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PURCHASE REQUISITION "EQUISITION N° 15279 <br />CITY OF COLTON Awarded to: <br />FINANCE ADEPARTiIAEIM MT. <br />q ❑ 5e11 For. Department/Division Date of Requisition: Required Date: <br />Public Works / Shop 4--17--89 4-17-89 <br />Deliver To: Work Order No. Direct Questions To: <br />Attention of: i 11 Cay Marshall 11 Ext: 5093. <br />Suggested Vendors/Buyers ._.._ <br />Requested by: (Signature) <br />Item <br />Description <br />No. <br />Quan. of Item or Service 17 <br />Account Unit Estimated <br />(Be Specific) <br />Out of frame overhaul. <br />EMC6 -250 Turbo 672 Engine Overhaul. <br />Sanitation Dept. Unit # 220 i <br />Number Price Cost <br />23a-4050-21 <br />Date: <br />P.O. No. Date of <br />y <br />1141'1 simoo.00 <br />12,500,00 <br />i <br />Send white copy to Purchasing. <br />Keep Pink copy for reference. <br />Use separate set of forms for each t!j <br />Ype of goods. '�jC: <br />,_ tJ <br />Received by Purchasing: <br />Finance Approval by: <br />Item <br />No: <br />VENDOR/BUYER <br />Vendor <br />Quote <br />Date and Terms of delivery <br />1. <br />Colton Truck Terminal <br />Garage <br />719 E. vaalley Blvd, <br />C01t0no Ca. 92324 <br />— <br />Est, Cost. <br />2. <br />Universal Mack ]Inc. <br />ZZO N. ftexfora— <br />Coltoin, Ca. 92324 <br />— <br />Est. Cost. <br />Date: <br />P.O. No. Date of <br />y <br />1141'1 simoo.00 <br />12,500,00 <br />i <br />