36820 Staples Technology f �-o-� f /`may INDIANA RETAIL TAX EXEMPT PAGE 1
'y {` y o- / a.r Friel CERTIFICATE N0.0031201550020
l\/ 11 !l. Y 11 (`/ a.11 Friel PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 36820
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4.7.14 WWck tttU� cattgYO NUMBER MUST APPEAR ON INVOICES, P
THIS VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4/4/2014 04/09/14 1031 Laptop Computers-4 Training/1 Marketing
Staples BrisltieasAdvo ItageTtdinS S IL*b'IS Administration Office
689 1411 E. 116th Street
VENDOR rte'^^^^ Ir cncDF Dcon {'.O ����� SHIP
TO{' SH Carmel, IN 46032
Chicago, IL. (00(614
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
5.000 each Acer Aspire E1-522-5423 Laptop Computer $ 379.50 $ 1,897.50
GLAccount# 1125101-4463200
Send Invoice To:
$ 1,897.50
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
1 E ' NP VOU APPROVED R A UNH . . M
z PART OF THE CHER VOUCHER CANNOT BE AND P EVERY OVE INVOICE FO P AND YMENT VOUCHER LESS HAS T ET HE PO PROPER NU BER SWORN IS MADE A
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
• SHIP REPAID. A PR — 7 2014 C n I/, • SUF. I HEREBY
FICIENT CERTO TIFY PA Y THAT FOR THERE
THE ABOVE IS AN ORDER UNOBLIGATED BALANCE IN THIS APPROPRIATION
C.O D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING 'RC-PSL -_ ORDER D BY Dawn Koepper ) 24cL �r3L; �i/'/�/,�
• 1 HIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 /
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36820 criPY