Bartack Machine.doc
DOC document 110 KB Posted
- Attached to
- ICI - Menard 465 Bartack Machine do
- Solicitation number
- 19-426DOC-ICIME-B-6162
- Issued by
- Mason County, Illinois
About this file
This document is a Purchase Request from the Illinois Department of Corrections for a Direct Drive Heavy Duty Electronic Bartack Machine equal or equivalent to the JUKI-LK1900B-H model. The requested quantity is 1 each, to be delivered FOB Menard. The document provides specifications, vendor information, and an ordering procedure. It also includes signatures from the Requested by, Department Head, Business Administrator, and Chief Administrator.
The Bartack Machine is being purchased for $0.00. The request indicates that the Awarded Vendor's FEIN# should be provided. The ordering procedure allows for the order to be placed by mail, fax, contract order, or the requester picking up or phoning in the order.
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Text version
Illinois Department of Corrections Purchase Request
465-19-053
03/01/2019
Facility / Division OFD / Req. # Object Code Date
| Item Requested |
| Vendor #1 |
| Vendor #2 |
| Vendor #3 |
| D. O. Code |
| Description of Item(s) |
| Qty. |
| Unit Size |
| Unit Price |
| Total Price |
| Unit Price |
| Total Price |
| Unit Price |
| Total Price |
| Direct Drive Heavy Duty Electronic |
| 1 |
| each |
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
$0.00
| Bartack Machine Equal Or |
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
| Equivalent To JUKI-LK1900B-H |
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
| Fully Assembled. FOB Menard |
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
| Freight |
| $0.00 |
| Total |
| $0.00 FORMTEXT |
$0.00 FORMTEXT
$0.00 FORMTEXT
Justification:
| Vendor #1 |
| Vendor #2 |
| Vendor #3 |
Name:
Address:
Phone #:
Fax #:
Contact Person:
Comments:
FORMCHECKBOX
Awarded
FORMCHECKBOX
Written
FORMCHECKBOX
Verbal
FORMCHECKBOX
Written
FORMCHECKBOX
FORMCHECKBOX
Written
Awarded Vendor’s FEIN#:
If not low bidder, state justification in “comments.”
Ordering Procedure (check one):
FORMCHECKBOX
Mail OFD
FORMCHECKBOX
FAX OFD
FORMCHECKBOX
Contract Order #
FORMCHECKBOX
Requester will pick up
FORMCHECKBOX
Requester will phone in:
FORMCHECKBOX
Other:
Name of Contact
Deliver to:
Facility/Division
Department
Address
City State Zip Code Requested by:
Print Name Extension Approved by:
Department Head’s Signature Date
Business Administrator’s Signature
Chief Administrator’s Signature
Check Function Code
FORMCHECKBOX
01 Administration
FORMCHECKBOX
05 Housekeeping
FORMCHECKBOX
09 Medical
FORMCHECKBOX
02 Business Office
FORMCHECKBOX
06 Recreation (Leisure)
FORMCHECKBOX
10 Security
FORMCHECKBOX
03 Clinic
FORMCHECKBOX
07 Maintenance
FORMCHECKBOX
11 Dietary
FORMCHECKBOX
04 Work Camp
FORMCHECKBOX
08 Utilities
FORMCHECKBOX
12 Laundry
Distribution:
Business Office Printed on Recycled Paper DOC 0143 (Rev. 11/2002)
File details come from the government source that posted it. Updated .