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INDIANA RETAIL TAX EXEMPT Page 1 of 1
t ®I CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102383
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/13/2018 229650 COFFEE&BEVERAGES FOR OFFICE
OFFICE DEPOT INC Mayor's Office
VENDOR PO BOX 633211 SHIP 1 Civic Square
TO Carmel,IN 46032-
CINCINNATI,OH 45263--32.11
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
32181
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1160 Fund: 101 General Fund
Account: 43-551.00
1 Each COFFEE&BEVERAGES FOR OFFICE $148.07 $148.07
Sub Total $148.07
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Send Invoice To: , i 4_ i .4'
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Mayor's Office
1 Civic Squaref� '" 1 ,,,
Carmel, IN 46032- '
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $148.07
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 SWORN
*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 J
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 \ 1'T..l j
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Sharon Kibbe \
TITLE Executive Office Manager ��
CONTROL NO. 102383 CLERK-TREASURER \V