30416 Corvus Janitorial Systems Carmel Clay CERTIFICATE RETAIL TAX EXEMPT PAGE
RTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
Parks &Recreation FEDERAL EXCISE EXEMPT
35 -60 30416
SE TA
1411 E 116 Street THIS NUMBER
DELIVERY PEA ES. NP
Carmel, IN 46032 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
01/30/12 Contract 3(0 Cleaning Services for AO
Corvus Janitorial Systems AO 7 \V/
VENDOR RD. b° G3633g SHIP JAN 3 0 2012
CL� ckru�at� 01-1 2
45
TO
BY:
LONFIRMATiDN BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
12 EA Monthly Cleaning Services for the AO Office $175.00 $2,100.00
February 2012 January 20U
Send Invoice To:
$2,100.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT 1 PROJECT ACCOUNT I AMOUNT
1125 -1 -02- 4350600- Cleanin Services PAYMENT
9 NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWOR3 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE I5 /N UNOBLIGATED BALANCE IN
THIE APPROPRIATION SUFFICIENT 0 PAY FOR THE ABOVE ORDER.
SHIP REPAID.
•GO.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Dawn Koepper Y1 T?�•�� A,N;1
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.
CLERK TREASURER
DOCUMENT CONTROL NO. 30416 VENDOR COPY