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DocuSign Envelope ID: 3BA3A4EC-ODD2-41 B2-A35A-6D989822C204 <br /> P.O. REQUISITION REQUEST FORM <br /> DATE: 09/15/16 Contract Services <br /> REQUESTED BY: Frederick Brooks <br /> VENDOR NUMBER: 60940 <br /> VENDOR NAME: Nice & Green Flooring solutions, LLC <br /> WORK ORDER INFORMATION <br /> BLDG LOCATION 131 West Margaret Lane <br /> DEPARTMENT Asset Management Services <br /> TYPE OF WORK Services/Floor Cleaning <br /> DESCRIPTION ACCOUNT# QUANTII$/UNIT $TOTAL <br /> 103 Meadowlands Drive 10240520-630000 4,500 $0.25 $1,125.00 <br /> Jerry Passmore Community Center <br /> Saulty's Adult Day Program 10240520-630000 1,800 $0.25 $450.00 <br /> Carpet(LMC) <br /> 7 Recliners Adult Day <br /> 4 Couches, 15 Wooden and Cloth Cairs& 18 desk chairs $520.00 <br /> $TOTAL $2,095.00 <br /> NOTES: <br /> The request for upholstery cleaning should be referenced to WO#106801 sent in by Dawn Smith. <br /> N&GLibrary+EMS5+11+15.xls <br />