102203 GRAYBAR ELECTRONICS INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cit3T of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102203
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
1215/2018 114000 Fiber testing equipment
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
31641
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 43-515.01
1 Each GLD-OFP-100-Q1 GLD-OFP-100-Q1 YR GOLD SUPPORT $2,234.40 . $2,234.40
Sub Total $2,234.40
• Account: 44-632.01
°
1 Each OFP2-100-Q1 Optifiber Pro Quad OTDR V2 w/inspection. $17,883.75 $17,883.75
..•'.:, $17,883:
ub Total 75
t
Send Invoice To:
ICS ''',Quote No.0231534404 je' "
Timothy Renick
31 1st Avenue N.W.
Carmel, IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $20,118.15
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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick James Crider
TITLE Director Administration
CONTROL NO. 102203 CLERK-TREASURER (\U\