HomeMy WebLinkAbout55753 STAPLES BUSINESS ADVANTAGE INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
(24 ty
ar N PURCHASE ORDER NUMBER
U FEDERAL EXCISE TAX EXEMPT
55753
35-60000972
ONE CIVIC SQUARE
CA RM E L,IN DIA NA 460 32.-.256,4 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
7/27/2021 07/27/21 26090 361528 PNR Office Supplies
Staples Business Advantage Parks Maintenance
Dept DET 2368 P.O. Box 83689 1427 E. 116th Street ATTN: Audrey
VENDOR Chicago, IL 60696-3689 SHIP Carmel, IN 46032
To
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Quartet Prestige Magnetic Total Erase Calendar Whiteboard, $ 129.910 $ 129.91
Graphite Frame, 3'x 2'(CP32P2)
1.000 each Post-it®Super Sticky Tabletop Easel Pad with Dry Erase $ 14.250 $ 14.25
Surface, 20"x 23", White(563DE)
1.000 each HP 507A Cyan Standard Yield Toner Cartridge (CE401A) Item $ 139.750 $ 139.75
#397919
1.000 each HP 507A Yellow Standard Yield Toner Cartridge (CE402A) $ 139.750 $ 139.75
Item#397918
1.000 each HP 507 A Black Standard Yield Toner Cartridge (CE400A) Item $ 108.860 $ 108.86
#397921
1.000 each HP 507A Magenta Standard Yield Toner Cartridge (CE403A) $ 139.750 $ 139.75
Item#397917
2.000 each Expo Vis-a-Vis Wet Erase Markers, Fine Point, Assorted, $ 7.200 $ 14.40
8/Pack(16078) Final Price $7.20 Item#: 125310
1.000 each Staples Mouse Pad, Black, 2/Pack(2498469) Final Price $6.48 $ 6.480 $ 6.48
Item#: 2498469
2.000 each Expo Whiteboard Care Dry Erase Cleaner, Blue (81803) Final $2.450 $4.90
Price$2.45 Item#: 120741
1.000 each Staples Sign Holders, 8.5"x 11", Clear Plastic, 48/Carton $ 123.290 $ 123.29
(16651-CC) Item#: 164375
Send Invoice To:
$ 1,214.58
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 Audrey Cooper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE PNR Maintenance Coordinator
CONTROLLER
DOCUMENT CONTROL NO. 55753 V N ID 0 IR COIF Y
INDIANA RETAIL TAX EXEMPT PAGE 2
Citlyr
CERTIFICATE NO.003120155 002 0
i N PURCHASE ORDER NUMBER
U FEDERAL EXCISE TAX EXEMPT
55753
35-60000972
ONE CIVIC SQUARE
CA RM E L,IN DIA NA 460 32.-.256,4 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
7/27/2021 07/27/21 26090 PNR Office Supplies
Staples Business Advantage Parks Maintenance
Dept DET 2368 P.O. Box 83689 1427 E. 116th Street ATTN: Audrey
VENDOR Chicago, IL 60696-3689 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
1.000 each Staples Thermal Pouches, 5 mil, Letter, 300/Pack(5245701) $ 85.000 $ 85.00
Item#: 2425553
3.000 each Staples Thermal Pouches, 3 mil, Letter, 50/Pack(17467) Item $ 18.250 $ 54.75
#: 677045
2.000 each Expo Low Odor Dry-Erase Marker, Chisel Tip, Assorted Colors, $ 10.250 $20.50
16/Pack(81045) Item#: 592678
1.000 each HP Color LaserJet 110V Fuser Unit(CE484A) Item#: 886628 $232.990 $232.99
GLAccount# 1125413-4230200
Send Invoice To:
$ 1,214.58
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 Audrey Cooper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE PNR Maintenance Coordinator
CONTROLLER
DOCUMENT CONTROL NO. 55753 V N ID 0 IR COIF Y