Purchase Order 25190

PURCHASE ORDER
THIS ORDER
YOUR INVOICE
# 25190
APPEAR ON
NUMBER MUST
FEDERAL EMPLOYER IDENTIFICATION NUMBER: 86-6000767
PHONE: 623-876-2953  FAX: (623) 687-9487
EL MIRAGE  AZ  85335
10000 N EL MIRAGE RD
PROJECT ACTIVITY #
CITY OF EL MIRAGE
62065
PHOENIX  AZ  85043
2849 S 49TH AVE
EMPIRE PUMP CORPORATION
PAYMENT WILL NOT BE ISSUED UNTIL CITY VENDOR REGISTRATION REQUIREMENTS HAVE BEEN MET.  IF YOU HAVE NOT
COMPLETED VENDOR REGISTRATION FORMS, CALL 623-876-2995 FOR VENDOR REGISTRATION INFORMATION.
USA
EL MIRAGE  AZ  85335
10355 N 121 ST AVE
Ship To:
PUBLIC WORKS
ISSUED TO: 866360
SHIPPING: FOB DESTINATION
Purchase Order Date: 03/27/2025
 REQ # QUANTITY
DESCRIPTION
 UNIT PRICE
GL ACCOUNT
     TOTAL
1061
1.00
138,950.65
Brush and bail well, well jetting, replace current v
138,950.65 511-5-7115-656
26,500.00 511-5-7115-656
26,500.00
REQUEST AMEND PO#25190 FOR ADDITIONA
1.00
 Invoice Date            Invoice Number          Invoice Total           P.O. Balance            Initials             Date
                                                       Purchase Order - Running Balance
165,450.65
TOTAL
Issuance of Purchase Order certifies that the amount
shown above is required to meet a contract, agreement,
obligation or expense of the City, and has been lawfully
appropriated, authorized by fulfillment of procurement
requirements, or lawfully directed for such purpose, and is
free of any prior obligation, or obligation now outstanding.
Terms of Purchase are net 30 days.
Notes: