HomeMy WebLinkAbout2003-181 PO - City of MedfordCITY OF ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
CITY RECORDER'S COPY
DATE 108/07/2003
Page 1 / 1
Po NUMBER
04394
VENDOR: 002503
MEDFORD, CITY OF
411 WEST 8TH ST RM #3
MEDFORD, OR 97501
SHIP TO:
City of Ashland - Police Dept.
1155 E MAIN STREET
ASHLAND, OR 97520
FOB Point:
Terms: Net
Req. Del. Date: 07/01/2003
Special Inst:
Req. No.:
Dept.: POLICE
Contact: Mike Bianco
Confirming? No
Linda Ho.q.qatt
Quantity "unit· .].. :., . · · .i......".' .............. '..:::.'. :.'": 'DescriPtion · · unit Price ... '" ',.' ..Ext. Price
THIS IS A REVISED PURCHASE ORDER
Dispatch S~rvices for 911 and Police ~ 337 210.00
Communications Agreement
"' . ,.,."' '= ::,." ' .'?' :. "Ending= da e:=. June 3..0;='.2008 ......'~'" "==~..'. · '........:.
July 30
Dec 31
reveRues
SUBTOTAL 337,210,00
BILL TO: Account Payable T~ 0.00
20 EAST MAIN ST FREIGHT 0,00
541-552-2010 TOTAL 337.210,00
ASHLAND, OR 97520
E 110.06.11.04.604160 337,210.00
A~ttlX~rized Signature
I'!
VENDOR COPY
A request ,'o,,' a Purchase Order
REQUISITION FORM
THIS REQUEST IS A:
[] Change Order(existing PO #__
CiTY OF
-ASHLAND
Date of Request: J8/06/200:~ 1
Vendor Name:
Address:
City. State, Zip:
Phone:
Fax Number
Deliver Location
City nf MP. dfnrd ,
Services Only
Description Total Cost Solicitation Process:
Dispatch Services for 9t 1 and Police Department ::: [] Exempt [] 3 Written Quotes '
~? ~ ,¢_~. ~t. (copies attached)
~/~--~J4. ¢-¢ ,~¢~' ~ ¢ ~ / ¢~ ~Sole Source ~ Invita¢on to Bid
~'//~ ~ ~¢-~ ~ ~ (copies on file)
~ ~ ~-~ ~'~-~ ~ : : ~ Lessthan ~ Requestfor
. $5OOO
~ .... ¢~ ~, .. ¢ ¢ ~:~ ~ .~.,~ Proposal (copies on file)
Materials Only
Item # Quantity
Account Number 110- 06- tl - 04- 604000
*Please attach the Original signed contract and Insurance certificate.
Unit Description Unit Cost Total Cost
Account Number ....
Employee Sig natu re: ~,//~H~f SupervisorlDep,. Head Sig~/ ~'~ ~~~-~*
NOTE: By signing this req~ is'i~ foflCn, ~/~ gh~ above reqUewsth~mn~elt~ethe. ~' of Ashland Solicitation Procesi r~uirements ~d c'~n be provided
G:Finance~Procedure~,P~Forms\8_Requisition form Updated on:07/15/02