102456 STAPLES BUSINESS ADVANTAGE INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of IIa]r1IITIIe1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102456
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
12/21/2018 361528
STAPLES BUSINESS ADVANTAGE Clerk-Treasurer's Office
VENDOR P.O. BOX,660409 SHIP 1 Civic,Square
TO Carmel, IN 46032-
DALLAS,TX 75266--0409
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
32373
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1701 Fund: 101General Fund
Account: 44-630.00
1 Each Furniture and Fixtures $1,000.00 $1,000.00
Sub Total $1,000.00
§
Cyd 5 #
}
Send Invoice To: ... ,_..
Clerk-Treasurer's Office
1 Civic Square p F �
Carmel, IN 46032- °
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $1,000.00
SHIPPING INSTRUCTIONS *NP 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
'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 194595Zeze,--Crl -
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jacob Quinn
TITLE Deputy Clerk of City Business A\31)
CONTROL NO. 102456 CLERK-TREASURER