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Home My WebLink About53567 STAPLES BUSINESS ADVANTAGE INDIANA RETAIL TAX EXEMPT PAGE 1 CERTIFICATE NO.003120755 002 0 City o CarmelFEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER 53567 35-60000972 ONE CIVIC SQUARE CARMEL, Sf l-Nr'4S032-2Es4 THIS NUMBER MUST APPEAR ON INVOICES, 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 I DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 9/19/2019 09/24/19 21493 361528 AO Office Requests and Inventory Staples Business Advantage Administratio 0 Ice Dept DET 2368 P.O. Box 83689 1411 E. 116 NNED- VENDOR Chicago, IL 60696-3689 SOHIP Carmel, IN 46032 SEP 2 0 2019 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION 1.000 each Item#225103-Staples Wire Mesh Pen Cup Holder $3.520 $3.52 1.000 each Item#804547-Sony MDR Headphones, Black(MDR- $5.490 $5.49 E9LP/BLK) 1.000 each Item#24380796-TRU REDTM Front Load Stackable Plastic $5.060 $5.06 Letter Tray, Black,2/Pack(TR55331) 2.000 each Item#465930-Avery TrueBlock Laser/Inkjet File Folder $ 14.220 $28.44 Labels,2/3"x 3 7/16",White, 30 Labels/Sheet, 50 Sheets/Pack (5366) 4.000 each Item#418335-Staples Expanding File Pockets, 5.25" $7.760 $31.04 Expansion, Letter Size, Brown, 10/Box(418335/1534G10S) 1.000 each Item#799825-Staples 2-Hole Punch,28 Sheet Capacity, $3.150 $3.15 Black(26637-CC) 10.000 each Item#905234-Oxford PressGuard 2-Prong Report Covers, $3.660 $36.60 Letter, Black,2/Pack(OXF 06021) 10.000 each Item#462846-Avery®Legal Exhibit Dividers, Numerical 1-25 $4.600 $46.00 &Table of Contents, Clear(11370) 5.000 each Item#462820-Avery Legal Exhibit 26 Tab Dividers, White, Set $2.910 $ 14.55 (11372) 2.000 each Item#135848-TRU REDTM 8.5"x 11"Printer Paper,20 lbs., $34.480 $68.96 92 Brightness, 500/Ream, 10 Reams/Carton (TR56958) Send Invoice To: $295.29 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 CLERK-TREASURER 41" DOCUMENT CONTROL NO. 53567 VENDOR COPY INDIANA RETAIL TAX EXEMPT PAGE 2 y t Cannel CERTIFICATE NO.003120155 002 0 FEDERAL EXCISE TAX EXEMPT i PURCHASE ORDER NUMBER 53567 35-60000972 ONE CIVIC SCiUUAR= CARMEL,IUDLAtIA=E0322-2E14 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 9/19/2019 09/24/19 21493 AO Office Requests and Inventory Staples Business Advantage Administration Office Dept DET 2368 P.O. Box 83689 1411 E. 116th Street VENDOR Chicago, IL 60696-3689 SOHIP Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT 1.000 each Item#2728770-Febreze AIR Handheld Aerosols, Meadows& $5.720 $5.72 Rain, 8.8 oz. 2/Pack(73041) 2.000 each Item#056014-Kleenex Standard Facial Tissue,2-Ply, 144 $6.490 $ 12.98 Sheets/Box, 3 Boxes/Pack(37392) 1.000 each Item#651256-Staples Sonix Retractable Gel Pens, Medium $3.060 $3.06 Point, Blue Ink, Dozen (13563-CC) 1.000 each Item#326197-Staples Electronics Air Duster, Slight Ethereal, $21.360 $21.36 4/Pack(SPLO7ENFR-4) 3.000 each Item#533539-Staples Poly File Folders, 3-Tab, Letter Size, $3.120 $9.36 Assorted Colors,6/Pack(10847) GLAccount#1125102-4230200 Send Invoice To: $295.29 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 AFFIDAVITATIACHED. ▪ 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 CLERK-TREASURER DOCUMENT CONTROL NO. 53567 VENDOR COPY