102349 OFFICE DEPOT INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
c1i .City of cIairrnie1 CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102349
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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 V
12/11/2018 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
32045
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1180 Fund: 209 Deferral Fund
Account: 42-302.00
1 Each office supplies $16.17 $16.17
Sub Total $16.17
1
.
Send Invoice To: L.a.. MCS.
% 1 i
Department of Law ,/
Douglas C. Haney
1 Civic Square " V
Carmel, IN 46032-
(317)571-2472 PLEASE INVOICE IN DUPLICATE
DEPARTMENT 9 ACCOUNT I PROJECT D PROJECT ACCOUNT AMOUNT
PAYMENT $16.17
*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 BY `
Douglas Haney
TITLE Corporation Counsel
CONTROL NO. 1 02349 CLERK-TREASURER