HomeMy WebLinkAbout52633 STAPLES BUSINESS ADVANTAGE INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE N0.003120155 002 0 'City
Io `grme PURCHASE ORDER NUMBER
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FEDERAL EXCISE TAX EXEMPT 52633
35-60000972
O1 iE C(MMC SQUARE
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I' lifOLAU' 46O'2-2S134 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
4/2/2019 04/03/19 19301 361528 Office supplies for Parks&Natureal Resource staff
Staples Business Advantage Parks Maintenance
Dept DET 2368 P.O. Box 83689 1427 E. 116th Street ATTN: Courtney
VENDOR Chicago, IL 60696-3689 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each #2798123 Canon SELPHY CP1300 photo printer $ 114.9900 $ 114.99
2.000 each 135848-Staples copy paper $36.2200 $72.44
20.000 each 112383-clipboards $ 1.1900 $23.80
1.000 each 887354-cartridge 111 magenta toner $ 178.1900 $178.19
1.000 each 887355-cartridge 111 yellow toner $ 178.1900 $ 178.19
1.000 each 887356-cartridge 111 cyan toner $ 178.1900 $ 178.19
1.000 each 620332-501A black toner $ 165.4500 $ 165.45
1.000 each 263649-JAM glossy paper 50pk $25.0900 $25.09
2.000 each 2476235-Staples 6"display port to HDMI adapter $ 15.3900 $30.78
1.000 each 978300-Swingline paper cutter $28.1400 $28.14
4.000 each 959064-Staples optical mouse $ 13.9900 $55.96
4.000 each 784615-Logitech K260 wireless keyboard $20.9900 $83.96
1.000 each 2658108-Canon RP-108 Ink cartridge/photo paper $37.2900 $37.29
GLAccount#1125413-4230200
Send Invoice To:
$ 1,172.47
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I 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 Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 52633 VENDOR COPY