101459 STAPLES BUSINESS ADVANTAGE CityINDIANA RETAIL TAX EXEMPT Page 1 of 1
ofir �( CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
of �i1air]nrJIe1 FEDERAL EXCISE TAX EXEMPT 101459
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
3/6/2018 361528
STAPLES BUSINESS ADVANTAGE Carmel Police Department
VENDOR DEPT DET SHIP 3 Civic Square
PO BOX 83689 TO Carmel, IN 46032-
CHICAGO, IL 60696--3689 Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
23962
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-302.00
1 Each 343116 BIC BU3 retractable pens black $3.74 $3.74
1 Each 343117 BIC BU3 retractable pens blue $3.74 $3.74
6 Each CLGJDS6BBK Case Logic USB drive shuttle $6.99 $41.94
1 Each 912436 Dell 739T5 cyan toner cartridge $98.93 $98.93
1 Each 912433 Dell 8WNV5 magenta toner $98.93 $98.93
40 Each GS-ZO8GCNBL-R Gigastone 8GB USB 2.0 $5.95 $238.00
1 Each 456843 hp 15x black toner cartridge $70.62 $70.62
2 Each 886654 Logitech M570 wireless mouse $29.95 $59.90
4 Each 567295 staples chairmat 46x60" $39.64 $158.56
1 Each 486508 Swingline heavy duty stapler $59.59 $59.59
2 Each 486510 Swingline heavy duty staples5/8, ,_ $5.69 $11.38
nE '. Sub Total $845.33
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Send Invoice To: 1? ,
Carmel Police Department ' `ILEA purchase ?e
Accounts Payable ,`
3 Civic Square
Carmel, IN 46032- ' ,,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $845.33
SHIPPING INSTRUCTIONS •MP 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
Jim Barlow n
TITLE Chief �' U
CONTROL NO. 101459 CLERK-TREASURER