30417 Corvus Janitorial Systems Carmel Clay a INDIANA RETAIL AX EXEMPT PAGE
J CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
Parks &Recreation FEDERAL EXCISE TAX EXEMPT 30417
35- 60000972
1411 E 116 Street THIS NUMBER MUST APPEAR ON INVOICES, NP
Carmel, IN 46032 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
01/30/12 Contract 3(p50 Cleaning Services for Meeting House
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Corvus Systems Meeting House 1 R (R 1,V7 7
VENDOR 2 JAN C. XoX co3b3` S Ate, I ,t �j -7, SHIP U ry 012
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\_-1 \ekru1atb, l_Jl -1 5L.�OJ TO y�p
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
12 EA Monthly Cleaning Services for the Meeting House $90.00 $1,080.00
February 2012 January 2013
Send Invoice To:
$1,080.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT PROJECT 1 PROJECT ACCOUNT 1 AMOUNT
1125 -1 -15- 4350600- Cleanin Services PAYMENT
9 M' VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED
SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE IS /N UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT 'S] PAY FOR THE ABOVE ORDER
SHIP REPAID.
Q0.0. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Dawn Koepper CLt,•_ „&.,.'>.'au -4_
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. 30417 VENDOR COPY