HomeMy WebLinkAbout57337 STAPLES BUSINESS ADVANTAGE ar e,
INDIANA RETAIL TAX EXEMPT PAGE 1
(214I tIyr
qy CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 57337
35-60000972
ONE crnc SQUARE
C.ARMEL,IN DIAILIA 46O 32_2 84 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
11/7/2022 11/12/22 29833 361528 Admin 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
To
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2.000 each TRU REDTM 8.5"x 11" Copy Paper, 20 lbs., 92 Brightness, 500 $41.600 $ 83.20
Sheets/Ream, 10 Reams/Carton (TR56958) Item#: 135848
2.000 each HP 05A Black Standard Yield Toner Cartridge Item#: 760476 $ 62.620 $ 125.24
1.000 each Green Mountain Regular Variety Pack Coffee, Keurig®K- $ 58.990 $ 58.99
Cup®Pods, Variety Pack Roast, 88/Carton (GMT6501CT)
Item#: 260696
1.000 each Rocstor(Y10A102-B1)5.9" DisplayPort/HD-15 VGA $ 17.990 $ 17.99
Male/Female Video Cable, Black Item#: IM12N6512
GLAccount# 1125102-4230200
Send Invoice To:
$285.42
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 AND SUPPLEMENT THERETO. TITLE Purchasing Administrator
CONTROLLER
DOCUMENT CONTROL NO. 57337 V IEE N ID 0 IR COIF Y