HomeMy WebLinkAbout55050 STAPLES BUSINESS ADVANTAGE INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
' '01 111 x
PURCHASE ORDER NUMBER
.. " FEDERAL EXCISE TAX EXEMPT
55050
35-60000972
ONE CIVIC SOUARE
(CARMEL, INal.11IIA„N „„460 32-2 5,8,4 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
1/4/2021 01/09/21 24597 361528 AO Office&Computer 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
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
3.000 each Copy Paper $29.990 $ 89.97
1.000 each HP 05A Black Toner Cartridges, Standard, 2/Pack(CE505D) $ 101.050 $ 101.05
2.000 each HP 48A Black Toner Cartridge, Standard Yield (CF248A) $40.810 $ 81.62
1.000 each Green Mountain Regular Variety Pack Coffee, Keurig®K-Cup® $ 13.290 $ 13.29
Pods, Variety Pack Roast, 22/Box(6501)
3.000 each SanDisk Cruzer Glide 32GB USB 2.0 Flash Drive (SDCZ60- $ 7.140 $21.42
032G-A46)
3.000 each Staples Premium Rubber Bands, #117B, 1/4 lb. Bag, 50/Pack $0.790 $2.37
(28627-CC)
2.000 each HP USB-C/A Universal Dock G2 Docking Station for HP, Apple $203.990 $407.98
, Dell, Lenovo, and more (STWI3UT#ABA) Item#24431846
1.000 each Casio DR-210R 12-Digit Printing Calculator, Black Item #: $35.740 $ 35.74
24331205
GLAccount# 1125102-4230200
Send Invoice To:
$ 753.44
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. 55050 V IF;;;III D Ih I,,,