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HomeMy WebLinkAbout2004-058 PO - SO UniversityCITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 CITY RECORDER'S COPY 03/01/2004 Page 1 / 1 t : PO:~ODBER I VENDOR: 001245 SOUTHERN OREGON UNIVERSITY 1250 SISKIYOU BLVD ASHLAND, OR 97520 SHIP TO: Ashland Computer Services (541) 488-5339 90 N MOUNTAIN ASHLAND, OR 97520 FOB Point: Terms: Net Req. Del. Date: 10/01/2003 Special Inst: Req. No.: Dept.: ELECTRIC Contact: Dick Wanderscheid Confirming? No (~LoAmNpKu PURCHASE ORDER t[oTr Help Desk Services 10/2003 to 10/2004 :.::. ' ..'.., ' ' . '"'"':' '.,:.:,. .,:.=' ,,:'.=..""'"'":':':':':: :.:.. BILL TO: Account Payable 20 EAST MAIN ST 541-552-2028 ASHLAND OR 97520 · '::"~ '.""." ': :" ':'i :::?:,:!:J::.:::::":::i?".'::'.:'"":" ':: · :=:=: ....,':.. .::..:.-. .. , :..,,. .... =~:' :..:.'.. ; ,' .:.:~=~ ',..:.:~>~ ,.: · ...... :.:...:. .'.":". :..:=..,..:::...~.,,>.:=.: :~:: :..:.: SUBTOTAL 40,000.00 TAX 0.00 FREIGHT TOTAL 0.00 40,000.00 Account Number Amount Acco.un_t_..N.u__m_be?... :'." .... :.' "?::: > ?:; "';;: ~0U~i' : :: !;: E 710.11.05.00.604100 40,000.00 VENDOR COPY CITY OF THIS REQUEST IS A:REQUISITION FORM ~" ~ } IJ I~ Dat" ie °f RequeSt:e~'e: ~/~ ~.~ I ~ Change Order(existing P0 d .) ' f D hv /S ~c '~y- equiredDa[eo e' ~ , '-'~',- :/~ ~-'' ~ t ..... ~ Address: l,~.{~-, x~'.. . ' '-~ 4/(~, u~r'~' '~1,~ ' Ci~, State, Zip: ....... u ~ · ~ - -- u - -~ - .... Phone: ~3~' ]/J' ~- ~/f~9 ?~ ~, Fax Number ~ ~ -~ ~ ~/~ Deliver Location .~ ---~3~0 c/ ,' .. Services Only Description , Total Cost ':~Solicitation Process: .. (copies attached) " ~Sole Source [] Invitation to Bid (copies on file) $ ~ ~.), C3~.0 [] Less than [] Request for · $5000 Proposal (copies on file) Account Number~ .LE.- 1 L' _c_.5 £0 _~0-4 _~--~. *Please attach the Original signed contract and Insuran~cate. Materials Only . Unit Description Unit Cost Total Cost Item Quantity Account Number - *Please attach the quotes. ~ l! ir il H eadSignature:.~~. _/7~ Employee Signature: [ ,~ ~,.~., J~ r~', /~,~ '~"~"'whennec~ssary.SUpervis°r/Dept' Solicitation Process requirem/ts and can be provided NOTE: By signing this requ;'~ition fom~, l 'certify that th~ ~)~/~re~uestmeets theCity of Ashland G:Finance~Procedure~AP~Forms\8_RequisitJon form.doc Updated on:07/15/02 SOUTHERN OREGON UNIVERSITY Invoice Invoice to: The City of Ashland Ashland Fiber Network Attn: Lee Tuneberg 20E. Main A~l~nd, OR 97520 Octobe~ 9, 2003 Remit Address: Southern Oregou University Computing Services Atto: Kevin Talbert 1250 Siskiyou Blvd Ashland, Or 97520 CC: Richard Holbo Computing Services Center 1250 Siskiyou Boulevard Ashland, Oregon 97520-5003 Tel 541-552~148 Fax 541-552-~329 IHI II