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Home My WebLink AboutOfficeWorks Services, LLC/DOCS/$32,076.90/Furniture Purchase Install Support Service - ASA 2CzTfshfzHsfdivlijobu23;14qn-Bvh1:-3133 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 8/17/2022 8/17/2022 8/17/2022 8/17/2022 Exhibit A DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 11/9/2021 OFFICEWORKS FISHERS, IN 46037 - 105727 12000 EXIT FIVE PKWY City of Carmel ONE CIVIC SQUARE CARMEL, INDIANA 46032-2584 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 FEDERAL EXCISE TAX EXEMPT 35-6000972 PURCHASE ORDER NUMBER THIS NUMBER MUST APPEAR ON INVOICES, A/P VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION VENDOR SHIP TO PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT EXTENSION Renovation of entire B&C Office - 12 staff workstations and 3 support stations Dept of Community Service 1 Civic Square Carmel, IN 46032- 00351202 UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY Page 1 of 1 60946 1192Department:101Fund:General Fund 43-509.00Account: Furniture install, support andservice1 $19,094.08 $19,094.08Each 19,094.08SubTotal 44-630.00Account: Furniturepurchase1 $39,832.39 $39,832.39Each 39,832.39SubTotal 58,926.47 Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT SHIPPING INSTRUCTIONS SHIP PREPAID. C.O.D. SHIPMENT CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 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 AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. CONTROL NO. 105727 ORDERED BY TITLE CONTROLLER Dept of Community Service 1 Civic Square Carmel, IN 46032- Mike Hollibaugh James Crider Director Director of Administration Amount remaining on PO $6,604.46 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 11/24/2021 OFFICEWORKS FISHERS, IN 46037 - 105807 12000 EXIT FIVE PKWY City of Carmel ONE CIVIC SQUARE CARMEL, INDIANA 46032-2584 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 FEDERAL EXCISE TAX EXEMPT 35-6000972 PURCHASE ORDER NUMBER THIS NUMBER MUST APPEAR ON INVOICES, A/P VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION VENDOR SHIP TO PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT EXTENSION Funds to replace old chairs for staff Dept of Community Service 1 Civic Square Carmel, IN 46032- 00351202 UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY Page 1 of 1 61287 1192Department:101Fund:General Fund 44-630.00Account: StaffChairs1 $1,500.00 $1,500.00Each 1,500.00SubTotal 1,500.00 Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT SHIPPING INSTRUCTIONS SHIP PREPAID. C.O.D. SHIPMENT CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 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 AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. CONTROL NO. 105807 ORDERED BY TITLE CONTROLLER Dept of Community Service 1 Civic Square Carmel, IN 46032- Mike Hollibaugh Director DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670 DocuSign Envelope ID: 6A9F830C-961C-41CA-88AD-8D607A5F8670