HomeMy WebLinkAbout50344 STAPLES BUSINESS ADVANTAGE INDIANA RETAIL TAX EXEMPT i PAGE 1
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CERTIFICATE NO.003120155 002 0
,�w� PURCHASE ORDER NUMBER
�, y (��T� tarnielFEDERAL EXCISE TAX EXEMPT 50344
1 35.60000972
ONE CMC SQUARE _
THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL.IFA7{+NA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
i SHIPPING LABELS AND ANY CORRESPONDENCE.
I FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE
DESCRIPTION
ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO.
9/1412017 09/18/17 13985 361528 AO Office Supplies
Staples Business Advantage Administration Office
Dept DET 2368 P.O.Box 83689SHIP Carmel,IN 46032 1411 E. 116th Street
VENDOR Chicago,IL 60696-3689 TO
FREIGHT
CONFIRMATION I BLANKET CONTRACT I PAYMENT TERMS
I
QUANTITY
T...ITY UNIT OF MEASURE; DESCRIPTION UNIT PRICE I EXTENSION. _ � `
2.000 each Copy Paper $33.3000 $66.60
12.000 each Binders-1' $1.7200 $20.64
1.000 each HP 36A Toner $45.8800 $45.88
1.000 each HP CE505D Toner 2pk $108.7100 $ 108.71
2.000 each Oh Gel Blue/Black Pens $10.9900 $21.98
2.000 each Puff's Tissues-6pk $13.7200 $27.44
GLAccount#1125102-4230200
Send Invoice To:
$291.25
PLEASE INVOICE IN DUPLICATE
__,..._.___ - PROJECT —i PROJECT ACCOUNT AMOUNT
.............______._._.. ACCOUNT
DEPARTMENT __... .. ._....
_ PAYMENT
FOR PAYMENT UNLESS THE P.O.NUMBER IS M
PART OFT THE VOUCHER AND EVERVOICE AND VOUCHER HAS THE PROPER SWORN A
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIOATED BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID.
▪ C.O.O SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
▪ ORDER ISSUEDIN COMPLIANCE AND SUPPLEMENTHAPTER THERETO.1945 ACTS
AND ACTS AMENDATORY
TITLE �... _
CLERK-TREASURER 4.?DOCUMENT CONTROL NO. 50344 VENDOR COPY