|
<br />PO.RT OF HOUSTON
<br />AUTHORITY
<br />P.O. BOX 2562
<br />H9USTON, TEXAS n252
<br />PHONE (713) 670-2460
<br />
<br />*****.:t~**:t**:'''.r:t1r* Deliver -. 01/1.8/02 "***"'**.*1"*1"*'*"1"****
<br />:lI1rH .unless otherwise specified by line item *Ui:
<br />
<br />Purchase Order CurrenC'i: ~rlited states Dollars
<br />
<br />City of LaPorte - Furnish Ambulance
<br />servic~~:~~~~&~~~. Cut Terminal at the
<br />an~;l:'~~05~t,.fP.t..~1~':e6t~X~. for Z years
<br />.~~n~n<f~"~(d_au\ibf ~.~r 2001 and
<br />",-,- . I .. h . .." -.r.., -,,_If " "
<br />..t=-~~l~~ ~h~;JQ.!:-9~~Yf"QfI"S, ',;. lOer 2003.
<br />,.'.;'" .~~re ,~.f.ter, an a'nrt1~~.t:...e~St:;~jU5tment
<br />.;:; {pegwh"ing OcB> 1. 200"2~ha~ i!Jb calculat-
<br />~.F {-~1/bY multi l;!t:.~ the Pl'\eV)~3b:a~e by a
<br />..~ .... ~~ctor of".; ;~ger of '~. ~!.ioE~tne
<br />,~:; J........ !liPI.:.rllt,;..i!tct,! ,..:::w.cee~"'f;r5'. \\ ',~ ~r-!-
<br />I'" I ': ....~~~u.J;.'t._ ~._-Pl __.... '\ ,~ ./~
<br />,'J ........ ,';IlOARi!l.'M. 'l-]!. ~27}1' _ {jJ
<br />.',. ....., '1"' " . "!. -- -. ,...... - ". tt .~_. ~
<br />;'.( '-'.1 "PHA mtIJ!:- .1 ., -'; . 71'3- ~\ li-.J
<br />(Ii, . .-.' ,; j i ",';;-1.' 7_ W'!. .13. ." j D
<br />' '. . ",-) ."..., . 4':" ... 1..:::J II..~ ,-~. ~-~ Ii ,..,- r;
<br />24j.QOO.oeo,VAEA--oI J.\MB1J~.Nq;;::;; ~.._,,",\ .I) .1;...., ,.0000
<br />, I!J~ -!-:Att.\bulao@' ~rvl,:C"a 't! BCT" , . k
<br />'~.L'" ~~~. ~.. ,.., ''''t':;. I .r.l ""..,,. iJ
<br />(, _.J- '.,. ,.,," . ......\. .~f" .t>. ~
<br />Purchase ord~t. ~?:i'5,~ . ../:., ;,.? jf
<br />:~)o ':P~uct' ,;,.?~~,~.~ , .::..;::f~. ~ (" .J::/
<br />\lh _.:; ". ....,...-. .'\ ~ . , ,,G,;/
<br />I \~~~{ ..b~Up: b~;. i '"\ ,. ..,~5--;;I.
<br />\1 fl" ,..1/, "'" .~"<::;:1-
<br />"'\,l,..,.. ,6.'_~""""'"
<br />End ol"'~~~er 64279-000
<br />
<br />ATTN:
<br />ITEM
<br />
<br />"'"
<br />o
<br />"'....1}.-
<br />?:~-Su.'
<br />~ =.=. ~ .,,:"
<br />0:'':-<='';
<br />w.:}:>-~J
<br />2:::f2I-,":
<br />fJ,J .~.:c:
<br />~...., -~....
<br />LU. 0;::::
<br />Cl:: ,;- (.j IJ"I
<br />L,~:;:)
<br />~..:::o
<br />0.0:::
<br />1-0:::
<br /><
<br />=z:
<br />
<br />o
<br />i'\l
<br />co
<br />:c
<br />ocr
<br />
<br />N
<br />N
<br />Z
<br />~
<br />C'\l
<br />C
<br />
<br />PURCHASE ORDER
<br />
<br />e
<br />
<br />PAGE 0001
<br />ORDER DATE 01/16/02
<br />
<br />e
<br />
<br />84279-000
<br />
<br />r.IUST BE SHown mJ rILL IN-
<br />VOICES OR ItJVOICES WILL BE
<br />RETURNED TO VEnDOR
<br />
<br />PURCHASE ORDER
<br />NUMBER
<br />
<br />FREIGHT
<br />
<br />prepaid
<br />
<br />TO
<br />
<br />1858
<br />
<br />Invoice by mail
<br />
<br />EXEC
<br />
<br />CI:n: OF LA POR:I:E
<br />A:rnI: CASH lvlANAGEMENT
<br />POBOX 1115
<br />LA PORx.E ~~ 77572-1115
<br />
<br />SHIP TO
<br />
<br />PHA E."<ECTJTIVE OFFICES
<br />111 EAST LOOP NORXH (E.'CIT 29l
<br />HOUSTON xx 77029
<br />
<br />BUYER
<br />
<br />YVE:rn: R>>lM
<br />QUANTITY ~
<br />
<br />713 670-2460
<br />ctT.RXI S ROSE
<br />I UNIT PRICE I
<br />
<br />TOTAL
<br />
<br />DESCRIPTION
<br />
<br />24,000.00
<br />
<br />24,000.00
<br />
<br />24,000,00
<br />
<br />
<br />E DIRECTOR
<br />
<br />FUNDS ARE AVAILABLE TO MEET THIS OBUGATION WHEN DUE
<br />COUNTY AUDITOR
<br />, A~~ p?
<br />~/.. .'"'...c.........--
<br />t::-~~.,op. ~.~.:~ .'
<br />
<br />TAX EXE~.lPTION FORMS ON REVERSE SIDE
<br />
<br />
<br />CONDITIONS ON BACK ARE A PART OF THIS AGREEMENT
<br />
<br />""'1"','" A I
<br />
|