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City
qy r1H el CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 58192
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
5/26/2023 05/30/23 31680 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 HP 507A Cyan Standard Yield Toner Cartridge (CE401A) $ 148.990 $ 148.99
#397919
1.000 each HP 507A Black Standard Yield Toner Cartridge (CE400A) $ 116.050 $ 116.05
#397921
1.000 each Deflect-0 Classic Image Sign Holder, 8.5"x 11", Clear Plastic $ 6.490 $ 6.49
(69701)#562760
1.000 each BIC Wite-Out Correction Fluid, 20 ml., White, 3/Pack(50603) $4.320 $4.32
#419044
1.000 each Universal Dry Erase Eraser(UNV43663)#820954 $2.170 $2.17
1.000 each Staples Notepad, 8.5"x 11.75", Wide Ruled, Canary, 50 $ 5.290 $ 5.29
Sheets/Pad, Dozen Pads/Pack(ST57300)#163840
1.000 each 2023 Staples 22"x 17" Desk Pad Calendar, Black(ST12951- $2.900 $2.90
23)#24511531
1.000 each 2023-2024 Staples 8"x 11"Academic Monthly Planner, Faux $ 12.990 $ 12.99
Leather Cover, Black(ST23571-23)#24542864
GLAccount# 1125413-4230200
Send Invoice To:
$299.20
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. 58192 V N ID 0 IR COIF Y