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CITY OF SOUTH SEND PURCHASE <br />Accounts Payable -12 Floor Count /Cit Buildin.... 87 <br />THE ABOVE ORDER N�" <br />" ORDER 2514 <br />Y Y Y 9 <br />227 W. Jefferson Blvd ,South Bend, IN 46601 —Fax 574 235 9928 UMBER <br />The City of South Bend is an Equal Opportunity Employer MUST APPEAR ON ALL INVOICES, <br />CLAIMS, PACKAGES, DELIVERY <br />SLIPS, AND CORRESPONDENCE <br />TO: SELGE CONSTRUCTION CO INC SHIP TO: WATERWORKS -OLIVE ST. <br />2833 SOUTH 11TH STREET WATER WORKS <br />NILES, MI 49120 915 S. OLIVE STREET <br />SOUTH BEND, IN 46619 <br />EQUISITION # 0000220814 NOTICE TO VENDOR <br />ELIVER BY DATE 04/30/201.9...................._......' 1. If Vendor delivers any merchandise without valid purchase order, no liability exists for City of South Bend <br />2. City of South Bend reserves right to cancel all or part of this order if delivery is not made when and as <br />CCOUNT NO 62006406063151 specified, <br />ENDOR'S NO 7850 3. Vendor accepts this order at listed price or lowest prevailing market price. No price increase allowed after <br />'acceptance. <br />4. All goods subject to inspection and rejection (freight at vendor's expense), not withstanding ROJECT NO g 1 p 1 i 9g prior <br />payments to secure cash discount.. <br />5 If sub"ect to cash discount„ lease indicate on invoice or claim. <br />EQUISITION DATE 04/30/2019 FEDERAL EXCISE TAX EXEMPTION INDIANA SALES TAX EXEMPTION <br />35-6001201 0003502538-001 <br />ITEM # QUANTITY/UNIT ITEMS and DESCRIPTION Price Total <br />1 MATERIALS TO MAKE REPAIR <br />1.00 / EA <br />2 LABOR FOR CREW TO MAKE REPAIRS <br />1.00 / EA <br />3 EQUIPMENT NEEDED TO MAKE REPAIRS <br />1.00 / EA <br />6100 t3] <br />Emergency PO requested by Water Works to <br />repair <br />This order issued in compliance with Chapter 99, Acts 1945 and acts <br />amendatory thereof and supplemental thereto. <br />I hereby certify there is an unobligated balance in this appropriation <br />sufficient to pay for this order. <br />' <br />Controller or Authorized Representative <br />1,206.2400 1,206.24 <br />6,435.0000 6,435.00 <br />2,892.4000 2,892.40 <br />Equal oppommiry Employer <br />#ttVV 4 . <br />j2JWA <br />APPROVED — Central Purchasing Office <br />PO. Number 251487 <br />