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328797 08/14/18
(9, CITY OF CARMEL, INDIANA VENDOR: 361528 ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECKAMOUNT: $*******169.98* CARMEL, INDIANA 46032 P.D.BOX 660409 CHECK NUMBER: 328797 DALLAS TX 75266-0409 CHECK DATE: 08/14/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4463000 3366222617 129.99 FURNITURE & FIXTURES 911 4230200 8050816966 39.99 OFFICE SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 361528 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER STAPLES BUSINESS ADVANTAGE IN SUM OF$ CITY OF CARMEL P.O. BOX 660409 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. DALLAS, TX 75266-0409 Payee $129.99 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Clerk Treasurer Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 3366222617 44-630.00 $129.99 1 hereby certify that the attached invoice(s),or 8/13/18 3366222617 HYKEN BLACK CHAIR:KAREN $129.99 1701 101 1701 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday,August 13,2018 SL�e__�(2;t� Quinn,Jacob Deputy Clerk of City Business I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 -,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer STAPLES IN�VOICE'D¢TE{�� CUSTQMER '��t `�������� S�UNIMAR`(I�JI/�OICE Business Advantage 8/04/18 DET 1061088 8050916490 PLEASE PINY 6`�';u T s t L x� ; c "':7;rOlJ T D . 9/03/18 Net 30 Days 555.16 IWOICEDETAiL = Staples Business Advantage Federal ID #:04-3390816 Bill to Account: 1030382 Ship to Account: 1 CIVIC 3RD FL CITY OF CARMEL CLERK-TREASURER OFC CITY OF CARMEL JIM SPELBRING ATTN.- KAREN TAYLOR 1 CIVIC SQUARE 1 CIVIC SQUARE 3RD FL 3RD FL/DELIVER BY 4PM CARMEL, IN 46032 CARMEL, IN 46032 Budget Ctr 170 - CLERK TREASURER Invoice Number: 3386222617 Budget Ctr Desc: order 7202102301-000-001 P O Number ordered By KAREN TAYLOR P o Desc Order Date 8/03/18 Release Release Desc order order B/o Unitship Unit Extended Line Item Number Description Qt Qt Meas Qty Price Price 1 990119 HYKEN BLACK CHAIR 1 0 EA 1 129.99 129.99 Freight: .00 Tax:( .0000 %) .00 Sub-Total: 129.99 Total: 129.99 0 0 0 0 0 0 4 0 m 0 0 0 0 Customer Serviceinquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4104 Page: 1 Make checks ayable to Staples Advantage, PO Box 660409, Dallas TX 75266-0409 STAPLES` SHIPPING INFORMATION ACCOUNTING INFORMATION PAYMENT METHOD SUBTOTAL $129.99 ._ ___.___._�,�... _.. .____. ...._....,..._..._�... �.. Standard Delivery $0.00. Karen Taylor Budget Center Invoice this account CITY OF CARMEL 170-CLERK TREASURER PRETAX $129.99 1 CIVIC SQUARE SUBTOTAL 3RD FUDELIVER BY 4PM PO CARMEL,IN 46032 USA TOTAL $129.99 PO Release 317 571-2453 Furniture items in your order may qualify for Enhanced Delivery services-see below for specific details. ITEM PRICE QTY TOTAL Staples@ HykenTm Technical Task Chair with $129.99 EA/1 1 $129.99 Adjustable Arms, Mesh, Black(23481 R) $129.99 Staples Item#990119: MFR Item#23481 CC . ` Customer Item#990119 a ' CONTRAC h T SERVICE OPTIONS Packing Slip.Note Standard-Delivery Free curbside delivery only. Delivery contingent on manufacturer lead time. SUBTOTAL, $129:99 Standard Delivery $0.00 f� ,Vnvl PRETAX, $129.99 �j SUBTOTAL TOTAL $129.99 VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) Vendor# 361528 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER STAPLES BUSINESS ADVANTAGE IN SUM OF$ CITY OF CARMEL P.O. BOX 660409 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. DALLAS, TX 75266-0409 Payee $39.99 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# F.iC©ITiF Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 8050816966 42-302.00 $39.99 1 hereby certify that the attached invoice(s),or 7/28/18 8050816966 $39.99 911 911 911 911 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday,August 10, 2018 Frost, Dwight Major I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer STAPLES IRO%OICEbQATE ClJSTQNfERFr r SUh1MARY INVOICE Business Advantage 7/28/18 DET 1061088 8050816966 } 8/27/18 Net 30 Days 39.99 INVOICE staples Business Advantage Federal ID #:04-3390816 1010717 01 AB 0.408 "AUTO 6 1 831246032-258401 -C01-P10727-1 CITY OF CARMEL CLERK-TREASURER OFC JIM SPELBRING . 1 CIVIC SQUARE O 3RD FL CARMEL,IN 46032-2584 Bill to Account: 1030382 Remittance Page of Summary .Invoice customer service inquiries # 877-826-7755 invoice Payment Inquiries 888-753-4104 Make checks payable to staples Advantage, PO Box 660409 Dallas Tx 75266-0409 STAPLES Business Advantage 7/28/18 DET 1061088 8050816966 LEASEPAY,BYt w, TERMS y,g' �w " AMQl1"01"N E, 8/27/18 Net 30 Days 39.99 IAW01cE SUIVIIV. ARY Staples Business Advantage Federal 1D #:04-3390816 CITY OF CARMEL CLERK-TREASURER OFC JIM SPELBRING 1 CIVIC SQUARE , 3RD FL CARMEL, IN 46032 I i Bill to Account: 1030382 BUDGET CENTER PURCHASE ORDER RELEASE ORDER NUMBER INVOICE NET TAX MISC/FREIGHT TOTAL 110 - POLICE DEPARTMENT 7201171079-000-003 3385188922 39.99 .00 .00 39.99 SUBTOTAL 110 - POLICE DEPARTMENT 39.99 .00 .00 39.99 TOTAL 39.99 .00 .00 39.99 I For billing inquiries call 888-753-4104 For order inquiries call 877-826-7755 Page: 1 Make checks a able to sta les Advanta e, Po Box 660409, Dallas TX 75266-0409 8312-01-00-1010717-0002-0032720 I IIIIIIII II IIIIII VIII VIII VIII VIII VIII VIII IIII IIII STAPLES IM/;OICE,DA_1"__a� CUSTOf+IER ' 3 S SUMMARYINUOIG_E- BusinessAcvcntage 7/28/18 DET 1061088 8050816966 �- 8/27/18 Net 30 Days 39.99 INVOICE DETAIL Staples Business Advantage Federal ID #:04-3390816 Bill to Account: 1030392 Ship to Account: 3 CIVIC SQUARE CITY OF CARMEL CLERK-TREASURER OFC CITY OF CARMEL JIM SPELBRING ATTN: MARIE DOAN 1 CIVIC SQUARE 3 CIVIC SQUARE 3RD FL DELIVER BY 4PM CARMEL, IN 46032 CARMEL, IN 46032 Budget Ctr 110 - POLICE DEPARTMENT Invoice Number: 3385188922 Budget Ctr Desc: Order 7201171079-000-003 P O Number Ordered By MARIE DOAN P 0 Desc Order Date 7/18/18 Release Release Desc order order B/O unit ship unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 9 2612122 MEDIUM TORNADO MOP REFILL 1 0 CT 1 39.99 39.99 Freight: .00 Tax:( .0000 %) .00 Sub-Total: 39.99 Total: 39.99 Backorder of 7201171079 N r N M O O O O O r r O O 6 O O N M m ' Customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4104 Page: 1 Make checks a able to Ste les Advantage, PO Box 660409, Dallas Tx 75266-0409