PO #22030

PURCHASE ORDER
CITY OF EL MIRAGE
10000 N EL MIRAGE RD
EL MIRAGE  AZ  85335
PHONE: 623-876-2953  FAX: (623) 687-9487
FEDERAL EMPLOYER IDENTIFICATION NUMBER: 86-6000767
THIS ORDER
NUMBER MUST
APPEAR ON
# 22030
YOUR INVOICE
119752
MOUNTAIN STATES PIPE & SUPPLY
PUBLIC WORKS
Ship To:
10355 N 121 ST AVE
ISSUED TO:
9299 WEST OLIVE AVE # 810
EL MIRAGE  AZ  85335
PEORIA  AZ  85345
USA
SHIPPING: FOB DESTINATION
PURCHASE ORDER DATE: 07/01/2021
QUANTITY
1.00
1.00
DESCRIPTION                                    
FY21/22 Request for purchase of 
commercial/residential water meters and related 
parts for new installation, replacement and
FY21/22 Request for purchase of
 UNIT PRICE 
80,000.00
50,000.00
      TOTAL     
80,000.00
50,000.00
GL ACCOUNT             
511-5-7115-220
511-5-7111-271
TOTAL
130,000.00
 REQ # 
107
107
Signature approval 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.
PROCUREMENT OFFICER
OTHER APPROVAL
Notes:
                                                        Purchase Order - Running Balance
  Invoice Date            Invoice Number          Invoice Total           P.O. Balance            Initials             Date
06/27/2021
PAYMENT WILL NOT BE ISSUED UNTIL CITY VENDOR REGISTRATION AND BUSINESS LICENSE REQUIREMENTS HAVE BEEN MET.
IF YOU HAVE NOT COMPLETED VENDOR REGISTRATION FORMS, OR DO NOT HAVE A CURRENT CITY BUSINESS LICENSE, CALL
 
623-876-2957 FOR VENDOR REGISTRATION, AND 623-876-2957 FOR BUSINESS LICENSE.
1
PROJECT ACTIVITY #