HomeMy WebLinkAboutWORK ORDER - PURCHASE ORDER - 9141193CONTRACTOR NAME: Connell Resources, Inc. PHONE NUMBER: 970-223-3151
ADDRESS (STREET & #) 7785 Highland Meadows Pkwy. Suite 100
CITY, STATE, ZIP CODE: Port Collins, CO 80528
INVOICE NO.: INVOICE DATE -21-D-1'(
FULLED TO: (CITY OF FORT COLLINS) JOB NO.; 7564
LOCATION:. Routes 4 and 6 -
WORK DONE (DATE/S AND TIME/S): 01-31-14 3:30ani - 1:30pm
HOURS: 42 Manhours
WORK ACCOMPLISHED: Grader
ICEMELT. MATERIAL USED: 0 (IN POUNDS) CHARGE:
CHARGE: $ 6300.00
INSTRUCTIONS
1._ Invoice date will be the date you are billing the City of Fort Collins.
2.. Hours will be man hours. -
3. Work done is date/s and time/s you do the work.
4. Work accomplished: Removal, truck only; removal, grader, blower, truck,
amount of icemelt material used or whatever combination you used.
5. Attach an original copy of "Lien Release" form for each Subcontractor or Supplier
used..to each invoice dated the same date or subsequent to the invoice date.
Failure to do so will result in the denial of payment until Contractor Is in
compliance.
BID 7564 Snow & lee Removal
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EXHIBIT C
CITY OF FORT COLLINS
STREETS, PARKING LOTS AND SIDEWALK SNOW AND ICE REMOVAL
BILLING INSTRUCTIONS AND INVOICE FORM
CONTRACTOR NAME: Connell Resources, Inc. PHONE NUMBER:;970-223-3151
ADDRESS (STREET & #) 7785 Highland Meadows Pkwy. Suite 100
CITY, STATE, ZIP CODE: Fort Collins, CO 80528
INVOICE NO.: 1 INVOICE DATE: .2 14
BILLED TO: (CITY OF FORT COLLINS) JOB NO.: 7564
LOCATION: Routes 4 and 6
WORK DONE (DATE/S AND TIME/S): -
01-27-14 Noon - 10:00pm
HOURS: 20 Manhours
WORK ACCOMPLISHED: Grader
ICEMELT MATERIAL USED: 0 (IN POUNDS) CHARGE:
CHARGE: . $ 3000.00
INSTRUCTIONS
1. Invoice -date will be the date you are billing the City of Fort Collins.
2.. Hours vrill be man hours.
3. Work done is date/s and time/s you do the work.
4. Work accomplished: Removal, truck only; removal; grader, blower, truck,
amount of icemelt material used or whatever combination you used. _.
5. Attach an original copy of "Lien Release" form for each Subcontractor or Supplier
used to each invoice dated the same date or subsequent to the invoice date.
Failure to do so will result in the denial of payment until Contractor Is In
compliance.
BID 7564 Snow & Ice Removal Page 9 of 27
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