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DocuSign Envelope ID:794EA9D6-9717-4DA7-8FEA-9A55899EDB1C <br /> P.O. REQUISITION REQUEST FORM <br /> DATE: 05110/16 Facility Services <br /> REQUESTED BY: I Freddy Brooks <br /> VENDOR NUMBER: 14996 <br /> VENDOR NAME: ICarolina Cleaning Associates/O.E. Ent. Inc. <br /> Account Number: <br /> Supplies 10240520-620000 <br /> Contract Services 10240520-630000 <br /> Capital Equip. 10240520-800000 <br /> DESCRIPTION ACCOUNT# QUANT$/UNIT $TOTAL <br /> Cleaning Services @ 5800-B Hwy 86 North 630000 1 $2,792.72 $2,792.72 <br /> 7.00 $139.00 $973.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $ TOTAL $3,765.72 <br /> NOTES:.Cleaning Services from 5/23/2016-6/30/2016 (5 days/wk cleaning service) <br /> Paper products and cleaning chemicals to be provided <br /> 0 E.ENT_CedarG rove.As <br />