26315 Graybar C0 1- t INDIANA RETAIL TAX EXEMPT PAGE
ity of Carmel.: .,... : ,.�0110.RTIFICATE:NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26315
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/12/2012 ,
Graybar Street Department
VENDOR SHIP 3400 W. 131st Street
TO
12431 Collections Center Drive Carmel, IN 46074
Chicago, IL 60693-2431 (317) 733-2001
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 0043-500.80
1 Each lights $2,915.00 $2,915.00•
• Sub Total: $2,915.00
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Send Invoice To:
Street Department e'
3400 W. 131st'Street •
• Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT ' PROJECT PROJECT ACCOUNT AMOUNT
Carmel Street Department PAYMENT $2,915.00
• 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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
' THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
.•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. n 160tra 6,6 o•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. ,, ^ /�f .L�l' (J•+
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE V. ! . .(_ L ,�/`JJ(.0A f ..- 0-11"L 4t÷
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ' . V lJ
��31� CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY