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CITY OF SOUTH BEND PURCHASE <br />ORDER 256089 <br />�,. Accounts Payable -12 Floor County/City Building <br />,. 227 W. Jefferson Blvd. , South Bend, IN 46601 — Fax (574) 235-9928 THE ABOVE ORDER NUMBER <br />- The City of South Bend is an Equal Opportunity Employer MUST APPEAR ON ALL INVOICES, <br />j CLAIMS, PACKAGES, DELIVERY <br />SLIPS, AND CORRESPONDENCE <br />TO: PEERLESS MIDWEST INC SHIP TO: WATER WORKS - NO. STATION <br />PO BOX 207362 WATER WORKS NORTH STATION <br />DALLAS, TX 75320-7362 830 N. MICHIGAN ST. <br />SOUTH BEND, IN 46601 <br />ISITION # 0000224468 NOTICE TO VENDOR <br />'ER BY DATE 12/06/2019 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 part of this order if delivery is not made when and as <br />COUNT NO 62006406023106 Ispecified. <br />NDOR'S NO 65605 3. Vendor accepts this order at listed price or lowest prevailing market price. No price increase allowed after <br />PROJECT NO 4. All goods subject to inspection and rejection (freight at vendor's expense), not withstanding prior <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 Total <br />1 EDISON WELL #3A REHABILITATION <br />66, 900.00 / <br />EA <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 />� r <br />Controller or Authorized Representative <br />1.0000 66, 900. 00 <br />Egkls6 o;pp�olln1m ty^ EMPn Gy�n <br />f4e . kLp <br />APPROVED — Central Purchasing Office <br />PO. Number 256089 <br />