101875 STAPLES BUSINESS ADVANTAGE INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101875
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
812112018 361528
STAPLES BUSINESS ADVANTAGE Carmel Police Department
VENDOR P.O. BOX 660409 SHIP 3 Civic Square
TO Carmel, IN 46032-
DALLAS,TX 75266--0409 Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
28651
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 44-630.00
1 Each HON HIWM3 Ignition mid back vinyl office chair $419.21 $419.21
Sub Total $419.21
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Send Invoice To: �_..,qSt, :._
Carmel Police Department � �
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Accounts Payable
3 Civic Square
Carmel, IN 46032- ` `x , '4 x,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT g PROJECT PROJECT ACCOUNT AMOUNT J
PAYMENT $419.21
'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY4,f)
Jim Barlow �
TITLE Chief
CONTROL NO. 101875 CLERK-TREASURER