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CERTIFICATE NO. 0031201550020`
a- INDIANA PURCHASE ORDER NUMBER
1
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CHID SQUARE THIS NUMBER muswe ON INVOICES, AP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERWAMEM41 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
12/12/2011
5
VENDOR Graybar ToIP Street Department
3400 W. 131st Street
12431 Collections Center Drive Carmel, IN 46074
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS •EIGHT t
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QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 2201- 631.00
2 Each replacement cameras $4,116.55 $8,233.10
air Sub Total:: $8,233.10
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Send Invoice To: 6G Q
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Street Department
3400 W. 131st Street PLEASE INVOICE IN DUPLICATE
DEPARTMENT‘' 46074 ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND $0 233.10
Carmel Street Department VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. V
SHIPPING INSTRUCTIONS I HEREBY CERTIF T ATJFJEREISANUNOBLIGATED BALANCE IN
THIS APPROPRI• b ICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID`.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. e
PURCHASE ORDER' NUMBER MUST APPEAR ON ALL ORDERED BY A r
SHIPPING LRBELU. T J
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
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DOCUMENT CONTROL NO. 26252 CLERK- TREASURER
OFFICE COPY