101991 GRAYBAR ELECTRIC COM INC ci
INDIANA RETAIL TAX EXEMPT Page 1 of 1
�� ® ��}� �� CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
/ JL FEDERAL EXCISE TAX EXEMPT 101991
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,SA!!
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
10/912018 114000 fiber Patch panels
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
29930
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 42-370.00
10 Each 810-L32-003 1M LC-SC DPLX 62.5 FIBERCBL $11.02 $110.20
10 Each 810-L32-006 2M LC-SC DPLX 62.5 FIBERCBL $11.76 $117.60
Sub Total $227.80
•
SCANNED
t ' ,� g, X OCT 10 2019
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Send Invoice To:
ICSQuote NO.0231176274
Timothy Renick ,,, '"
31 1st Avenue N.W.
,, �'k , 4 mss
Carmel, IN 46032- ,
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $227.80
PART OF THE VOUCHER AND
SHIPPING INSTRUCTIONS *NP VOUCHER CANNOT BE APPROVED
EVERY FORINVOICE PAYMENTANDVOUCHER UNLESS THETHE P.O. NUMBERPROPER SRI
IS MORN ADE A
HAS W
'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 '`of
AND ACTS AMENDATORY THEREOFAND SUPPLEMENT THERETO.
ORDERED BY ��
Timothy Renick �a`N,q ,
TITLE Director
CONTROL NO. 1 01 991 CLERK-TREASURER