36506 Corvus Janitorial Service INDIANA RETAIL TAX EXEMPT PAGE 1
City of Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 36506
35-60000972
CUE CHIC SQUARE
f4R41EL.I(ICI- h.G:• ?2_2Cc THIS NUMBER MUST APPEAR ON INVOICES,NP
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
1/3/2014 01/07/14 264 :;.50-1 if Admin& Maint Office Cleaning Services 2014
Corvus Janitorial of Indianapo Parks Maintenance
P.O. Box 636338 1427 E. 116th Street ATTN: Courtney
VENDOR Cincinnati, OH 45263-6338 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
12.000 each Admin Monthly Cleaning Service 2014 $ 175.00 $2,100.00
G.ACCOUnt#'-1.125402,4350600,
12.000 each Maint Office Monthly Cleaning Service 2014 $ 75.00 $900.00
EGLACcount#'1125413-4350600, . 7
•
•
Send Invoice To:
$ 3,000.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
t as -'#35c0cC PAYMENT
"s, T-t ;-Th T. T (] fT-i`Fes, • TOUCHER CANNOT APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
PART AND OF THE VOUCHER AND EVERY INVOI CE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
I/3 N I) '! - . I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPINGII■ t�
C.O.0 SHIPMENTS CANNOT BE ACCEPTED
• uBELe-`==�--,------ --ORDERED BY Dawn Koepper ��LJ,�,p�` tIZ,I II
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36506 VENDOR COPY