HomeMy WebLinkAbout54839 STAPLES BUSINESS ADVANTAGE INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
�,ill PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 54839
35-60000972
ONE U WIU SQUARE
CARMEL, IFlI11 LANA„„46032-25,8,4 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
9/23/2020 09/13/20 24067 361528 Office Supplies for Parks&Natural Resource
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
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
25.000 each 500526- Post-it die cut notepads star shaped $3.060 $ 76.50
4.000 each 178080-Solar System/Underwater puzzles (Volunteer Event) $21.590 $ 86.36
GLAccount# 1125401-4239039 = $ 162.86
1.000 each 887355-cartridge 111 yellow toner $ 196.390 $ 196.39
1.000 each 887356-cartridge 111 cyan toner $ 194.290 $ 194.29
2.000 each 620332-501 A black toner $ 133.330 $266.66
1.000 each 612950-5pk Bic Velocity mechanical pencil $8.660 $ 8.66
1.000 each 401607- Moleskin classic large quad ruled notebook $6.780 $ 6.78
1.000 each 731305- Mead Cambridge meeting format notebook $4.250 $4.25
1.000 each 2639139- Moleskin large hard cover dotted black $6.780 $ 6.78
1.000 each 260273-avery shipping labels $24.730 $24.73
1.000 each 462332-8.5x11 notepads $8.140 $ 8.14
2.000 each 677045-Staples thermal pouches, 3M I L, 50pk $ 14.230 $28.46
1.000 each 489526-Staples thermal pouches, 5M I L, 100pk $28.350 $28.35
1.000 each 853301 - HP 85A Black Toner cartridge $50.070 $ 50.07
Send Invoice To:
$ 1,014.40
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 Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54839
IF IN DO IR COPY
INDIANA RETAIL TAX EXEMPT PAGE 2
CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 54839
35-60000972
ONE U WIU SOUARE
(CARMEL, IN 46032-25,8,4 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
9/23/2020 09/13/20 24067 Office Supplies for Parks&Natural Resource
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
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
2.000 each LLR80632- Lorell Vertical file organizer $ 13.990 $27.98
GLAccount# 1125413-4230200 =$851.54
Send Invoice To:
$ 1,014.40
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 Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54839
IF IN IIL...° R COIIPY