HomeMy WebLinkAbout52294 STAPLES BUSINESS ADVANTAGE INDIANA RETAIL TAX EXEMPT PAGE 1
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_ CERTIFICATE N0.003120755 002 0
y 0 \. ` m E FEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER
52294
35-60000972
ONE CMC SQUARE
CARMEL,'id31 TIA 4n32-2E-S4 THIS AR
VOUCHER,DELIVERYMEMO,PACKING ER MUST APPEAR ON SUPS,
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
1/3/2019 01/05/19 18518 361528 AO Office Supplies
Staples Business Advantage Administration Office
Dept DET 2368 P.O. Box 83689 1411 E. 116th Street
VENDOR Chicago, IL 60696-3689 To P Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
2.000 each HP 13X Reman.Toner#791406 $43.9000 $87.80
2.000 each HP 35A Reman.Toner#836624 $37.6600 $75.32
4.000 each Economy View Binders 2"#374812 $2.1600 $8.64
1.000 each Economy View Binders 1/2"#358166 12pk $29.9900 $29.99
1.000 each Green Mountain K-Cups Regular#719465 $ 14.9900 $ 14.99
1.000 each White Note Pads#163865 12pk $3.1400 $3.14
1.000 each Post It 2"White Tabs#803426 $3.9700 $3.97
1.000 each Scotch Adhesive Roller#393634 $2.5900 $2.59
2.000 each Correction Tape#611278 $2.1200 $4.24
1.000 each Post It Yellow#129957 $7.9900 $7.99
1.000 each Pop Up Post Its#885271 $ 11.3100 $ 11.31
1.000 each Medium Binder Clips#395200 $6.1200 $6.12
1.000 each Small Binder Clips#480114 $2.4300 $2.43
1.000 each Copy Paper#135848 $36.2200 $36.22
3.000 each Manilla Folders#116657 $4.1400 $ 12.42
Send Invoice To:
$380.10
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• A/P 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 `�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE N l
\r„..,‘
CLERK-TREASURER
V
DOCUMENT CONTROL NO. 52294 VENDOR COPY