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Page 1 of 1 it ofCdt iriel CERTIFICATE O PURCHASE ORDER
NUMBER UMBER
FEDERAL EXCISE TAX EXEMPT ® 81
.---_
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
12/15/2017 361528 ORDER NO.7188781685
STAPLES BUSINESS ADVANTAGE Community Relations
VENDOR DEPT DET SHIP 1 Civic Square :.
PO BOX 83689. TO Carmel, IN 46032-
CHICAGO, IL 60696--3689
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21870
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 42-302.00
1 Each ORDER NO.7188781685 $191.52 $191.52
Sub Total $191.52
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Send Invoice To:
Community Relations
1 Civic Square
Carmel, IN 46032=
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $191.52
SHIPPING INSTRUCTIONS •NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
*SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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 - Ll
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AA.,+.4, c e�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ��
Nancy Heck
TITLE Director
CONTROL NO. 101181 CLERK-TREASURER