HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9200437Requisition 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
5010010123.554999.3620
Total $5502.30
Frieght $253.00
317742
Glenn Travis
$5,249.30
50 Amp DC Output
130 Volt DC Output
60 HZ Input
240/220/208 Vac Input
Single Phase Input
60 Lead Cells
Ferroresonant Charger
TPSD2-50-130V-BLD1-60L
140363 Rev A02
La Marche Manufacturing
106 Bradrock Dr
Des Plaines, IL 60018
DocuSign Envelope ID: 87CBA9D9-2574-419D-A7E1-64EF9E77D97B
65458
2/13/2020 - hh
Sales Order
P.O. Number
S.O. Number
Quote Number
Order Type
Order Date
Page
S
O
L
D
T
O
S
H
I
P
T
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Sales Representative Contact Ship Via
Payment Terms Phone F.O.B.
Li Part / Description Sched. Date Quantity Unit Price Ext. Price
Total
La Marche Manufacturing Co. Tax ID 36-2305262
106 Bradrock Drive Des Plaines, IL 60018
Phone 847-299-1188 Fax 847-299-3061
Email: Sales@lamarchemfg.com
Visit us on the web: www.lamarchemfg.com
NEEDPO
185083
A
01-03-20
1
43550 FORT COLLINS CITY OF
FORT COLLINS CITY OF 700 WOODS STREET
ACCOUNTING DEPT FORT COLLINS, CO 80522-0580
PO BOX 580 USA
FORT COLLINS, CO 80522-0580
USA
DON HENRY GLENN TRAVIS FEDEX FRT. PRIORITY
1/2%10/N30 970-218-4085 FCA:DES PLAINES
1 140363 Rev A02 01-30-20 1.00 5249.3000 5,249.30
TPSD2-50-130V-BLD1-60L
Ferroresonant Charger Total 1.00
50 Amp DC Output
130 Volt DC Output
60 HZ Input
240/220/208 Vac Input
Single Phase Input
60 Lead Cells
2 FREIGHT 02-04-20 1.00 253.0000 253.00
Total 1.00
5,502.30
DocuSign Envelope ID: 87CBA9D9-2574-419D-A7E1-64EF9E77D97B