29376 Staples INDIANA RETAIL TAX EXEMPT (PALE
City \l1 II' r� 1� CERTIFICATE NO.003120155 002 0
�l�`1� C tv J� L�L� PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 29376
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES.A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MErno, PACKING sups.
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEI.- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1/24/13 M000875 ao152•$ Ice Melt - Maint .
Staples Maint Maint
P.O.,Bog € SHIP
VENDOR I IL �o 96 TO JAN 2 4 2013
X11 BY:
COYFIRMAT/ON BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRICE EXTENSION
50 EA Green Scapes Ice Melt - 50# Bags $8.91 $445.50
•
•
Send Invoice To:
$445.50
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT, PROJECT ACCOUNT AMOUNT
1125-4-01-4236500-Salt & Calcium . PAYMENT
• Al'VOUCHER CANNOT BE APPROVID FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS TI IE PROPER S'dORr AFFIDAVIT ATTACI[ED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS/N UNDSI.IGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT.°PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BEACCEPTED. ORDERED BY Todd Snyder - OK �?A-�, n�L_ dv-1i
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL "--'
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE _
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
29376 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY