HomeMy WebLinkAbout52294 (pg 2) STAPLES BUSINESS ADVANTAGE INDIANA RETAIL TAX EXEMPT PAGE 2
CERTIFICATE N0.003120155 002 0
Of C r el PURCHASE ORDER NUMBER
;�' FEDERAL EXCISE TAX EXEMPT 52294
35-60000972
OE IF,CMC SOU;. R_
CARMEL,1104.411A 4€032-2SS4 THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DELIVERY MEMO,PACKING 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 AO Office Supplies
Staples Business Advantage Administration Office
Dept DET 2368 P.O. Box 83689 1411 E. 116th Street
VENDOR Chicago, IL 60696-3689 So SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
2.000 each Red Folders#224519 $ 18.9900 $37.98
1.000 each Calculator Ribblon#814665 2pk $6.9900 $6.99
4.000 each Cat6 Inline Coupler#1256239 $6.9900 $27.96
GLAccount#1125102-4230200
Send Invoice To:
$380.10
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 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 �\V
CLERK-TREASURER
DOCUMENT
DOCUMENT CONTROL NO. 52294 VENDOR COPY