HomeMy WebLinkAbout50587 STAPLES BUSINESS ADVANTAGE . ity o arme
CINDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO 003120155 002 0
_ 5058HASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
3540000972
ONE CIVIC SQUARE ; 1
CARMEL,INDIANA 439?2-2E 4 THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
I SHIPPING LABELS APD ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
i
11/22/2017 11/27/17 114577 j 361528 AO Office Supplies
Staples Business Advantage Administration Office
Dept DET 2368 P.O.Box 83689 1411 E. 116th Street
SHIP VENDOR Chicago, IL 60696-3689 TO Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS_-.--__... ._.......___.__.._....._.__ .,,.,,........
I FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 1 EXTENSION
1.000 box Pentel Oh Gel Red Pens#K497A $ 10.9900 $ 10.99
1.000 box Sharpie Highlighter Yellow#051165 $5.6600 $5.66
1.000 package Staples Signa Writing Pads#809816 $ 12.7600 $ 12.76
1.000 package Staples Jumbo Paper Clips#472506 $5.8800 $5.88
2.000 box Staples Manilla Folders 3 tab#116657 $4.1400 $8.28
2.000 box Smead File Pocket 5 1/4"#575546 $22.4900 $44.98
1.000 box HP#36A Toner for 1505N printers#836622 $45.8800 $45.88
2.000 box HP#13A-for 1300 printers#791404 $46.7500 $93.50
2.000 package Puffs Tissue#137961 $ 13.7200 $27.44
1.000 box Avery Prehung Tags for Uniforms#168872 $5.1900 $5.19
1.000 box Avery Permanent File Folder Labels#465930 $ 17.9400 $ 17.94
GLAccount#1125102-4230200
Send Invoice To:
$278.50
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 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 THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP 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
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CLERK-TREASURER
DOCUMENT CONTROL NO. 50587 VENDOR COPY \ \%!": 4N