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IL lt37 of Cari-ne CERTIFICATE 003120155 002 0 ` PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 01 1 99
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AR
CARMEL;INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE op
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL=1997
PURCHASE ORDER DATE 'DATE REQUIRED REQUISITION NO: VENDOR NO. . . DESCRIPTION
12/20/2017 361528. Office Supplies
STAPLES BUSINESS ADVANTAGE Clerk-Treasurer'sOffice
VENDOR DEPT DET: SHIP 1 Civic Square
TO
P.O BOX 83689. Carmel, IN 46032-:.
CHICAGO, IL 60696--3689
- PURCHASEID BLANKET CONTRACT
PAYMENT TERMS: ; . " "
. .22012
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department 1701 Fund 101 General Fund
Account.. 42-302.00" . . ` . . ` •.
1" Each: BLANKET PO OFC SUPPLIES $1,000.00 $1,000.00
Sub Total l .. :$1,000.00 •
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Send
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Clerk-Treasurer's Office
1:Civic Square -''N---"Aib'itxttPt'>" .
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE.
DEPARTMENT 1. .ACCOUNT:: 9 PROJECT PROJECT ACCOUNT : :. . AMOUNT. .
PAYMENT .. $1,000.00
SHIPPING INSTRUCTIONS •AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER ISMADE A
`SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
AFFIDAVITATTACHED.::I:HEREBY CERTIFY THAT THERE IS AN UNOBLIGATEDBALANCE IN
`C.OI.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
Dianne:Walthail -
TITLE ::. : Director of Financial Reporting
CONTROL NO. CLERK-TREASURER