HomeMy WebLinkAbout52706 STAPLES BUSINESS ADVANTAGE INDIANA RETAIL TAX EXEMPT PAGE 1
City
of Cannel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 52706
35-60000972
ONE C IC SQUARE
CARMEL.INDIAt'A•ll :32-2 34 THIS NUMERTOUCHERS RMUSTAPLIVERY PEORONINVOG CE,AIP
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
•
4/19/2019 04/24/19 19530 361528 Admin Office Supplies&Printers
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 Staples Poly Wallets 5pk#906380 $8.0300 $ 16.06
3.000 each HP LaserJet Pro M15W Wireless Monochrome Laser Printer $79.9900 $239.97
#24323034
6.000 each Toner for Printers $41.7900 $250.74
GLAccount#1125102-4230200
Send Invoice To:
$506.77
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 ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 52706 VENDOR COPY