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� CITY F SOUTH BEND PURCHASE <br />Accounts Payable -12 Floor County/City Building <br />ORDER 252164 <br />i. <br />w <br />i 227 W. Jefferson Blvd. , South Bend, IN 46601 - Fax (574) 235-9928 THE ABOVE ORDER NUMBER <br />j 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: SEWER DEPARTMENT <br />2833 SOUTH 11TH STREET 731 S. LAFAYETTE <br />NILES, MI 49120 SOUTH BEND, IN 46601 <br />!UISITION # 0000221317 NOTICE TO VENDOR <br />IVER BY DATE 12/31 /2019 .... "'-" 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 art of this order if delivery .._..... ._Y 9 p ry is not made when and as <br />OUNT NO 64106217926335 specified, <br />DOR'S NO 7850 3. Vendor accepts this order at listed price or lowest prevailing market price. No price increase allowed after <br />'ROJECT NO 4. All goods subject to inspection and rejection (freight at vendor's expense), not withstanding prior <br />payments to secure cash discount.. <br />-.....___.._— If su) TAX EXEMPTION <br />or claim. <br />REQUISITION DATE 05/30/2019 SFEDtERAL EXCISE T .._._---..�"""".... <br />INDIANA SALES TAX EXEMPTION <br />35-6001201 0003502538-001 <br />ITEM,# NTITY U IT ITEMS and DESCRIPTION Total <br />NORTf1 tn1ELLINGTON STREET' SEWER REPLACEMENT <br />1 .. 0 0 / EA <br />Per q ot..at-A-on d.aLed 5/2.9/1.9 - Scott <br />Ri-Ley <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 />Controller or Authorized Representative <br />49,370.000 49, 370.. 00 <br />0 <br />,, E <br />K+�rsaru �ip!�arnvndty kSt�xp�luxyax <br />f4 & 4. SL /J <br />APPROVED - Central Purchasing Office <br />PO. Number 252164 <br />