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HomeMy WebLinkAbout58952 STAPLES BUSINESS ADVANTAGE INDIANA RETAIL TAX EXEMPT PAGE 1
City
qy r1H el CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 58952
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
12/12/2023 12/16/23 33356 361528 Admin &PNR 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
2.000 each HP 05AC Black Standard Yield Toner Cartridge Item#: 126091 $ 62.620 $ 125.24
2.000 each HP 58A Black Standard Yield Toner Cartridge(CF258A), print $ 109.040 $218.08
up to 3000 pages Item#: 24398981
1.000 each Brother P-touch TZe-231 Laminated Label Maker Tape, 1/2"x $ 16.390 $ 16.39
26-2/10', Black On White, 2/Pack(TZe-2312PK) Item#:
917881
1.000 each Brother P-touch Desktop Non-Thermal Label Maker, White $ 39.990 $ 39.99
(PT-D220) Item#: 24528007
1.000 each DN PUSH Trodat Professional Date Stamp, Black, Each (5002) $21.730 $21.73
Item#: USST5030
1.000 each Scotch Heavy Duty Packing Tape with Dispenser, 1.88"x 22.2 $ 11.820 $ 11.82
yds., Clear, 6/Pack(142-6) Item#: 495492
3.000 each TRU REDTM 8.5"x 11" Copy Paper, 20 lbs., 92 Brightness, 500 $43.120 $ 129.36
Sheets/Ream, 10 Reams/Carton (TR56958) Item#: 135848
1.000 each Staples® Invisible Tape, 3/4"x 1,296", 12/Pack(52380P12) $ 6.230 $ 6.23
Item#: 487908
1.000 each HP 410A Black Standard Yield Toner Cartridge Item#: $ 82.670 $ 82.67
1878689
1.000 each HP 507A Black Standard Yield Toner Cartridge (CE400A) Item $ 116.050 $ 116.05
#: 397921
Send Invoice To:
$ 916.55
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. 58952 V E N ID 0 IR COIF Y
INDIANA RETAIL TAX EXEMPT PAGE 2
CitY
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 58952
35-60000972
ONE CIVIC SQUARE
CARMEL,INDIANA 4E0 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
12/12/2023 12/16/23 33356 Admin &PNR 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
1.000 each HP 507A Cyan Standard Yield Toner Cartridge (CE401A) Item $ 148.990 $ 148.99
#: 397919
GLAccount# 1125102-4230200
Send Invoice To:
$ 916.55
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. 58952 VENDOR COIPY