23-416CMS-BOSS4-P-55011-311 PTAB Envelope Purchase Order FY26 signed.pdf

23-416CMS-BOSS4-P-55011:311

Vendor Number: V00002071 Midland Paper

101 E. Palatine Road Wheeling, IL 60090 Doug.Damascus@midlandpaper.com

(847) 777-2710

Purchase Order

PTA - Property Tax Appeal Board

23-416CMS-BOSS4-P-

55011:311

Contract/PO #:

Release Order Number

Master Contract? Y

S H I P

T O

Daniel Sronce 401 South Spring Street Stratton Office Building, Room 402 Springfield, IL 62706

US

Email: daniel.sronce2@illinois.gov

(217) 524-0318

VENDOR INSTRUCTIONS:

PURCHASE ORDER REQUIREMENTS - STATE OF ILLINOIS AGENCIES

Prior to commencement of billable work, delivery of supplies or rendering of any service on a Purchase Order:

--Initial Purchase Order/Contract - All parties, including the State and vendor, must fully execute the contract in its entirety.

--Release from an existing Purchase Order/Contract - The vendor must receive a Purchase Order signed by the State Agency and attached in BidBuy. Note, for any additional requirements see specific State Agency instruction.

PURCHASE ORDERS REQUIREMENTS - OTHER PURCHASING ENTITIES

--Please see specific requirements provided by the purchasing entity.

B I L L

T O

Daniel Sronce 401 South Spring Street Stratton Office Building, Room 402 Springfield, IL 62706

US

Email: daniel.sronce2@illinois.gov

(217) 524-0318

Solicitation (Bid) No.: N/A

Shipping Method: Best Way

Shipping Terms:

Release Begin Date: 09/24/2025 Release End Date: 10/23/2025

V E N D O R

Freight Terms: Freight Prepaid

Payment Terms:

Delivery Calendar Day(s) A.R.O.: 25

Master Con/Ref #: 9100001688

Item # 1

Class-Item 310-06

OPTION, IMPRINT, BLACK INK ON ENVELOPE

2,500 MINIMUM ORDER ( 2.5 M )

Instructions: Use attached PDF for return address print template.

Quantity UOMUnit Price Discount % Total Discount

Tax Rate Tax Amount

Freight Total Cost

1.00 TS$ 19.00 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 19.00

Item # 2

Class-Item 310-24

OPTION, COST FOR INSIDE SECURITY TINT ON ENVELOPES

2,500 MINIMUM ORDER ( 2.5 M ). For items 41-93 only

Quantity UOMUnit Price Discount % Total Discount

Tax Rate Tax Amount

Freight Total Cost

1.00 TS$ 6.25 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 6.25

Item # 3

Class-Item 310-60

ENVELOPE,WINDOW,10, DIAGONAL SEAMS, 24 LB WHITE, RECYCLED, SIZE: 4-1/8" X 9-1/2"

2,500 MINIMUM ORDER ( 2.5 M )

FULL CARTONS ONLY ( 2.5 M / CARTON )

WINDOW PLACEMENT: WINDOW SHALL BE 1-1/8" X 4-1/2" AND PLACEMENT OF 7/8" FROM THE LEFT EDGE AND 1/2" FROM THE

BOTTOM EDGE.

Quantity UOMUnit Price Discount % Total Discount

Tax Rate Tax Amount

Freight Total Cost

1.00 TS$ 82.50 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 82.50

TOTAL: $ 107.75

TAX: $ 0.00

FREIGHT: $ 0.00

APPROVED

By:

Phone#:

Daniel Sronce

(217) 524-0318

BUYER

The undersigned agree to the Terms and Conditions as acknowledged by the Vendor and maintained in the State of Illinois' e-procurement system. This agreement consists of all terms as maintained in the state's e-procurement system inclusive of attached documents. The Vendor affirms that the Certifications and Financial Disclosures and Conflicts of Interest are true and accurate as of the date of the Vendor's execution of this Agreement. State documents will prevail in the event of a conflict between State and Vendor documents and information. The undersigned agree to the Terms and Conditions of this agreement:

OFFICIAL SIGNATURES:

Vendor Name: _______________________________

Vendor Signature: _________________________________

Printed Name: ______________________________

Title: _____________________________________

Phone #: ___________________________________

Email:______________________________________

Date: ______________________________________

State of Illinois Agency or Other Purchasing Entity Procuring State Agency or Entity: __________

Official Signature: _________________________________

Printed Name: ______________________________

Title: _____________________________________

Designee Signature: ________________________

Printed Name: ______________________________

Title: _____________________________________

Date: ______________________________________

Legal Signature: _________________________________

Printed Name: ______________________________

Title: _____________________________________

Date: ______________________________________

Fiscal Signature: _________________________________

Printed Name: ______________________________

Title: _____________________________________

Date: ______________________________________

FOR STATE OF ILLINOIS USE ONLY:

Acq. Type: ________________Source Sel. Method: _______________ Using Agency Funding Source:__________________________________ Detailed Expenditure Object Code:_____________________________ Approp. Acct Code: ___________________________________________ Award Code: __________________________________________________ Original Proc. Method:________________________________________ Subcontractors Disclosed:_____________________________________ Subcontractors Utilized:______________________________________ Publication Date:____________________ Financing Needed:_______ IPG Cert/Disclosure Yes_________ No__________________________

Daniel J. Sronce

Chief Fiscal Officer

09/24/2025

PTAB

Michael O'Malley

Executive Director & General Counsel