26177 Graybar CityC I INDIANA RETAIL TAX EXEMPT PAGE
I o f C ar th e f' CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 28177
35- 60000972
ONE CIVIC SQUARE 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
512212012
Graybar Cannel Police Department
VENDOR SHIP 3 Civic Square
9222 Orly Road TO Cannel, IN 413032
Indianapolis, IN 46241 (317) 571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Account 43-501.00
1 Each Fiber Project Range $2,081.30 $2,081.30
Sub Total: $2,081.30
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Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
Carmel Police Dept. �Q-3 PAYMENT $2,081.30
U 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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY T TT EREIS AN UNOBLIGATED BALANCE IN
SHIP REPAID, THIS APPROPRI FICIENT TA
PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE hief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
II
26177 CLERK- TREASURER
DOCUMENT CONTROL NO. OFFICE COPY