Attachment C - Sample Monthly Invoice~1.pdf

PDF 1 MB Posted

Attached to
DCFS PO22-225 Statewide Smoke Detectors DCFS and POS TP
Solicitation number
22-418DCFS-PROCU-B-25915
Issued by
Cook County, Illinois

About this file

This document is an example of a monthly invoice for a purchase order issued by the Illinois Department of Children & Family Services (DCFS) to Seico, Inc. for the procurement of Kidde i9010 smoke alarms. The purchase order number is 22-225, and the invoice date is November 1, 2021, with a total balance due of $11,992.50. The invoice includes the delivery date of October 9, 2021, and the quantity of 10 smoke alarms at a unit price of $19.50 each.

The related state and local contract opportunity is for a statewide procurement of smoke detectors for DCFS and its Purchase of Service (POS) providers. The contract has an 10% Minority Business Enterprise (MBE) utilization goal, and interested vendors are required to submit their bid electronically, including the completed Invitation for Bid (IFB) form, Form A or B, BEP Utilization Plan, and DCFS Financial Disclosures. The contract's term and any renewal options are not specified in the provided information.

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Text version

Invoice Date

11/1/2021

Invoice #

123456

Bill To

Illinois Dept. of Children & Family Serv.

Attn: Van Austin 406 E. Monroe, Stn 470 Springfield, IL 62701

Ship To

Seico, Inc 132 Court St Pekin, IL 61554

145061

P.O. No.

22-225

Terms

Due on receipt

RepDate of Service

10/9/2021

Ship ViaRequester

Tiffany Parnell

Total

Balance Due

Subtotal

Sales Tax (8.5%)

Payments/Credits

Item Description Invoiced Rate Amount

$11,992.50

$11,992.50

$11,992.50

$0.00

$0.00

EXAMPLE

stp8455 Typewritten Text stp8455 Typewritten Text stp8455 Typewritten Text stp8455 Typewritten Text stp8455 Typewritten Text stp8455 Typewritten Text stp8455 Typewritten Text stp8455 Typewritten Text stp8455 Typewritten Text stp8455 Typewritten Text stp8455 Typewritten Text stp8455 Typewritten Text

S.O. NO.

stp8455 Typewritten Text stp8455 Typewritten Text stp8455 Typewritten Text stp8455 Typewritten Text stp8455 Typewritten Text i9010 stp8455 Typewritten Text Kidde Smoke Alarm stp8455 Typewritten Text stp8455 Typewritten Text $19.50 stp8455 Typewritten Text stp8455 Typewritten Text stp8455 Typewritten Text $195.00 stp8455 Typewritten Text $195.00 stp8455 Typewritten Text $195.00 stp8455 Typewritten Text $195.00

File details come from the government source that posted it. Updated .