HomeMy WebLinkAbout57460 STAPLES BUSINESS ADVANTAGE ar e,
INDIANA RETAIL TAX EXEMPT PAGE 1
(2,4 ty h
qy CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 57460
35-60000972
ONE CIVIC 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
12/14/2022 12/19/22 30130 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
1.000 each Logitech M185 910-002225 Wireless Optical Mouse, Swift $ 12.990 $ 12.99
Grey Item#: 100288
1.000 each HP LaserJet Pro 3001dwe Wireless Black&White Printer with $239.990 $239.99
HP+ Smart Office Features, bonus 3 months Instant Ink
(3G650E#BGJ) Item#: 24531473
4.000 each Fellowes®Anti-Fatigue Wellness Floor Mat 36"L x 24"W, $ 38.750 $ 155.00
Polyurethane (8707002) Item#: 24356832
1.000 each Offistamp Self-Inked Stamp, Received, Black and Red Ink $ 6.820 $ 6.82
(034507) Item#: 920274
1.000 each Mount-It!Adjustable Dual Monitor Arm Mount, Up To 27" $46.390 $46.39
Monitor, Black(MI-2752) Item#: 2632689
1.000 each Alera®AdaptivErgo Ultra-Slim Sit-Stand Desk, 31.33"x 22"x $ 151.690 $ 151.69
15.75", Black Item#:ALEAEWR6B
GLAccount# 1125102-4230200
Send Invoice To:
$ 612.88
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. 57460 V N ID 0 IR COIF Y