HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9190393Requisition Form
Vendor: Today's Date: Requisition No.:
Ship To: Date Entered:
Date Required: Date Approved:
Special Instructions: Date Denied:
Item # Quantity Unit Description Total Charge Number
Requested By: Authorized By:
Authorized By:
Name, title typed here under the line
Name, title typed here under the line Name, title typed here under the line
Unit Price
I\ENG\FORMS\Blank Requisition.xls
Inv # 5842 = $10,122.40
Inv # 5803 = $7,455.06
Heather Hagar
$17,577.46 14310000.521160.5920.14310000.c
Relay testing
Maint of substation protective equipment
Platte River Power Authority
DocuSign Envelope ID: 29E99865-2B9F-4C06-A711-C47E5420FF60
102624 62248
2/4/19 - hh
DocuSign Envelope ID: 29E99865-2B9F-4C06-A711-C47E5420FF60
DocuSign Envelope ID: 29E99865-2B9F-4C06-A711-C47E5420FF60
INVOICE
Invoice Number: 5842
2000 EAST HORSETOOTH ROAD, FORT COLLINS, CO 80525 Invoice Date: 1/24/2019
(970) 226-4000
TO: City of Fort Collins Payment Due: 2/13/2019
Attn: Accounting Department Late Fee: 1% per month
PO Box 2047 Terms: Net 20
Fort Collins, CO 80522-0580
Email: bhover@fcgov.com & invoices@fcgov.com
UNIT
DATE QUANTITY DESCRIPTION PRICE AMOUNT
Distribution Maintenance for the City of Fort Collins
Attn: Bob Hover
11/25/2018 Labor & Benefits Expense from $ 10,035.20
to ( see attached for project hour detail )
12/22/2018
Vehicle Expense 87.20
Send questions to:
Accounts Receivable
(970) 226-4000
PLEASE PAY THIS AMOUNT Î $ 10,122.40
Please send check with remittance copy to:
Accounts Receivable, Platte River Power Authority, 2000 East Horsetooth Road, Fort Collins, CO 80525
DocuSign Envelope ID: 29E99865-2B9F-4C06-A711-C47E5420FF60
City of Fort Collins Distribution Work Orders
For the period of: 11/25/2018-12/22/2018
Title Hours
Labor and
Benefits
Vehicle
Expense Other Total
WO 95684-1 - Richard Lake 600 -2018 Relay Testing for the City of Ft. Collins 6.00 $ 459.89 $ 459.89
WO 95683-1 - Linden Tech. 700 -2018 Relay Testing for the City of Ft. Collins 28.00 $ 2,150.03 $ 2,150.03
WO 95686-1 - Dixon Creek 800 -2018 Relay Testing for the City of Ft. Collins 17.00 $ 1,332.46 $ 1,332.46
WO 95685-1 - Drake 200 -2018 Relay Testing for the City of Ft. Collins 23.00 $ 1,766.09 $ 1,766.09
WO 95688-1 - Timberline 300 -2018 Relay Testing for the City of Ft. Collins 25.00 $ 2,148.82 $ 2,148.82
WO 95687-1 - Portner 900 -2018 Relay Testing for the City of Ft. Collins 25.00 $ 2,177.91 $ 2,177.91
Vehicle Expense (Depreciation and mileage) 87.20 $ 87.20
Total 124.00 $ 10,035.20 $ 87.20 $ - $ 10,122.40
DocuSign Envelope ID: 29E99865-2B9F-4C06-A711-C47E5420FF60