HomeMy WebLinkAbout2004-193 Agrmt - IKON
06/19/2003 17:03 FA][ 4803797123
IKON CCC PHOENIX ~3OO1
such addi~ eq~pme~ Cusk~ a~ lo pay ~l, ~ ~ ~,
~onb~~ ~C~~hnb
9. CU~MER ~A~N~ ~ ~ ~ ~ a p~ ~ ~ ~ ~e ~ b
10. W~ ~~. O~ ~ ~ ~~ ~ F~
F~ ~ ~, ~~ ~ ~~ D)~, WCLUD~ B~
~~~ P~TO~ ~~
tl. M~E~E~. ~ ~~ ~ ~ ~~ BY~
~ TO ~E ~ ~ ~ ~A~ ~ ~ ~~ ~ TO
~~)~ ~~ M d~ ~) ~ ~d~ ~Wn ~~
W. ~ a~b~ ~ ~ any W ~ ~ ~ by ~ ~nd~ of
~ ~ (lo) ~ of~M M~ I~ ~~.
~W aM ~ ~ W ~ o~ (1) yw ~r ~ ~, ~ s~l ~ d~ or
CITY OF ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541 ) 488-5300
CITY RECORDER'S COPY
DATE
8/16/2004
Page 1 / 1
VENDOR: 000084
IKON OFFICE SOLUTIONS
P O BOX 7414
WESTERN REGION
PASADENA, CA 91109-7414
FOB Point:
Terms: Net 10 days
Req. Del. Date:
Special Inst:
SHIP TO: Ashland Municipal Court
(541 ) 488-5354
1175 E MAIN
ASHLAND, OR 97520
Req. No.:
Dept.: FINANCE
Contact: Vicki Christensen
Confirming? No
Quantity Unit .................. i.' .oesC.ripti°n ' I:' ' Un:it Price Ext. Price
Annual Copier Maintenance/Municipal 600.00
· . . :, : ' . '.':...'~ :.' ..... , '.,
Court
Canon C210S
. .Seriai#NPR21890'"" '..
Term: 7/2004 to June/2005
. .
SUBTOTAL 600.00
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 600.00
ASHLAND, OR 97520
E 110.03.04.00.602220 600.00
,,
,/ --
-
// .f , , . ...... , ,
REQUISITION FORM
~C. i T Y OF
-AS; H LAN D
THIS REQUEST IS A:
~ Change Order(existing PO # o/'73c,.)
Required Date of Delivery/Service:
I I
Vendor Name:
Address:
City, State, Zip:
Phone:
Fax Number
Deliver Location
Services Only
Description Total Cost Solicitation Process:
I~I Exempt [-! 3 Written Quotes
(copies attached)
~ Sole Source ~p~;;~itatiOnon file)t° Bid
~ Lessthan ~ Request for
$5000 Proposal (copies on file)
Account Number Z/E_- ~Z~-42~-E_o-
*Please attach the Original signed contract and Insurance certificate.
Materials Only
Item # Quantity Unit Description Unit Cost Total Cost
Account Number
"Please attach the quotes.
Employee Signature: ', _~/~',~ .,,,~:/~,~'~ Supervisor/Dept. Head Signature:
NOTE: By signing this requisition form, I certify that the above request meets the City of Ashland Solicitation Process requirements and c~l~e provided
when necessary.
G:Finance\Procedure~,P~Forms\8_Requisition form.doc Updated on:07/15/02
