101950 GRAYBAR ELECTRIC CO ciiiINDIANA RETAIL TAX EXEMPT Page 1 of 1
ito (1IIairiiiinie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
/ of � FEDERAL EXCISE TAX EXEMPT 101950
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
9/17/2018 114000
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
29303
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 42-370.00
5 Each 810-332-003 1M SC-SC DPLX 62.5 FIBERCBL $7.84 $39.20
5 Each 810-332-006 2M SC-SC DPLX 62.5 Fibercbl $8.44 $42.20
4 Each 41089-6IP 6Port SFC MNT HSNG $5.68 $22.72
12 Each 41085-MIC ADPT SC Multi SM Zirc $6.48 $77.76
20 Each AT1614-BK CAT 6 STR VIP 14FT BK $7.91 $158.20
12 Each 95-000-40 Conn Unicam Compst SC-MM $10.40 $124.80
1 Each MP-3526/27N- Hook and Loop fastener $55.95 $55.95
BLACK
Sub Total $520.83
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Send Invoice To: "Z , .x
ICS 'Quote No.0230994065
Timothy Renick .
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31 1st Avenue N.W. ' Ix
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Carmel, IN 46032- � A-v
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $520.83
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 `��
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY - 1141
Timothy Renick
TITLE Director
CONTROL NO. 101950 CLERK-TREASURER