HomeMy WebLinkAbout57515 STAPLES BUSINESS ADVANTAGE N TREE XMP PAGE 1
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PURCHASE ORDER NUMBER
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.., o. , qy CERTIFICATEINDIAA NOETAIL.00312015TAE E5 002T 0
., , . FEDERAL EXCISE TAX EXEMPT 57515
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
1/6/2023 01/11/23 30272 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 Staples Recycled Bond Cash Register/POS Rolls, 1-Ply, 2 1/4" $2.850 $2.85
x 130', 12/Carton (18237-CC) Item#: 176511
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
2.000 each Staples File Folder, 1/3 Cut Tab, Letter Size, Manila, 100/Box $4.590 $ 9.18
(TR56675) Item#: 116657
1.000 each HP 58A Black Standard Yield Toner Cartridge(CF258A), print $ 109.040 $ 109.04
up to 3000 pages Item#: 24398981
2.000 each TRU REDTM 8.5"x 11" Copy Paper, 20 lbs., 92 Brightness, 500 $43.120 $ 86.24
Sheets/Ream, 10 Reams/Carton (TR56958) Item#: 135848
1.000 each Staples Smooth Paper Clips, Silver, 100/Box, 10 Boxes/Pack $2.940 $2.94
(A7026607/72377) Item#: 472480
GLAccount# 1125102-4230200
Send Invoice To:
$269.24
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. 57515 V IEE N ID 0 IR COIF Y