37166 Corvus Janitorial INDIANA RETAIL TAX EXEMPT PAGE 1
T . ^ CERTIFICATE NO.003120155 002 0 - -
/ C a r l�'�j_] - __ ..__-_.__.--_—__ PURCHASE ORDER NUMBER
�1V 1� 1
FEDERAL EXCISE TAX EXEMPT 37166
35-60000972
I HIS NUMBER MUST APPEAR ON INVOICES,NI
VOUCHER,DELIVERY MEMO,PACKING SI IPS,
SI TIPPING I ABEL 5 AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CH Y OF CARMEL- 1997 -------------- -----'-'-'-- "
. .._____ASF 0120ER DATE DATE REQUIRED REQUISITION h0. VENDOR NO DESCRIPTION
6410/2014 05/14/14 1872 Wiltong Pavilion Cleaning Contract 2014-2015 - --
Corvus Janitorial of Indianapo MCC-West
P.O. Box 636338 1235 Central Park Drive East
SHIP Carmel, IN 46032
VENDOR Cincinnati, OH 45263-6338 To
CONI'IRMMION BLANKET COM RAfL PAYMEN ITERMS ---
--___ —— — — -
QUANTITY 1 UNIT OF MEASURE L DESCRIPTION 7 i UNIT PRICE. EXTENSION
12.000 each Wilfong yearly cleaning contract starting,8l1/14 to 5/31/15 $ 880.00 $ 10,560.00
GLACCOOnt/!¶UQSeUO"Y-505BI'
Q.• //25`3- %f 3 CO
/SI elk ti',k 4 360(o 00
ON 3A
Send Invoice To:
$ 10,560.00
PLEASE INVOICE IN DUPLICATE
UI141tI MEN l ACCOUNT I HOJk:CI PROJLCI A(COUNI L AIaOU OUNI
112-5- 4s 5oco Do PAYMENT
- AIP 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATEO BALANCE IN THIS APPROPRIATION
511111 111.1)911). SUFFICIENT TO PAY FOR THE ABOVE ORDER_
. C0.1)SI DEMENTS CANNOT BE ACCEPT PD. �� ,�/�" '
• PURCHASE OHOIR NUMBER MUST APPIAH ON AI I SI EPPING L ANUS. ORDERED BY Mike Kilpatrick P��� y y �-
Hip ITS OHIJLH ISSUE])IN COMPLIANCE 01111 CHAP I LH 9P.AC 151915 •�'^
• AND ACTS AML NOA I CRY I HEHEO1 AND SUPPI.EMENI 111eN1_10. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37166 -