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HomeMy WebLinkAbout2004-042 PO Revision - Hunter CommunicationsCITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 08/0:DATE1/2003 Page 1 / 1 04376 J VENDOR: 000082 HUNTER COMMUNICATIONS 801 ENTERPRISE DR. STE.# 101 CENTRAL POINT, OR 97502 SHIP TO: Ashland Fiber Network (541) 488-5354 90 N. MOUNTAIN ASHLAND, OR 97520 FOB Point: Terms: Payable on receipt Req. Del. Date: 07/01/2003 Special Inst: Req. No.: Dept.: ELECTRIC Contact: Dick Wanderscheid Confirming? NO -Quantity ' Unit :: Description Unit Price , Ext. Pdce THIS IS A REVISED PURCHASE ORDER · · : BLANKET PURCHASE ORDER . AFN Construction, Installation, Testing 20 000.00 ,:-:~:" · ' and Splicing of HFC Video and Data == = - --,~: , Network- RFP 1999 Second Addendum to RFP Contract .... Date of agreement: July 31, 2003 Endin.q date: June~O4~~ · Revised purchase · ~ 25,000.00 Maintenance of CA~ ?? :,=',:!': ,~,.. · · .. .· · ......... ,"':?: ...:'::...:. ' SUBTOTAL 45,000.00: BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FRBGHT 0.00 541-552-2028 TOTAL 45.000.00 ASHLAND, OR 97520 " '"' ::: AccoUnt.Number Amount Account Number '.:i"';'..::Amount ' :': E 691.11.00.00.704100 45,000.00 VENDOR COPY REQUISITION FORM THIS REQUEST IS A: [] Change Order(existing PO #__.) CITY OF H I jAN D Required Date of Delivery/Service: Vendor Name: Address: City, State, Zip: Phone: Fax Number Deliver Location Services Only Description Total Cost Solicitation Process: [] Exempt [] 3Written Quotes (copies attached) [~l"~ole Source [] Invitation to Bid (copies on file) [] Less than [] Request for $5000 Proposal (copies on file) Account Number *Please attach the Original signed contract and Insurance certificate. Materials Only Item # Quantity Unit Description Unit Cost Total Cost Account Number *P/ease 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 require~rents and can be provided \ when necessary. / G:Finance\PmcedurCAP\Forms\8_Requisition form.doc Updated on:07/15/02