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HomeMy WebLinkAboutContract 1831 CITY OF COLUMBIA HEIGHTS 590 40TH AVENUE N.E. COLUMBIA HEIGHTS, MINN. 55421 PHONE: 763-706-3600 RECEIVING REPORT 039046 PAGE 1 OF 1 P.O. DATE 04 07 2005 THE CITY is EXEMPT FROM PAYMENT OF FEDERAL EXCiSE TAXES VENDOR: 098878 000004 SHIP TO: TBS OFFICE AUTOMATIONS 1385 MENDOTA HEIGHTS ROAD MENDOTA HEIGHTS MN 55120 CITY OF COLUMBIA HEIGHTS POLICE DEPARTMENT 559 MILL STREET NE COLUMBIA HEIGHTS 1 MN 55421 DELIVER BY l ./ I hereby certify that the goods or services listed hereon have been received, inspected, and found satisfactory. Date Received3h /~r Amount OK'd for paymentl!> I, cJ.9(;-3J- I I r CANCEL DATE PHONE EXT. . . . 01 1. 00 EA ANNUAL CONTRACT FOR MAINT/REPAIR 101.42100.4000 02 1. 00 EA OVERAGE CHARGE 29/811 COPIES 101.42100.4000 03 1. 00 EA STATE SALES TAX 101.42100.4395 958.00 N 958.00 298.11 N 298.11 40.24 N 40.24 COPIER MAINTENANCE/REPAIR 2005-06 r!o--rvUa. d P- /1 II CITY MANAGER THOMAS M JOHNSON REQUISiTION AUTHORIZATION 1/296.35 REQUISITION DATE DEPT. REQUESTED BY 04/04/2005 42100 HOMAS M. JOHNSON 0.00 MAYOR 1/296.35 RM CONTROL NO. 039046 .. . ""(~ ~ u .~~~ \J Rffiee RKtnlllalinns CONTRACT INVOICE Invoice Number: Invoice Date: 58583 03/29/2005 Bill To: CITY OF COLUMBIA HEIGHTS POLlCE DEPARTMENT 559 MILL STREET NE COLUMBIA HEIGHTS, MN 55421 Customer: cm OF COLUMBIA HEIGHTS POLlCE DEPARTMENT 559 MILL STREET NE COLUMBIA HEIGHTS, MN 55421 Summary: Contract base rate charge for the 03/25/2005 to 03/24/2006 billing period Contract overage charge for the 03/25/2004 to 03/24/2005 overage period DeQ {]-J( -t.. aA.1 ~ /711 Equipment included under this contract PANASONIC/ FP-77S0 *sum of equipment base charges **see overage details below $958.00 * $298.11 ** $1,256.11 Number Serial Number KIEKF662577 Begin Meter 811,735 Base Charge Location $958.00 CITY OF COLUMBIA HEIGHTS POUCE DEPARTMENT 559 MILL STREET COLUMBIA HEIGHTS,MN 55421 Total Covered Billable Rate 137,811 108,000 29,811 $0.010000 016784 Meter Type B\W Meter Group 016784-B/W End Meter 949,546 Overage $298.11 $298.11 Invoice SubTotal Tax: Invoice Total Balance Due: $1,256.11 $40.24 $1,296.35 $1,296.35 1385 MENDOTA HEIGHTS ROAD MENDOTA HEIGHTS, MN 55120 651-905-7090 Page 1 of I