50764 STAPLES BUSINESS ADVANTAGE . :INDIANA RETAIL'TAX EXEMPT PAGE
Al. NUI :CERTIFICATE NO:003120155 002 0
MBER
.PURCHASE ORDER N ER
FEDERAL EXCISE TAX EXEMPT $0764
35.60000972
13NE CMc SQUARE.•._ .
CARMEL, UI A41A 460322584
THIS NUMBER MUST APPEAR ON INVOICES,NP
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
1/10/2018 01/15/18 14993 361528 Office supplies for park.maintenance
Staples Business Advantage . • Parks Maintenance
Dept DET 2368 P.O..Box 83689:. . • 1427 E. 116th Street ATTN:.Courtney
VENDOR Chicago, IL 60696-3689 sHiPTO Carmel,IN 46032
_.CONFIRMATION, BLANKET r -CONTRACT.; ...,...... .. . ... .. PAYMENT TERMS,"•,. ., .,.., ..-. ':.. . - - - .....FREIGHT_ •'.. ... -_
•
QUANTITY UNIT OF MEASURE.' : DESCRIPTION I UNIT PRICE: ; I EXTENSION
-1.000 . : : each :. I . 620332-Black printer ink-501A-Q6470A . : :. : :$138.8500 :. :':$138.85 : : •
•
1.000 each ` 620329.-Cyan printer ink-503A-Q7581A $ 152.0500 : $152.05
1.000 each: 620326-yellow printer ink-Q7582A $ 152.0500 $"152.05
-1.000 each :: : 620399-magenta printer:ink Q7583A $152.0500 $152.05 :.".
1.000 : each 1611322. Post-it notes: $:16.6400 $16.64
1.000 each 135848-copy paper • - $34.7300 $34.73 .
1.000 • each • 459795-Zebra black retractable pens :' __ : $8.8500 ." : • $8.85
3,000- ' each 270967"=F=301 black pen refills 2pk $3.9900 $11..97
1.000 each 125328-Black sharpie 12pk" $3,1200 '. $3.12 ".
2.000 - -each - 917893-TZE-S231 black on white p-touch tape $24.9900 $49,98
-:- GLAccount#.112541374230200:
•
Send Invoice To: `
$720:29
PLEASE INVOICE IN.DUPLICATE
; .:DEPARTMENT.. .,_: .I: ,_ , ACCOUNT I ..., PROJECT: , L. PROJECT ACCOUNT. I AMOUNT .'
PAYMENT
-"- •--AIPVOUCHER CANNOT BEAPPROVED FOR PAYMENT UNLESS THE P.O.NUMBER ISMADE A
" - •`PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONSAFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN-UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. : - • • SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.• "
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORR
DERED BY Courtney Weintraut _
▪ THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 "
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. . _
TITLE
., CLERK-TREASURER
DOCUMENT CONTROL 50764. VENDOR'COPY ��