25603 Staples Advantage ji7 INDIANA RETAIL TAX EXEMPT PAGE
\��///� Ca.riiie]1®� CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
. FEDERAL EXCISE TAX EXEMPT
35-60000972 _,
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
3URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO DESCRIPTION
'
1/1012013
Staples Advantage Carmel Police Department
SHIP
VENDORMpt.DET TO 3 Civle Square
P.O. Box K,�: .• Camel, IN 46032 '
CJileaao, IL, RedfaSafel i17) 7 If417)574.9MQ
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.500.00
9 Each repairs to table $250.90 $250.90
Sub Total: $250.90
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Send Invoice To:
Cannel Police Department
Attn: T'efIN2 Anderson
3 Civic Square
Camel, IN 42- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. C.,(), PAYMENT $250.90
• 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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION U FICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. ;
,
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE hie/of Pollee /
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
' n L 5 6 O 3 'CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY