HomeMy WebLinkAbout50059 STAPLES BUSINESS ADVANTAGE of Carmel INDIANA RETAIL TAX EXEMPT PAGE 1
CityCERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 50059
35-60000972
ONE CIVIC SQUARE
CAMEL ROMA 4, s EPTHIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELNERY MEMO,PACKING SUPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7/11/2017 07/16/17 13289 361528 AO Office Supplies&Underdesk Keyboard Trays
Staples Business Advantage Administration Office
Dept DET 2368 P.O.Box836891411 E. 116th Street
SHIP
VENDOR Chicago,IL 60696-3689 To Carmel,IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION 1 UNIT PRICE EXTENSION
2.000 each 3MTM'Knob Adjust Keyboard Tray,Standard Platform,Gel Wrisi $107.4900 $214.98
Rest,Precise."'"Mouse Pad, 17 in Track,Black
24.000 each Avery®Ready Index®Table of Contents Dividers, 1-8 Tab, $8.6100 $206.64
Multicolor,8 1/2"x 11",6 Sets/Pk
GLAccount#1125102-4230200
Send Invoice To:
$421.62
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT r PROJECT J PROJECT ACCOUNT I AMOUNT __.............
PAYMENT
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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT TIME IS AN UNOBUGATED BALANCE IN THIS APPROPRIATION
SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER
• C.O.0 SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER 1813L/ED IN COMPLIANCE WITH CHAPTER 99,ACTS 1445
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50059 VaNDU.
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