HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9190420Requisition 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
Change Order #1 PO 9190420
Heather Hagar via Brad Ward
4 CXPS-W 3 Pole Breaker Adapter Kit $49.00 $196.00 5050030001.565020
Alpha 656010
DocuSign Envelope ID: 7B2B647B-2E5D-4BF1-8DDA-06B619C24550
this was OK'd by Gerry Paul
5/23/2019
Quotation
Please Address Purchase Order To: Quote # 052319GW2-81
Alpha Technologies Services, Inc.
3767 Alpha Way Attn: Brad Ward
Bellingham, WA 98226 Phone: 970-224-6003
Attn: Headend Power Sales Email: bward@fcgov.com
alphaorders@alpha.com Company: City of Fort Collins
Site:
Location:
Project Name: 3 Pole Breaker Adapter Kit
Quote Requested Date: 5/13/2019
Quote Date: 5/13/2019
Quote Expiration Date: 7/12/2019
Quote Log ID #: 9600
Item Qty Part Number Description Customer Price Extended Price
1 4 0370317-001 CXPS-W, 3 Pole Breaker Adaptor Kit $49 $196
Total Product: $196
NOTE: Freight will be prepaid and added to invoice
Customer shall be responsible for the self assessment and payment of applicable
state and local taxes on goods purchased.
Please Reference Quote number for all correspondence or orders resulting from this proposal.
Quote # 052319GW2-81
Prices: All prices in $US. These prices reflect 2018 pricing and is not retroactive to any past orders.
Ex works:
*Please note that any order resulting from this quotation will be subject to our standard terms
and conditions of sales (except where noted above) as specified on our acknowledgments
Prepared by:
Grant Wahlquist
Alpha Technologies Services, Inc.
ph 360-325-6218
gwahlquist@alpha.com
Project Estimator
Thank You For Your Business!
DocuSign Envelope ID: 7B2B647B-2E5D-4BF1-8DDA-06B619C24550