101100 OFFICE DEPOT INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Ia]rJrr1e1 CERTIFICATE
O PURCHASE
NUMBER
FEDERAL EXCISE TAX EXEMPT1®1 1 00
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
12/13/2017 229650
OFFICE DEPOT INC Department of Law
VENDOR PO BOX 633211 SHIP 1 Civic Square. .
TO . .
Carmel, IN 46032
CINCINNATI,OH 45263--3211 Douglas C. Haney (317)571-2472
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21699
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1180 Fund: 101 General.Fund.
Account: 42-302.00
1 Each office supplies... $572.53 $572.53
Sub Total $572.53
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Send Invoice To: r'
Department of Law
Douglas C. Haney
1 Civic Square : ,
Carmel,IN 46032-
(317)571-2472
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $572.53
SHIPPING INSTRUCTIONS `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
*SHIP PREPAID. 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 "-5�' `---�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
Douglas Haney
TITLE Corporation Counsel
CONTROL NO. 101 100 CLERK-TREASURER \4