103103 GRAYBAR ELECTRIC ity
INDIANA RETAIL TAX EXEMPT Page 1 of 1
�/Chof Iairinrie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103103
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9/6/2019 114000 SC Connectors
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
39527
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 42-370.00
30 Each 95-000-40 Conn.Unicam Compst SC-MM $10.61 '$318.30
Sub Total $318.30
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Send Invoice To: , ' ....,. . ..._‘.x__ - v�A..µL.. .
ICS ' , 'Quote No. 0233591852• '�
Timothy Renick ,,
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31 1st Avenue N.W.
Carmel,IN 46032- � /7 ', ,
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $318.30
SHIPPING INSTRUCTIONS 'AN 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 Renick0\4
TITLE Director
CONTROL NO. 103103 CLERK-TREASURER NI