379010 Staples Business AdvCity of Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
J
PAGE 1
PURCHASE ORDER NUMBER
02000
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO. PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION Na
VENDOR NO.
DESCRIPTION
12/10/2014
12/15/14
3713
Office Supplies - AO
Staples Business Advantage
Dept DET 2368 P.O. Box 83689
VENDOR Chicago, IL 60696 -3689
CONFIRMATION
SHIP
TO
Administration Office
1411 E. 116th Street
Carmel, IN 46032
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION
1.000 each #792257 - Wireless Mouse & Keyboard - HR Assistant
2.000 each # 917860 - Labeler Tape
4.000 each # 113571 - SortKwik
4.000 each # 320863 - Hand Sanitzer
1.000 each Copy Paper
GlAccount# 1125102- 4230200
Send Invoice To:
UNIT PRICE EXTENSION
PLEASE INVOICE IN DUPLICATE
5 31.9500
$ 9.8300
5 2.0800
S 3.3800
$ 39.6000
$ 31.95
$ 19.66
$ 8.32
$ 13.52
$ 39.60
$ 113.05
BEPAR TMFNT
ACCOUNT
PROJECI
PROJECT ACCOUNT
lAMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
. C.O.D SHIPMENTS CANNOT OE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON AL I SNIPPING LABELS.
• I HIS ORDER ISSUED IN COMPLIANCE WIT H CHAPTER 99, ACTS 1945
AND ACTS AMENDAI ORY TI IEREOF AND SUPPLEMENT 1I1ERE TO.
DOCUMENT CONTROL NO. 3 r)WO
PAYMENT
ATP 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.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY
TITLE
CLERK - TREASURER
VENLY.:'IR COE ':
Dawn Koepper 0(4 f(t1. rnl t2Ats1■4