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,/!1 ' � PU �'�/ 5M PURCHASING DiVkSION x `'' 3200 Cedar Street ``< a` A,0 1 p= <br /> Ef/ Everett,Washington 98201 F ` F <br /> (425) 257-7023 _ _... .._.1 .: . av: .:... <br /> <v''<'�} ^'�`:';<s ORDER SUBJECT TO TERMS LISTED ON REVERSE SIDE <br /> to, e` ; ACCOUNTING DIVISION,CITY OF EVERETT <br /> •. 4 P.O.BOX 12130 <br /> riwh:. ,- EVERETT,WASHINGTON 98206-2130 <br /> s„.tr ntkE (425)257-7023 <br /> ]1„.w:°°` PURCHASE ORDER <br /> x,`h:RI. 4 4'; accountspayable@ci.everett.wa.us <br /> ;•i.'r<<: ;`>>.::,, ,/ P.O. No. PW 12 213 <br /> VENDOR NAME&ADDRESS <br /> THIS NUMBER MUST APPEAR <br /> ON ALL INVOICES & INQUIRIES <br /> Date: 10/03/12 <br /> 36169 <br /> CAMPBELLS PLUMBING INC <br /> STCONTt#CAMPBPI917MS Ship To: 531 WETMORE AVE <br /> PO BOX 5541 EVERETT WA 98201 <br /> EVERETT WA 98206 <br /> I <br /> Buyer: Sharon Christie 425-257-8903 <br /> Attention: JOSEPH STIPEK <br /> LINE QUANTITY UNIT DESCRIPTION UNIT PRICE AMOUNT <br /> 1 1 EA INSTALL BACKWATER VALVE PER 1,150.00 1150.00 <br /> PROGRAM - 531 WETMORE AVE <br /> 2 1 EA SIDE SEWER INSPECTION - 531 325.00 325.00 <br /> WETMORE AVE <br /> WORK ON THIS PURCHASE ORDER <br /> IS SUBJECT TO WASHINGTON <br /> STATE PREVAILING WAGE <br /> REQUIREMENTS. NO PAYMENT <br /> 4-- <br /> WILL BE MADE UNTIL THE CITY <br /> HAS RECEIVED A PROPERLY <br /> COMPLETED AND SIGNED COMBINED <br /> INTENT AND AFFIDAVIT OF <br /> PREVAILING WAGES. <br /> SUBTOTAL 1,475.00 <br /> 9.2 MAX 135.70 <br /> TOTAL 1,610.70 <br /> AUTHORI ZED SIGNATURE: <br />