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cit of Carmel E OF L6 MEW aR.. 3120155 002 0 PURCHASE ORDER NAvt/ FEDERAL EXCISE TAX EXEMPT 103157
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
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
10/15/2019 114000 Fiber cables/CAT 6 patch cord
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
40643
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
FORM APPROVED BY STATF MART)OF ACY'OI INTS FOR THE rrr-OF CARMFI.7009
Department: 1115 Fund: 101 General Fund
— Aviceur t:..42=370:Ofl...— ..— — — ...— _ _ _ T... .—.... �... .__......� ......—.......�
10 Each 810-L47-003 1M LC-SC DPLX 91125 iiii E PT $10.14 $101.40
5 Each 810-L47-006 2M LC-SC DPLX 9I1 gi`Tag Caritnel $11.14 a o
10 Each AT1625-BK CAT 6 STR VIP Y RF CLERK-TREASURER $11.03 $110.30
Sub Total $267.40
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FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR THE CITY OF CARMEL•2009
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Send Invoice To: city ®f,ccat°r;ttne :,,? x`
ICS OFFS'p .l 'Z ARER
Timothy Renick ; '
31 1st Avenue N.W. ;y " '
Carmel, IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $267.40
'A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O..NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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 `�f r�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY \v\
Timothy Renick V
�+����p/���^In n --77 TITLE Director ��f
FORM APl�tkIV�NYJD RCAAKQOAR3 0a1�NTS FOR THE CITY Oi I3K-TRVASURER