HomeMy WebLinkAbout30303 Staples C1 ®t A� ir TE RT IANARE NO. TAX 015500 PAGE
I� Lt CERTIFICATE TAI TAX EXE PT 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 30303
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, PIP
CARMEL, INDIANA 46032 -2564 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
12/19/11 A0000059 3615 Year end office supplies
Staples y AO p a,, .__1.. r r -s
VENDOR 1
r •0. sox C, 4 36189 SHIP I "I
C t u eCt t L 6b1090 TO 7 r r 1 9 2011 t .1
tq
COY■IRMATICN BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRIDE I EXTENSION
See attached requisition for complete breadown $2,535.16
I
r
f
Send Invoice To
$2,535.16
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1125 -1- 4230200 -Office Supplies PAYMENT
AR' VOUCHER CANNOT BE APPROV'D FOR PAYMENT UNLESS THE PO
NUMBER IS MADE A PART OF THE V.)UCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWOR1 AFFIDAVIT ATTACHED
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS N UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT p PAY FOR THE ABOVE ORDER
SHIP REPAID Koepper •0.0.0. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Dawn Klepper DK I 1 II °'11\
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
30303 CLERK TREASURER
DOCUMENT CONTROL NO. VENDOR COPY