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City of I1aiririiie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102411
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
12/14/2018 229650 Office supplies for both DOCS departments
OFFICE DEPOT INC Dept of Community Service
VENDOR PO BOX 633211 SHIP 1 Civic Square
TO Carmel, IN 46032-
CINCINNATI,OH 45263--3211
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
32232
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 42-302.00
1 Each Office Supplies $2,098.15 $2,098.15
Sub Total -$2,098.15
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Send Invoice To: `. -�
Dept of Community Service , '
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1 Civic Square ' -
Carmel, IN 46032- ,�- ��
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $2,098.15
•NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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
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*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 55-'''' �
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ,
Mike Hollibaugh
TITLE Director
CONTROL NO. 102411 CLERK-TREASURER i k