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Cityof Cia]r]rrJ1e1 CERTIFICATE
O PURCHASE
FEDERAL EXCISE TAX EXEMPTURCHA101179
SEo �IORD�n UMBER
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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 229650 ORDER NOS.990139146;990139275;990139276
OFFICE DEPOT INC Mayor's Office
VENDOR PO BOX 633211 SHIP 1 Civic Square:
TO Carmel, IN 46032-
CINCINNATI,OH 45263--3211
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21866
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1160 Fund: 101 General Fund
Account: 42-302.00
1 Each ORDER NOS.:990139146;990139275;990139276 $434.92 $434.92
Sub Total $434.92
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Send Invoice To:
Mayor's Office
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $434.92
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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Sharon Kibbe (S,�
TITLE Executive Office Manager �J
CONTROL NO. 101179 CLERK-TREASURER \‘? 4