|
<br />~N
<br />
<br />PURCHASE ORDER
<br />Vendor Number
<br />
<br />PURCHASE
<br />ORDER NUMBER
<br />
<br />F 04017
<br />Ship~
<br />To:~
<br />Bill To:
<br />
<br />TO:
<br />
<br />~/\~~~~'
<br />~13~,5 ~~5~ ~
<br />~~) ~ 335~\
<br />'6 \ 3 - '\ ~ do - 0 ~ "d-S
<br />
<br />o Other
<br />
<br />Phone:
<br />
<br />IMPORT ANT INSTRUCTIONS TO VENDOR!
<br />~ i fi.ii '.ie!iVc1;les '::,l311 be mdce to tne addrossee indicated on the Purchase Order
<br />between 9:00 /'.M ac,\J 4:00 PM. local time, Monaay thru Friday, except holidays.
<br />Eo.eh .)C" ;0", 'Tl",t contain a packing list indicating Purchase Order No., Qty..
<br />Dpscr~ph:'I'" 2.r:c ')lH prOject number/requisition numoer.
<br />':l.', Pc:;Cki:lg L,'3~S Cir:r:! delivery tickets shall not contain invoice pricing information
<br />All shirplng label., shall contain our P!Jrchase Order Number for identification
<br />p:.JfoC'ses
<br />5) !'1VOIC8S shall tie submitted In triplicate. reference our Purchase Order Number
<br />and paJect number/requisition number.
<br />6) Sac, Older:; nat permitted unless authorized on this Purohase Order. We reserve
<br />rtght 10 cancel thiS and any order, at Vendor expense if shipment is not made
<br />complete ;r, accordance with all instructions oontained on this order.
<br />
<br />7) J\cknovvl8dgement copy (c~narY,i .TiUSl. bb ;elurneJ "~'f \18~',!':' ._.;;\_~J' I ~<~,t
<br />this purChase order.
<br />8) If purchase order requires labcr at project silO, suhCJ!llractc.: r;naii;)~~(j,'IiPTL '(
<br />ha.....e his ins'Jran':'8 carrier provIde First Un:on with cE:lr!if...:ai~\S sr'::.\'\ '1~ ':L.:rrerr!
<br />workrn~ns compensation, cOr'lprehensive gl:.inera: I:abilitj a.r:d', ,:)",1
<br />9) In connection with the pertor:TIance ~jf v....ark; ur-der ti'is purer-last; (,':Jf"-
<br />Opportunity Clauses as set forth In section 202 of executive "r,oc' ,. 246. as
<br />amended, Section 503 at the Rehab'ltatio" ;\,;1 0' 1973. as am8"de'~, a",rj S')C
<br />tion 402 of the Vietnam Era Veterans ReadJlistment Act of 1974 as "ro"dec
<br />are incorporated by reference,
<br />
<br />Purchase
<br />Order Date
<br />
<br />h 1\ P pAID I I
<br />
<br />Due Date
<br />
<br />Project Manager
<br />
<br />I Ij ,~. S~'~r
<br />
<br />Project Number or
<br />Requisition Number
<br />jCJIO IFI 0 14,,, 1/ I I
<br />
<br />Ship
<br />Via
<br />
<br />F,O,8,
<br />
<br />ICJ
<br />
<br />TERMS:
<br />
<br />Description
<br />
<br />Vendor
<br />Price
<br />
<br />Quantity
<br />Ordered
<br />
<br />Extension
<br />
<br />~~~~)~~
<br />
<br />) ,
<br />
<br />.~~ ~l!~ ~~:1A..
<br />\) ~ ~~..;..... "-'U>.~
<br />~~b-~'~~
<br />~mt~ \ (}\~~\qO'
<br />5:J ~ ~~'-- ~ ---o.Jvv~Q ,
<br />~~~4~~~~
<br />~C\..A.~.~~~
<br />~ ~ \~\").~\~D.
<br />3) ~~~ ~Q~IISO~..~,
<br />
<br />.3 (.,,)s.c~
<br />
<br />SJ '1 ~.co
<br />
<br />Bank No.
<br />
<br />Center No.
<br />
<br />Acc!. #
<br />
<br />Qty. Rec'd
<br />
<br />Date Rec'd
<br />
<br />GROSS ct) 3~S,oo
<br />DISCOUNT
<br />TAXES (l70 51.,~, ;0
<br />FREIGHT
<br />TOTAL q /~ ~<?, 10
<br />
<br />cZ OO.:{
<br />
<br />O~4-
<br />
<br />
<br />
<br />M1377 R.v.1/90
<br />WHITE-ORIGINAL · CANARY-VENDOR'S ACKNOWLEDGEMENT COpy. PINK-FILE COPY. GOLDENROD-RECEIVING COpy
<br />
<br />DATE
<br />t 7 qu
<br />
|