HomeMy WebLinkAbout54013 STAPLES BUSINESS ADVANTAGE INDIANA RETAIL TAX EXEMPT PAGE 1
PURCHASE ORDER NUMBER
CERTIFICATE NO.003120155 002 0
City o. '1( at!
i N
U FEDERAL EXCISE TAX EXEMPT 54013
35-60000972
ONE CIVIC SQUARE
CARMEL,INDIANA 46032-2584 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
1/16/2020 01/21/20 22440 361528 AO Office Supplies
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
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2.000 each Item# 135848 TRU REDTM 8.5"x 11" Printer Paper, 20 lbs., 92 $ 34.480 $ 68.96
Brightness, 500/Ream, 10 Reams/Carton (TR56958)
1.000 each Staples BerberMat Carpet Chair Mat, 46"x 60", Crystal Clear $ 31.240 $ 31.24
(20234-CC)
1.000 each HP 05A Black Toner Cartridges, Standard, 2/Pack(CE505D) $ 96.580 $ 96.58
3.000 each HP 48A Black Toner Cartridge, Standard Yield (CF248A) $43.260 $ 129.78
1.000 each PerkTM Plastic Fork, Medium-Weight, White, 300/Pack $ 7.610 $ 7.61
(PK56401)
GLAccount# 1125102-4230200
Send Invoice To:
$ 334.17
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. 54013 VIE 1NID 0 IR CO Y