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CITY OF SAN LEANDRO <br />REQUISITION <br />I GATE OF%�OUISIJ"ON DEPARTMENT <br />�2 /�C �/ c <br />DELIVER <br />TO <br />DATE OF DELIV RY NEFOED DEPARTMENTAL /'� ^ /1 <br />I O /��Z // / I NUMBER <br />C }8 8 <br />�/� `� NUMBER <br />❑ CITY HALL, 835 E. 14th Street <br />❑ PUBLIC WORKS SERVICE CENTER. 14200 Chapman Road <br />❑ WATER POLLUTION CONTROL PLANT, 3000 Davis Street <br />❑ COMMUNITY LIBRARY CENTER, 300 Estudillo Avenue <br />❑ SHORELINE MAINTENANCE FACILITY, 2599 Fairway Drive <br />❑ OTHER: <br />❑ WILL PICK UP <br />❑ HAVE PICKED UP <br />❑ GOODS ALREADY DELIVERED <br />❑ CONFIRMS PHONE REOUEST <br />DATE <br />P.O. No. <br />QUANTITY UNIT DESCRIPTION OF SERVICES OR ITEMS j CHARGE TO ACCOUNT CODE PURCHASING USE ONLY <br />FUND ACTIVITY ITEM I UNITS PRICE EXTENSION <br />p V X G I-IAS '-r- /loR p y t"iQT`%" <br />A—r 3zlz:-- 3 2. V Gc/ F,5 700//G o <br />I <br />O C� <br />L7' —t. <br />100, <br />An approved budget item <br />1Tot an Accounting <br />I approved item. appropriation transfer within budget Approval <br />-er �.h w.v.r •oo�or <br />lot an approved item, requires additional appropriat' <br />CIV urry� I -- <br />o TERMS OF SALE <br />VENDOR ��J �✓��L T/TLE Co <br />NO. 1 <br />13 <br />VENDOR <br />NO. 2 <br />VENDOR <br />NO. 3 <br />❑ DESTINATION <br />❑ FACTORY <br />❑ SAME. FAT ALLOWED <br />❑ OTHER <br />DELIVERY <br />❑ 1/2 % <br />❑ 10 DAYS <br />❑ 1 % <br />❑ 20 DAYS <br />❑ 2 % <br />❑ 30 DAYS <br />❑ NET <br />❑ loth PRO% <br />❑ OTHER <br />I hereby certify that the items requested are REOUESTED BY <br />necessary for the operation Of this department. DEPARTMENT HEAD <br />AUTHORIZED SIG NAT DATE <br />