HomeMy WebLinkAbout52644 STAPLES BUSINESS ADVANTAGE INDIANA RETAIL TAX EXEMPT PAGE 1
City I CERTIFICATE NO.003120155 002 0
C arme FEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER
52644
35-60000972
OMZ CP=I C SQUARE
CARMEL,INDIA1'l.=: E22-2E8= THIS NUMBER MUST APPEAR ON INVOICES,/VP
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
4/4/2019 04/09/19 19354 361528 Laptop Computers and Accessories
Staples Business Advantage Administration Office
Dept DET 2368 P.O. Box 83689 1411 E. 116th Street
VENDOR Chicago, IL 60696-3689 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION,
2.000 each HP Smart Buy Elitebook x360 1040 G5 '14"2-in-1 Notebook $ 1,686.0000 $3,372.00
Intel Core i5#5NWO4UT#ABA
2.000 each HP DDR4-8GB Ram#4VNO6UT#ABA $ 123.5900 $247.18
2.000 each HP Thunderbolt G2 Docking Station#2UK37UT#ABA $218.0000 $436.00
GLAccount#1125101-4463200
Send Invoice To:
$4,055.18
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I 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 UNOBUGATED 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 CONTROL NO. 52644 VENDOR COPY `"k`