101039 OFFICE DEPOT INC v INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cit of IIiriririe1 _ H
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101039
ONE CIVIC SQUARE 35-6000972 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
12/11/2017 229650 office supplies
OFFICE DEPOT INC Information Systems
VENDOR PO BOX 633211 . . SHIP. 31 1st Ave N.W.
TO Carmel, IN 46032-
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CINCINNATI,OH 45263-3211. Timothy Renick (317)571-2567
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21461
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1202 Fund: 101 General Fund
Account: 42-302.00
1 Each 348037 Copy paper 8 x 11 $38.64 $38.64
1 Each 692148. Day Planner $4.76 $4.76
1 Each 262515 Erasable/Reversable.Wall Planner. $12.51. $12.51
1 Each 143240 Kleenex $25.80 $25.80
1 Each 303361 Paper towel $18.99 $18.99
1 Each 287855 Toner Cartridge,Cyan $88.38 $88.38
1 Each 287865 Toner Cartridge, Magenta $88.38 $88.38
1 Each 287860 Toner Cartridge,Yellow $88.38 $88.38
Sub Total $365.84
I
Send Invoice To:
Information Systems.
Timothy Renick
31 1st Ave N.W.
Carmel, IN .46032=
(317)571-2567 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $365.84
SHIPPING INSTRUCTIONS `NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. 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
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY \- \
Timothy Renick
TITLE Director
CONTROL NO. 101039 CLERK-TREASURER �(,