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City ®f Carmv]I CERTIFICATENO.003120155002 0PURCHASEORDERNUMBER�j �j FEDERAL EXCISE TAX EXEMPT 101091
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
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
12113/2017 229650
OFFICE DEPOT INC
TO Carmel, IN 46032-
Dept of Community Service
VENDOR PO BOX 633211 SHIP 7 Civic Square
CINCINNATI,OH 45263--3211
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21675
QUANTITY UNIT OF MEASURE: DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 42-302.00
1 Each Office Supplies $2,203.:18., $2,203.18
Sub Total $2,203.18
I2
s
Send Invoice To:
Dept of Community Service
1 Civic Square
Carmel, IN 46032=
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT n PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $2,203.18
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 SA'ORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL /�7 / 1
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ( f'v/ '
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY \�j
''C
Mike Hollibaugh l�w
TITLE Director \
CONTROL NO. 10109 CLERK-TREASURER