30651 Corvus Janitorial 1�$€.. e of Carmel I INDIANA RETAIL TAX EXEMPT PAGE
A I f CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 30651
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AIP
CARMEL, INDIANA 46032 -2584 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
04/09/12 N/A 3(0501 Maintenance Office Cleaning 2012
Corvus Janitorial Maint R (7 TR 7 V
P0. hDx 63(:338 SHIP tt
VENDOR Lu c utr2cz ti D� z152/15 TO At Q 2(112
BY'
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIP LION UNIT PRICE 1 EXTENSION
1 EA First time detail cleaning March 2012 $90.00 $90.00
9 EA Monthly cleaning April 2012 December 2012 $75.00 $675.00
Claimsheet Date of inv. !Invoice Jlnotes (Balance
N t 1,
I i.
1 1_-
i T 1
I I
Sen•- lnvoiceTo:
$765.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT 1 AMOUNT
1125 -4 -13- 4350600 Cleaning Services PAYMENT
Al? VOUCHER CANNOT BE APPROViC FOR PAYMENT UNLESS THE PO
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED
SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE IS /N UNDBLIGATED BALANCE IN
•$HIP REPAID. THIS APPROPRIATION SUFFICIENT A PAY FOR THE ABOVE ORDER. (}11
•C.D.O. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Michael Klitzing DK e 1) (�(`L1II11-2—
PURCHASE ORDER NUMBER MUST APPEAR ON ALL Y`-' l 1 "r-
SHIPPING LABELS
THIS ORDER ISSUED A: COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
30651 CLERK TREASURER
DOCUMENT CONTROL NO. VENDOR COPY