account: 42-370.00 3 Each FAN-BT25-12 Buffer Tube Fan Out Kit $15.97 $47.91 4 Each SPH-01P Wall Mount Cross $54.99 $219.96 Sub Total $267.87 ,' - 4 k,,t4 2p Rx i. s. !, yyf xui Vd ag \\ t h 1,, WL # i $i e p t I i Send Invoice To: .''.'";',L.::.::::::..'',,' fiL, . >: . ICS "{ uote No. 0230815535 Timothy Renick .t L `r 31 1st Avenue N.W. 41 Carmel, IN 46032- ! t .t• - ..« (317)571-2576 PLEASE INVOICE IN DUPLICATE DEPARTMENT A ACCOUNT I PROJECT PROJECT ACCOUNT 1 AMOUNT PAYMENT $267.87 SHIPPING INSTRUCTIONS '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 'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN 'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. 'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �'`� rr �� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Timothy Renick TITLE Director �� CONTROL NO. 101874 CLERK-TREASURER \�J�