101755 GRAYBAR ELECTRIC CityINDIANA RETAIL TAX EXEMPT Page 1 of 1
ofIIa]rI1nIe1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
�J FEDERAL EXCISE TAX EXEMPT 101755
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,ANP
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
IPURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6/27/2018 114000 Electrical parts
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
27079
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 42-370.00
50 Each AT1601-BK CAT 6 STR VIP 1FT BK $2.86 $143.00
15 Each AT1625-BK CAT 6 STR VIP 25FT BK $9.51 $142.65
50 Each AT1602-BK CAT 6 STR VIP 2FT BK $3.13 $156.50
50 Each AT1603-BK CAT 6 STR VIP 3FT $3.44 $172.00
50 Each AT1605-BK CAT 6 STR VIP 5FT BK $3.81 $190.50
10 Each GBLCC-D1-01 LC/SC DUPLEX SM 1MTR $17.35 $173.50
Sub Total $978.15
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Send Invoice To: ....?.; ,.,res ' a .4w s, d...A.,:, , .4. :T
ICS Quote No.0230434020
Timothy Renick f"
31 1st Avenue N.W. ,e\-,. -=.c
Carmel, IN 46032- • ;' r
(317)571-2576 PLEASE INVOICE IN DUPLICATE
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I DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $978.15
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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 \
5:I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ^��
Timothy Renick \"N�" \\\
TITLE Director
\51 4
CONTROL NO. 101755 CLERK-TREASURER