HomeMy WebLinkAbout50065 STAPLES BUSINESS ADVANTAGE INDIANA RETAIL TAX EXEMPT PAGE 1
City
ofCarmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 50065
35-60000972
ONE CNC SOL!ARa
CARUE:.II17WIA 4 I0t2-2154 THIS NUMBER MUSTAPPEAR ON IIVOICES.NP
VOUCHER,DELIVERY MEMO.PACKING SLIPS,
AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHM'PNG LABELS
PURCHASE ORDER DATE DATE REQUIRED REQUISmON NO. VENDOR NO. DESCRIPTION
7/13/2017 07/18/17 13311 361528 AO Office Chairs
Staples Business Advantage Administration Office
Dept DET 2368 P.O.Box 83689 1411 E. 116th Street
VENDOR Chicago,IL 60696-3889 SHIP
HP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE I DESCRIPTION I UNIT PRICE 1 EXTENSION
5.000 each Endorse Work Mid-back Mesh Back-Jet $356.8500 $1,784.25
1.000 each Delivery&Assembly $50.0000 $50.00
GLAccount#1125101-4463000
Send Invoice To:
$1,834.25
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ` ACCOUNT ' PROJECT I PROJECT ACCOUNT 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 THEM MAN UNOU (GATED BALANCE N THIS APPROPRIATION
• SMP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
▪ C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURERKA
DOCUMENT CONTROL NO. 50065 VENDOR CONY \