27703 Graybar Electrict of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
27703
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER. DELIVERY MEMO. PACKING SUPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
811412012
VENDOR
Graybar Electric
12431 Collections Center Drive
Chicago, IL 60693
SHIP
TO
Carmel Communication Center
31 1st Ave NW
Carmel, IN 46032
(317) 571 -2586
CONNPMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
ENTENSICN
Account 43- 509.00
1 Each W -MNTD CLST HOUS/2CCH PNL
1 Each 19" Rack Mount TV SS
10 Each CART BMP 21
2 Each Pnl w16 MM Dplx SC Slvs PB insert
1 Each CAMSPLICE ASSY TOOL
1 Each Fiber Closure w15 tray organizer,
1 Each UCAO 12 Position mach Asplice tray
2 Each CAMSPLICE 6PK
:w
co
•Q
WCH -02P
5500 -190
M21.750-595-WT
CCH- CP12=9
0 t21 04040 01
° `UCAb-05
Send Invoice To:
Sob
ALL.
Carmel Communication Center
31 1st Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$83.52
$10a.08
$24.89
$56.14
$211.10
$130.40
$128.69
$128.13 •
Sub Total:
$83.52
$108.08
$248.90
$112.28
$211.10
$130.40
$128.69
$256.26 .
$1,279.23
.DEPARTMENT
Communications
ACCOUNT
PROJECT
PROJECT ACCOUNT 1
AMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT PE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 27703
ORDERED BY
TITLE
CLERK- TREASURER
OFFICE COPY
PAYMENT $1,279.23
• A'P 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 AFFIDA17I•M1 ACHED. •
• I HEREBY CERTIFY TIY' HERE -N ^•B (GATED ANCE IN
THIS APPROPRIATI *j/ OF FICI' NTT• •AY ' •A THE AEOV" •EIDER.