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CITY OF SOUTH BEND PURCHASE ORDER N PB53 <br />Parks and Recreation The above order number must <br />321 E. Walter Street, South Bend, IN 46614- PH.(574)-299-4765 appearon all invoices, claims, <br />The City of South Bend is an Equal Opportunity Employer packages, delivery slips, and <br />correspondence <br />TO: <br />Gametime <br />SHIPTO: 1020 High <br />1. If vendor delivers any merchandise without valid purhase order, no liability exists for City <br />LOCATION <br />Potti Playground <br />of South Bend <br />ASSET <br />Surfacing <br />2. City of South Bend reserves the right to cancel all or part of this order if delivery is not <br />PROJECT NAME <br />Potts Surfacing <br />made when and as acceptance. <br />REQUESTED BY <br />Ngaul <br />APPROVED BY <br />US Communities <br />3. Vendor accepts this order at listed price or lowest prevailing market price. No price <br />-, <br />Increase allowed after accptance <br />I4. All goods subject to Inspection and rejection (freight at vendor's expense), not <br />withstanding prior payments to secure cash discount. <br />5. If subject to cash discount, please Indicate on Invoice or claim. <br />1 <br />Federal Excise Tax Exemption <br />Indlana Sales Tax Exemption 0003502538-001 <br />REOUISITION DATE <br />1/31/2017 <br />35-6001201 <br />ITEM It QUANTITY ITEMS AND DESCRIPTION PRICE TOTAL <br />1 removal of old surfacing <br />1 Security fencing anround project <br />1 Installation of new pour in place surfacing <br />$31,121.00 $31,121.00 <br />$3,392.00 $3,392.00 <br />$106,837.50 $106,837.50 <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 />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />TOTAL PURCHASE AMOUNT $141,350.50 <br />