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26400 Office Depot, Inc. C 10117 Of INDIANA RETAIL TAX EXEMPT PAGE 'C acme l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER I FEDERAL EXCISE TAX EXEMPT ly 35-60000972 26400 ONE CIVIC SQUARE' THIS NUMBER MUST APPEAR ON INVOICES,NPI 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 12/19/12 • Office Depot, Inc. City of Carmel VENDOR P. O. Box 633211 SHIP Community Relations Dept. Cincinnati, OH 45.263-3211 TO One Civic Square . Carmel., IN 46032 CONFIRMATION BLANKET , CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Office Supplies Invoice #1530775489 $ 74 .58 Order Confirmation #636952841-001 $ 151 .06 Order Confirm tiq #6.36952994-001 $ 48 . 99 itf(c.. ;;9‘ ris, 4--,, ,-,7 - ' Order C•}n fArma tI9p #'636:9529-9 001 $ 5 . 44 ii'. ,A,:t 4, 1(it 10:::4" laik s - . 0 t L\ 1 j * ..„ — .t.,, ,., w,„---,"- ':.-z, : s . ''''3 ,"' '''11" ....0 /iS' NAM., ''-'..}10. .,° '',z,_____"' '', .°.,--- 4 710 Send Invoice To -410.-- ,.. I Dept. 1203 - A/C 4230200 . '° ` $ 280 .07 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT • A/P 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 AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •.SHIP REPAID. , ! /,//�,fj� •C.O.D.'SHIPMENTS CANNOT BE ACCEPTED. /�/�yt n0/ S Ac_l/ �1� 'f• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ��,���///(i/ (� L l/VL SHIPPING LABELS. - OF -' L��� •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE D Y. U1- (Orn fl)(4 11.47 . E.Q_1cA-kDr\,S AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ! CLERK-TREASURER DOCUMENT CONTROL NO. 26400 OFFICE COPY