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101646 GRAYBAR ELECTRIC CO, INC INDIANA RETAIL TAX EXEMPT Page 1 of 1 City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER JL FEDERAL EXCISE TAX EXEMPT 101646 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 5/8/2018 114000 Label tape 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 25762 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1115 Fund: 101 General Fund Account: 42-302.00 10 Each M21-750-595-WT CART BMP 21 $21.37 $213.70 5 Each M21-750-595-OR Cart BMP 21 $20.78 $103.90 Sub Total $317.60 - ? 1 ./ K / / � N ` 4, ( - L S! ' d nom. 3.„L {;S Send Invoice To: ICS \ Quote No.0230063751 Timothy Renicka. 31 1st Avenue N.W. " Carmel, IN 46032- (317)571-2576 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT PAYMENT $317.60 SHIPPING INSTRUCTIONS *NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A 'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN 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 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Timothy Renick TITLE Director CONTROL NO. 101646 CLERK-TREASURER