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20
City of Pleasanton
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CITY CLERK
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AGENDA PACKETS
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2019
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041619
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20
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Last modified
4/10/2019 12:52:58 PM
Creation date
4/10/2019 12:52:57 PM
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CITY CLERK
CITY CLERK - TYPE
AGENDA REPORT
DOCUMENT DATE
4/16/2019
DESTRUCT DATE
15Y
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ATTACHMENT#1 <br /> THE CITY OF PURCHASE ORDER AGREEMENT <br /> 'm CITY OF PLEASANTON <br /> PLEASANTONo123 MAIN STREET/P.O.BOX 520 PLON ALL ON ALL SHOW THISNUMBER <br /> INVOICES.PACKING <br /> PLEASANTON,CALIFORNIA 94566-0802 SLIPS,PACKAGES AND <br /> CORRESPONDENCES <br /> DEPARTMENT Operations Services Department PHONE NUMBER 925-931-5524 <br /> DATE 03/28/2019 FY: 19 ACCOUNT CODE 42040602-433154 <br /> Contractor: Ryan Process, Inc. PO Type: Not To Exceed Project#: <br /> Vendor ID: 3213 Dept#: 40602 <br /> Address: 511 1st Street Estimated Start Date: 03/28/2019 <br /> Benicia, CA 94510 Estimated Completion Date: 06/30/2019 <br /> New Vendor: n If checked, W-9 needs to be attached <br /> SEND INVOICES TO DELIVER ITEMS TO <br /> CITY OF PLEASANTONoperations Services This is an order for: <br /> P.O.BOX 520 Name <br /> ri <br /> PLEASANTON,CA 94566-0802 3333 Busch Road goods <br /> Address <br /> CARE OF: 11goods&services <br /> Name Ryan Ravalin <br /> ri services <br /> Department Operations Services City/StatelZip Pleasanton, CA 94566 (check one) <br /> ITEM NO ITEM OR SERVICE DESCRIPTION QUANTITY UNIT PRICE/FEES SUBTOTAL <br /> 1 Chlorine Tablets for Water Treatment 1.00 $ 125,000.00 $ 125,000.00 <br /> (Original Amount: $90,000) $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> FREIGHT $ 0.00 <br /> TAX 0.0000 $ 125,000.00 $ 0.00 <br /> TOTAL ei * $ 125,000.00 <br /> • Mail out the Purchase Order to Vendor/Contractor : Yes ✓T No Ei <br /> . Proof of Insurance required prior to start of work: Yes El No El <br /> Authorized Contractor Signature Date <br /> Terms and Conditions on Reverse are Incorporated into this Agreement <br /> Taxpayers Identification Number: <br /> Authorized City Signature _„ Date _ <br />
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