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Required Document for Cooperative Contract Quote to City of La Porte <br />TIJHpwfsonfouTpmvujpot <br />Vendor Name: (please state same as awarded coop contract):_______________________________________________________ <br />3129122.13 <br />Cooperative Contract Number:________________________________________________________________________ <br />PnojbQbsuofst.JUTpmvujpot <br />Cooperative Name :_________________________________________________________________________________ <br />31:53178 <br />Vendor Quote Number:__________________________________________________________________________________ <br />SjdibseMfuujfsf <br />Quote Prepared by (printed name)_________________________________________________________________________ <br />Ejhjubmmz!tjhofe!cz!Sjdibse!Mfuujfsf! <br />Sjdibse!Mfuujfsf <br />Ebuf;!3132/1:/12!21;21;58!.15(11( <br />Signature of Preparer________________________________________________________________________ <br />Mpsfo{p!Xjohbuf-!Bttjtubou!Ejsfdups!pg!Qvcmjd!Xpslt <br />Quote Requested By:_________________________________________________________________________ <br />By signing this form, I affirm that the price(s) is/are true and correct and in accordance with the cooperative contract terms. <br />I further certify the cooperative contract referenced on this quote is active and that all items quoted are contained on the <br />cooperative contract and were awarded as proposed (e.g., awarded proposal/contract line item or other identifier to <br />locate on proposal/contract). <br />Contract <br />Contract Per Cent Discount <br />QTYLine ItemList PriceDiscountAmountNet Price <br />Item Description <br />%:-535/19%6-111/11 <br />%55/55& <br />TfswfsBNTTuboebseXpslhspvqTubsufs6.Qbdl225/6& <br />%24-444/51 <br />%2-4:7/26 <br />TfswfsBNTTuboebseXpslhspvqMphjot7,3135/6&55/55& <br />%48-341/:6%46-666/67 <br />Tfswjdft245&5/6& <br />%:-535/19 <br />TfswfsBNTTuboebseXpslhspvqTubsufs6.Qbdl255/6&27/7&%8-611 <br />%2-4:7/26 <br />%31-111 <br />TfswfsBNTTuboebseXpslhspvqMphjot7,3165/6&27/7& <br />%21-111/11 <br />%:-535/19 <br />TfswfsBNTTuboebseXpslhspvqTubsufs6.Qbdl275/6&5/6& <br />%37-777/71 <br />%2-4:7/26 <br />TfswfsBNTTuboebseXpslhspvqMphjot7,3185/6&5/6& <br />TOTAL%229-166/67 <br />City of La Porte Purchasing Office <br />604 W. Fairmont Pkwy <br />La Porte, TX 77571 <br />purchasing@laportetx.gov <br /> <br />