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PURCHASE <br />CITY OF SOUTH BEND <br /> ORDER 256089 <br /> Accounts Payable -12 Floor County/City Building <br />227 W. Jefferson Blvd. , South Bend, IN 46601 Fax (574)235-9928 <br />THE ABOVE ORDER NUMBER <br /> The City of South Bend is an Equal Opportunity Employer <br />MUST APPEAR ON ALL INVOICES, <br />CLAIMS, PACKAGES, DELIVERY <br />SLIPS, AND CORRESPONDENCE <br /> <br /> <br /> <br /> <br />TO: SHIP TO: <br />PEERLESS MIDWEST INC WATER WORKS - NO. STATION <br />PO BOX 207362 WATER WORKS NORTH STATION <br /> <br />DALLAS, TX 75320-7362 830 N. MICHIGAN ST. <br /> <br /> SOUTH BEND, IN 46601 <br /> <br /> <br /> <br /> <br />NOTICE TO VENDOR <br />REQUISITION # 0000224468 <br />1. If Vendor delivers any merchandise without valid purchase order, no liability exists for City of South Bend <br />DELIVER BY DATE 12/06/2019 <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 />specified. <br />ACCOUNT NO 62006406023106 <br /> 3. Vendor accepts this order at listed price or lowest prevailing market price. No price increase allowed after <br />65605 <br />acceptance. <br /> 4. <br />PROJECT NO <br />payments to secure cash discount.. <br /> 5 If subject to cash discount, please indicate on invoice or claim. <br />REQUISITION DATE 12/06/2019 FEDERAL EXCISE TAX EXEMPTION INDIANA SALES TAX EXEMPTION <br /> 35-6001201 0003502538-001 <br />ITEM # QUANTITY/UNIT ITEMS and DESCRIPTION Price <br />Total <br /> <br /> <br /> <br /> 1 EDISON WELL #3A REHABILITATION <br /> 66,900.00 / 1.0000 66,900.00 <br />EA <br /> <br /> <br /> <br /> <br />TOTAL PURCHASE AMOUNT $66,900.00 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />This order issued in compliance with Chapter 99, Acts 1945 and acts <br />amendatory thereof and supplemental thereto. <br /> <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 APPROVED Central Purchasing Office <br /> PO. Number 256089 <br /> <br />