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INDIANA RETAIL TAX EXEMPT PAGE 1
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qy CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 57877
35-60000972
0 NE 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
3/31/2023 04/04/23 31027 361528 PNR Office Supplies
Staples Business Advantage Parks Maintenance
Dept DET 2368 P.O. Box 83689 1427 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 Great Papers! Driftwood Thank You Card#2676231 $ 19.590 $ 19.59
1.000 each AdirOffice 21-Slot Roll File Cabinet, Mobile, Black, 30", 2/Pack $ 349.990 $ 349.99
(625-BLK-2PK)#24528530
1.000 each HP 410A Magenta Standard Yield Toner Cartridge (CF413A) $ 110.960 $ 110.96
#1878565
1.000 each Febreze Odor-Fighting Air Freshener, Linen &Sky Scent, 8.8 $ 6.690 $ 6.69
oz., 2/Pack(97799)#2519636
1.000 each Post-it®Super Sticky Notes, 3"x 3", Energy Boost Collection, $ 5.160 $ 5.16
90 Sheets/Pad, 5 Pads/Pack(654-SSSUC)#586111
1.000 each ScotchTM Thermal Laminating Pouches, Letter Size, 100 $ 13.990 $ 13.99
Pouches(TP3854-100WM)#2121406
GLAccount# 1125413-4230200
Send Invoice To:
$ 506.38
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 Katie Bushman
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE PNR Admin Assistant
CONTROLLER
DOCUMENT CONTROL NO. 57877 VEEN IDOIR 4:;4: IF Y