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26695 Staples C itY INDIANA RETAIL TAX EXEMPT PAGE of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDE NUMBER FEDERAL EXCISE TAX EXEMPT 02/ � Q 35-60000972 (0 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP 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 VENDOR SHIP nn tie-, L- C rr ' C 0l/(- S'rPt P L S TO o kI c CI J) �Q c'�a. re- . • • CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT p- J QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION `"V CUR. (D LL S Q CFI Lc slip 1 s, (L643 f A/ • RTTAc,he c9 -Dcc L.c e-n-r-s tit /f i , i oe ----L-d,i,/,:•,9 -N, ' ,.. ,. . , 4, ,A.,,,, .0„..„...........4„ .,_ 4,, ... 1 .8 -_,&.'A gip: . 'er ° ■ ' (n)_ : . -� �. .u_: °.*:&:;S' • Crr�' of CAerl ��.. '� �`{ �� II Send Invoice To: jam' ✓ _ _r A `o C' Co ck,C- oNE Ctvic_ SQL re- _ :-"'" C AW Me_ I -T kr Lk°0 sa, . PLEASE INVOICE IN DUPLICATE . o, I027 L/ DEPARTMENT - ACCOUNT PROJECT PROJECT ACCOUNTS AMOUNT . / B O I . _s o., , 0 0 PAYMENT / ) . • NP VOUCHER CANNOT BF APPROVED FOR PQ,YMENT UNLESS THE P.O. NUMBER•IS.MADE A PA/RT"DF THE VOUCHE�AND EVERY INGOICE AND VOUCHER HA THE ROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY SE THAT T(HERELSAN L �BLIGATED BA4 N THIS P OPRI ION$U FICI'N To •'`'g6/Ft THE ABOVj•ORDER. •SHIP REPAID. V •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. \ , ° •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ..►-�'"' i" SHIPPING LABELS. , r� •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ��� CLERK-TREASURER DOCUMENT CONTROL NO. OFFICE COPY • I Your Shopping Cart Page 1 of�_.• , p ' Advantage riReturn to the previous page Print this page Your Shopping Cart:Review Item Information Ship-To:1 CIVIC SQUARE Item Total Microsoft Wireless Mobile Mouse $39.90 4000,Black Reg.$27.74 �� On Contract $19.95*EA/1 -`' 'Offer Expires Customer Item#811870 Qty. 2014 Qty. 2 Staples•Item#811870 MFR Itdm#D5D00001 Packing Slip Note: *10 CASE*SPLS 8.5X11 COPY $396.00 PK/10 $396.00 On Contract Qty. 1 Customer Item#833860 Staples Item#135848 MFR Item#STP135848 Packing Slip Note: ACCO PRESSTEX®Covers with $6.85 EA/1 $68.50 Storage Hooks Data Binder, Qt 10 Executive Red,9 112"x 11",6"(Ring y • Diameter) EgOn Contract Customer Item#762765 Staples Item#762765 MFR Item#ACC54119 Packing Slip Note: ACCO PRESSTEX®Covers with $7.35 EA/1 $73.50 Storage Hooks Data Binder,Light Qty. 10 Blue,9 1/2"x 11",6"(Ring Diameter) y' MOn Contract tr Customer Item#779066 Staples Item#779066 MFR Item#ACC54112 Packing Slip Note: • http://www.staplesadvantage.com/webapp/wcs/stores/servlet/StplYourOrderDisplay?back... 12/16/2014 Your Shopping Cart Page 2 of 4 • • Avery Self Adhesive Tabs with Laser $4.24 PK/1 $16.96 Printable Inserts,Assorted Colors,1" • Qty. 4 Staples Item#AVE16219 MFR Item#AVE16219 Packing Slip Note: Staples®Metal Monitor Stand,Black, $13.37 EA/1 $13.37 4"H x 14"W x 11"D Qty. 1 • On Contract • Customer Item#643687 Staples Item#643687 MFR Item#35548 • Packing Slip Note: • • • Staples®Gummed Clasp Envelopes, $7.48 BX/100 $29.92 6 112"vv x 9 1/2"H,Brown Kraft, Qty, 4 100113x Ei On Contract • Customer Item#534990 Staples Item#534990 • MFR Item#534990/19815 Packing Slip Note: Staples®Top-Tab File Folders,113 $15.75 BX1250 $47.25 Cut,Manila,LETTER-size Holds 8 112"x11",250/Bx Qty. 3 Fa On Contract Customer Item#221689 Staples Item#221689 MFR Item#221689 Packing Slip Note: HP 55A Black Original LaserJet Toner $145.57 EA/1 $873.42 Cartridge(CE255A) Qty. 6 E2On Contract Customer Item#804574 • Staples Item#804574 MFR Item#CE255A Packing Slip Note: . _ . . HP 12A 2-pack Black Original $94.29 LaserJet Toner Cartridges(02612D) Reg.$110.93 On Contract $94.29*PK/2 http://www.staplesadvantage.com/webapp/wcs/stores/servlet/StplYourOrderDisplay?back... 12/16/2014 • • iYour Shopping Cart Page 3 of 4. Customer Item#683795 r l�xpires Staples Item#683795 b`fY10/2015 MFR Item#Q2612D Packing Slip Note: • Canon Toner Cartridge,128 $91.19 EA/1 $273.57 (3500B001),Black aty. 3 • On Contract • • Customer Item#887359 Staples Item#887359 MFR Item#3500B001AA Packing Slip Note: • Ir Smead Self-Adhesive Fasteners,2" .$10.82 BX/100 $54.10 Capacity w On Contract Qty. 5 • �. Customer Item#377778 Staples Item#SMD68220 MFR Item#SMD68220 Packing Slip Note: Staples®Pastels 30%Recycled $5.14 RM/500 $41.12 Colored Copy Paper,8 1/2"x 11",20 lb.,Canary Qty. >h V On Contract • Customer Item#490948 Staples Item#490948. • MFR Item#14787 • Packing Slip.Note: . • • Fellowes Gel Wrist Rest,Blue,5/8"1-1 $14.49 EA/1 $14.49 • x18112"Wx2314"D • On Contract Qty. 1 Customer Item#342370 Staples Item#342370 MFR Item#98737 Packing Slip Note: Kleenex®Boutique"Cube Box $63.01 CT/36 $63.01 Facial Tissues,2-Ply,White,36/Ct 1 On Contract Qty. Customer Item#915714 Staples Item#915714 •MFR Item#21271 . . • • http://www.staplesadvantage.com/webapp/wcs/stores/servlet/StplYourOrderDisplay?back... 12/16/2014 Your Shopping Cart . , Page.4 of 4f r.r • Packing Slip Note: • Suction Cups With Metal Hook, $13.99 DZ/12 $13.99 12/Pack Qty. 1 Staples Item#207224 MFR Item#SUC70400 Packing Slip Note: Staples®Nonstick Top-Loading $5.47 BX/50 $5.47 Sheet Protectors,Medium-Weight, Qty. 1 Clear,2.4 mil,8 112"x 11",50/Bx On Contract Customer Item#487791 Staples Item#487791 MFR Item#10519CC Packing Slip Note: • Cosco Brushed Metal Sign, $8.56 EA/1 $8.56 Employees Only,3"x 9",1 each • On Contract Qty. 1 • Customer Item#904600 Staples Item#904600 MFR Item#098206 Packing Slip Note: • Subtotal: $2,127.42 Total: $2;127.42 • • http://www.staplesadvantage.com/webapp/wcs/stores/servlet/StplYourOrderDi splay?back... 12/16/2014