Case File
efta-efta00591340DOJ Data Set 9OtherDS9 Document EFTA00591340
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta00591340
Pages
2
Persons
0
Integrity
No Hash Available
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Jail
LC Vt.) V1.4VG
LILLIe OI.UarI
b
LLt-•
1340//be1108
p.1
Date of Request:
Status:
ft,.
Approval/Purchase Items/Pavment Request Form
Ink 8
Item/Items Requested:
57
vakias
,
Purchase Price: ->-1 70.3 5
Tax:
Shipping: Le 23.
Other: St ip:
'b
Total Expected Cost 4(0 444 q •
Deposit Required?
Yes:
No;
Payment Method:
House Account:
Credit Card: y
1List
-Le
c. e
Inventory:
'65 3 z 0. 'Or
5o.
Other: K'
Purpose/Description:
Coa- t Cfio x
Purchased From
Company Name: coosK q - Coo-4-
Web Site:
.
Requested By:
Time Frame for Purchase/Repair: 4-oAP
Special Instructions:
Attach Ouote:
Yes: 3/
Competitive Quotes Obtained?
Yes: 17
If No, Why Not:
Authorization:
Check
1 4 Oka-)
IcL2d\
LA) oc)ci 5C1/4 of
No:
No:
EFTA00591340
%PPII Le
W
‘I I .41 0
LL4.r
:54UllbalUo
Epoxy Coat
165 North Gratiot
Mount Clemens, MI 48043
Name / Address
Bowe White
U/M
:
Rate
Estimate
•
Date
Estimate #
'
lit 8/2008
105
Protect
Description
55 Gallon Drum Kit: Grey
• Drum Valves
Freight Shipping via Saia Motor Freight
flty
Total
5,320.95
5.320.05T
25.00
50.00T
623.58'
623.58T
Subtotal
Sales Tax (0.0%)
Total
$5,994.53
50.00
55.994.53
•
EFTA00591341
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