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
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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
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