HomeMy WebLinkAbout57756 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 57756
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
3/2/2023 03/06/23 30763 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 Pilot FriXion Light Pastel Erasable Highlighters, Chisel Tip, $ 3.380 $ 3.38
Assorted Ink, 5/Pack(46543) Item#: 262461
1.000 each Pilot FriXion Light Erasable Highlighters, Chisel Tip, Assorted $ 5.290 $ 5.29
Ink, 3/Pack(46507) Item#: 769969
1.000 each Bankers Box®R-Kive Heavy-Duty FastFold File Storage $ 133.450 $ 133.45
Boxes, Lift-Off Lid, Letter/Legal Size, White/Blue, 20/Ct
(0724314) Item#: 2758337
2.000 each Bankers Box®R-Kive Heavy-Duty FastFold File Storage $43.120 $ 86.24
Boxes, Lift-Off Lid, Letter/Legal Size, White/Blue, 20/Ct
(0724314) Item#: 2758337
1.000 each HP 138A Black Standard Yield Toner Cartridge (W1380A) Item $ 62.890 $ 62.89
#: 24526127
GLAccount# 1125102-4230200
Send Invoice To:
$291.25
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. 57756 V N ID 0 IR COIF Y