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Home My WebLink About269184 HEWLETT PACKARD MEDIA SOLUTIONS - PURCHASE ORDER - 2203199City of =FCollins Page Number: 1 Of 1 City of Fort Collins Date: 05/20/02 LEASE PURCHASE PURCHASE ORDER NUMBER: Delivery Date: 05/24/02 Buyer: HUME,JAMES 2203199 Purchase Order number must appear on invoices, packing lists, labels, bills of lading and all correspondence NOTE: Line: Qty/Units: Description: Extended Price: 1 1 EACH PESA AUDIO/VIDEO SWITCHER 2,000.00 EQUIPMENT TO INCLUDE THE FOLLOWING: PESA MODEL RM5000 AUDIO ROUTING SWITCHER, SIN RMV100017536 PESA MODEL RM5000 VIDEO ROUTING SWITCHER, SN RMV110017404 PESA MODEL PLN5370 ROUTER XY CONTROL PANELS 112 TOTAL, VARIOUS SN'SI TOTAL $2,000.00 PRICE IS F.O.B. FORT COLLINS, COLORADO, FREIGHT PREPAID AND ALLOWED. TAX EXEMPT #9804502. WILL MAIL TAX-EXEMPT CERTIFICATE. PAYMENT WILL BE MADE BY THE FIRST NATIONAL BANK OF FORT COLLINS PURSUANT TO A LEASE AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND KOCH FINANCIAL CORP. Total: City of Fol This order is Director of Purchasing and Risk Management valid over $2000 unless signed by James B. O'Neill II, CPPO City of Fort Collins Purchasing, PO Box 580, Fort Collins, CO 80522-0580 Phone: 970-221-6775 Fax: 970-221-6707 Email: info@ci.fort-collins.co.us 2,000.00 Mail Invoices in duplicate to: City of Fort Collins Accounting Department PO Box 580 Fort Collins, CO 80522-0580 City of Fort Collins Administrative Services Finance Department - Accounting Division BLANKET EXEMPTION CERTIFICATE (For use by States, Territories, or political subdivision thereof) Date: May 20, 2002 The undersigned hereby certifies that she is Joyce Grenz, Administrative Clerk I of the City of Fort Collins to execute this certificate and that the article or articles specified in the accompanying orders, or on the reverse side hereof, are purchased from HEWLETT-PACKARD MEDIA SOLUTIONS DIVISION for the exclusive use of the City of Fort Collins of the State of Colorado. It is understood that the exemption from tax in the case of sales of articles under this exemption certificate to a State, etc., is limited to the sale of articles purchased for its exclusive use, and it is agreed that if articles purchased tax free under this exemption certificate are used otherwise or are sold to employees or others, such fact will be reported by me to the manufacturer of the article or articles covered by this certificate. It is also understood that the fraudulent use of this certificate to secure exemption will subject the undersigned and all guilty parties to a fine of not more than $10,000.00 or to imprisonment for not more than five years, or both, together with costs of prosecution. State of Colorado Department of Revenue, Certificate of Exemption Identification Number 98-04502. U (Signature) / Administrative Clerk I, Accounting Dept. (Title of Officer) 215 North Mason Street • 2nd Floor • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6770 • FAX (970) 221-6782 Bill of Sale Agreement The HPC Media Solutions Division of Hewlett Packard Company, a Delaware Corporation with offices at 19483 Pruneridge ave. Cupertino CA 95014 MS424 ("HP"), hereby sells to 6,1I-V OX VO rCO&44A61 Gv(./",o Recipient address 140 2� 3 /99 the material/item described below. (1) The material/item transferred hereby is described as (including asset number): Make Model Description SN Asset Pesa RM5000 Audio routing switcher RMV100017536 None Pesa RM5000 Video routing switcher RMV110017404 None Pesa PLN5370 Router XY control panel 17071 686 Pesa PLN5370 Router XY control panel 16674 571 Pesa PLN5370 Router XY control panel 17065 882 Pesa PLN5370 Router XY control panel 16821 972 Pesa PLN5370 Router XY control panel 16404 963 Pesa PLN5370 Router XY control panel 17066 679 Pesa PLN5370 Router XY control panel 16918 957 Pesa PLN5370 Router XY control panel 16525 817 Pesa PLN5370 Router XY control panel 16692 572 Pesa PLN5370 Router XY control panel 16671 656 Pesa PLN5370 Router XY control panel 17073 569 Pesa PLN5370 Router XY control panel 16822 808 (2) The agreed price for the material/it m is $2,000, plus any applicable sales/use tax amounting to $Tfor the ship -to location, unless Recipient provides Hewlett Packard Company with a valid resale or exemption certificate for the ship -to state. Recipient agrees to pay such sum upon receipt of the material/item. (3) The material/item is transferred to the Recipient "as is". HP disclaims all warranties whatsoever regarding the material/item, expressed or implied, including without limitation the implied warranties of merchantability and fitness for a particular purpose. (4) HP is not liable to incidental or consequential damages. (5) Address where possession of the material/item was transferred to Recipient: >U spkP - 1b 1W&U51 v.J /? 220 319 - (6) Material/item qualifies for resale or exempt status? No -Yes (if Yes a properly executed resale or exempt certificate from Recipient must be attached) AGREED: HEWLETT PACKARD COMPANY RECIPIENT BY: TTTLE: DATE: W. ORGANIZATION: TAX ID#: TRANSACTION REPORT P,O1 MAY-21-02 TUE 03:40 PM SEND(M) DATE START RECEIVER TX TIME PAGES TYPE NOTE M# DP MAY-21 03:38 PM 914084476134 1'42" 4 SEND ( M) OK 069 TOTAL 1M 42S PAGES: 4 Date: 05/20102 LEASE PURCHASE C City of Fort Collins PURCHASE ORDER NUMBER: 2203199 itve ertcellins Line: O:ty/Units: Description: Extended Price: 1 1 EACH PE$A AUDIONIDEO $WITCHER 2,000.00 POUIPME r TO I NCLUOE THE. FOLLOWING: PESA IVOOA RM5000 AUDIO ROUTING VATCHER, SN RMVi00017538