101596 GRAYBAR ELECTRIC CO INDIANA RETAIL TAX EXEMPT Page 1 of 1
ciiiCity of Iarinrie1 I CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101596
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
4/19/2018 114000
GRAYBAR ELECTRIC CO, INC Fire Department
VENDOR 12431 COLLECTIONS CENTER DRIVE SHIP 2 Civic.Square
TO Carmel, IN 46032_
CHICAGO, IL 60693
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
25221
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-631.00
1 Each 250 Watt Power Vector Mod $619:31 $619.31
Sub Total $619.31
,-
Send Invoice To: �.•. •a.• ",- ▪ .;AL f
Fire Department .. i
2 Civic Square ,
Carmel, IN 46032-
▪0 tee ',.
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $619.31
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
4:1
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ,„_,,,,,,,„,_,,,_„,_ ..::":>':S,,. ..... "''r'
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder ��
TITLE Budget&Accreditation Manager
CONTROL NO. 101596 CLERK-TREASURER