HomeMy WebLinkAbout343171 POWERWARE GLOBAL SERVICES - PURCHASE ORDER - 4408128ft�� City of Fort Collins
City of Fort Collins
Page Number 1
Vend*r 343471 --
PQWERWARE GLOBAL SERVICES
N9246 HtGHW3tAY $Q S
NECEDAR W161616
Date 12/09/04
Purchase Order Number 4408128
Ship To
WATER TREATMENT PLANT #3
CITY OF FORT COLLINS
4316 W LAPORTE AV
FORT COLLINS CO 00521
Delivery Date 12/09/04 Buyer BONNETTE, ED
Purchase Order number must appear on Invoices, packing lists, labels, bills of lading, and all correspondence
Note PLEASE SHIP TO ATTN TOM SMITH CONTACT # (970) 416 2159
PLEASE SEE TAX EXEMPT CERT ENCLOSED
7 vF
Line Qty/Units Description Extended Price
1 1 EA 3 088 96
UPS BATTERIES BAT 0103
32 BATTERIES @ $96 53 EA = $3 088 96
2 1 EA 28778
SHIPPING
PER SERVICE QUOTE #848769 DATED 12/02/04 FROM PATTY KORNER
Total $3,376 74
Wny or runt t, in viret:tur ui ruruiasmy anu wsn viauayviva"r City of Fort Collins
This order is alid over $2000 unless signed by James B O Neill II CPPO FNIGP Accounting Department
City of Fort Collins Purchasing PO Box 580 Fort Collins CO 80522 0580 PO Box 580
Phone 970 221 6775 Fax 970 221 6707 Email info@ci fort collins co us 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 December 9, 2004
The undersigned hereby certifies that she is Joyce Grenz, Accounts Payable
Representative of 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 POWERWARE GLOBAL SERVICES 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
r \ K
4
(Signature)
Accounts Payable Rep — Accounting_ Dept
(Title of Officer)
215 North Mason Street 2nd Floor PO Box 580 Fort Collins CO 80522 0580 (970) 221 6770 FAX (970) 221 6782