31707 Service First Cleaning ' h PAGE A INDIANA RETAIL TAX EXEMPT
City ®u Carmel CERTIFICATE NO.003120155 002 0
PURCHASE HASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31707
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2564 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
2/12/2014
Service First Cleaning DOCS Department
Payment Processing Center SHIP 1 Civic Square
VENDOR
32145 Brookstone Drive TO Carmel, IN 46032
Wesley Chapel, FL 33545 (317) 571-2418
CONFIRMATION 1:09E'I IVICLI :TRACT PAYMENT TERMS FREIGHT
LAS
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-509.00
12 Each Office Cleaning Service $300.00 $3,600.00
I Sub Total: • $3,600.00
I .
.Fx 4\
0 a 00 3 ,:•� • v .
Nt�o ••.
Send Invoice To: 'J t� "1- �j
I DOCS Department
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
DOCS PAYMENT $3,600.00
• 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 •
•SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•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 Director
III AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31707 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE