50774 STAPLES BUSINESS ADVATAGE City
INDIANA RETAIL TAX EXEMPT ,
1PAGE 1
CERTIFICATE N0.003120155 002 0 1
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 50774
35-60000972
.... :0Nf CNIC:SQU'ARE. __._ ._,_. _....__._ _._. __.
C ARMED INDIANA460 2564 • THIS NUMBER MUST APPEAR ON INVOICES,MP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE 1 DATE REQUIRED REQUISITION NO. VENDOR NO. 1 � �� ���- ��� DESCRIPTION
1/16/2018 01/20/18 15044 361528 J Ice Melt for Park Maintenance 2017-2018 Season
Staples Business Advantage Parks Maintenance
Dept DET 2368 P.O.Box 83689 1427 E. 116th Street ATTN:Courtney
VENDOR Chicago,IL 60696-3689 To P Carmel, IN 46032
CONFIRMATION BLANKET ( CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE[ DESCRIPTION I UNIT PRICE EXTENSION
50.000 each Greene Scapes ice melt#822663 $7.9100 $395.50
GLAccount#1125401-4236500
Send Invoice To:
$395.50
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT 1 AMOUNT `
PAYMhNT
• AlP 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED 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. ORDERED BY Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER \ \
DOCUMENT CONTROL NO. 50774 VENDOR COPY V `�