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101761 GRAYBAR ELECTRIC CO, INC ityr INDIANA RETAIL TAX EXEMPT Page 1 of 1 ® �j�}�'}�'�� �� CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER �/ ( Jl J� FEDERAL EXCISE TAX EXEMPT 161761 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 7/2/2018 114000 Marking Spray 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 PAYMENT TERMS FREIGHT PURCHASE ID BLANKET CONTRACT 27216 1 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1115 Fund: 101 General Fund Account: 42-390.99 96 Each 266579 Rustoleum Fluorescent Marking spray-orange $5.26 $504.96 Sub Total $504.96 4 i Send Invoice To: „�� , a ICS ' ''quote NO.0230459640 , Timothy Renick 31 1st Avenue N.W. . Carmel, IN 46032- . (317)571-2576 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $504.96 SHIPPING INSTRUCTIONS * P 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 THATTHE THEREABOVE IS ANORDER. UNOBLISATED BALANCE IN .D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR '*PUC.ORCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL *THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /rr� ry���y'^ a AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ,NS) Timothy Renick TITLE Director 4\ CONTROL NO. 101761 CLERK-TREASURER �+