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C t \�/�� of, Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
�' y FEDERAL EXCISE TAX EXEMPT
31591
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 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
12/17/2013
•
Office DepSet Inc. City of Carmel
VENDOR P. O. Box 633211 SHIP One Civic Square
Cincinnati, OH 45263-3211 TO Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
1 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
' Office Supplies
12/10/2013 - Two Chairs - $159 .98
12/15/2013 - Order Confirmation 6135-001 - $515 . 05
/' . ' 12/17/2013 - Order Confi-rma, n ,&893 167L-0,011. - $149 . 88
1/40.
4 y '6
•
Irks? /etc
Send Invoice To: 1' �O uU c 1
���fll.
1160/4230200 $225 . 56 $824 . 91
1203/4230200 $599 . 35
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT, PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• NP 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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID. �^/
THIS APPROPRIAT N SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•GO.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY J ' MeL
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
�✓/Y��/�lj��
SHIPPING LABELS. /�/�/1 (/ //�'E q�,,,�� �((�� ,/ �p��
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I�.V/ l,V,��I P/ '`r Vt�./l /.Y'�✓" .
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31591
OFFICE COPY