101612 GRAYBAR ELECTRIC CO INDIANA RETAIL TAX EXEMPT Page 1 of 1
cii .City of I1a.irrrie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101612
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
4/24/2018 114000 Relays
GRAYBAR ELECTRIC CO, INC Fire Department
VENDOR 12431 COLLECTIONS CENTER DRIVE SHIP 2 Civic Square
TO Carmel,:IN .46032-
CHICAGO, IL
6032-CHICAGO,`IL 60693-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
25381
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General:Fund
Account: 42-370.00
2 Each 12DP5-300SDCR10 Relays $98.89 $197.78
Sub Total $197.78
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Send Invoice To: k .. _..N.,,,,. _..zF
Fire Department
2 Civic Square ',
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $197.78
SHIPPING INSTRUCTIONS *NP
AIP 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 ... ,
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*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder �
TITLE Budget&Accreditation Manager
CONTROL NO. 101612 CLERK-TREASURER \"XV