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Cit of
Ia.rriie]1 CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 00953
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/20/2017 229650 toner
OFFICE DEPOT INC Information Systems
VENDOR PO BOX 633211 SHIP 3 Civic Square
j TO Carmel, IN 46032-
CINCINNATI,OH 45263--3211 Timothy Renick (317)571-2567
PURCHASEID T
BLANKET CONTRACT I PAYMENT TERMS FREIGHT
20857
QUANTITY I UNIT OF MEASURE 1_ DESCRIPTION UNIT PRICE EXTENSION
Department: 1202 Fund: 101 General Fund
Account: 42-302.00
1 Each 753775 HP 970XL black toner $119.99 $119.99
1 Each 753820 HP 971XL Cyan toner $119.99 $119.99
1 Each 755836 HP 971XL Magenta toner $119.99 $119.99
1 Each 755863 HP 971XL Yellow toner $119.99 $119.99
Sub Total $479.96
Send Invoice To:
Information Systems
Timothy Renick
3 Civic Square
Carmel, IN 46032-
(317)571-2567 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT -I- PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $479.96
SHIPPING INSTRUCTIONS '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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.0 D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL / -cletT 7>
A\
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 .1����'' _
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ------ ---
Timothy Renick
TITLE Director
CONTROL NO. 100953 CLERK-TREASURER