Exhibit D-Contract_Purchase Order.docx.pdf
PDF 109 KB Posted
- Attached to
- Nitrogen Generators
- Solicitation number
- DOH25-014P
- Issued by
- Adams County, Asotin County, Benton County, Chelan County, Clallam County, Clark County, Columbia County, Cowlitz County, Douglas County, Ferry County, Franklin County, Garfield County, Grant County, Grays Harbor County, Island County, Jefferson County, King County, Kitsap County, Kittitas County, Klickitat County, Lewis County, Lincoln County, Mason County, Okanogan County, Pacific County, Pend Oreille County, Pierce County, San Juan County, Skagit County, Skamania County, Snohomish County, Spokane County, Stevens County, Thurston County, Wahkiakum County, Walla Walla County, Whatcom County, Whitman County, Yakima County, Asotin City, Clarkston City, Clarkston Heights-Vineland CDP, West Clarkston-Highland CDP, Benton City, Chelan City, Chelan Falls CDP, Clallam Bay CDP, Lewisville CDP, Rock Island City, Pacific Beach CDP, Whidbey Island Station CDP, Mercer Island City, Pacific City, Bainbridge Island City, Kingston CDP, Kitsap Lake CDP, Kittitas City, Klickitat CDP, Okanogan City, Anderson Island CDP, Fort Lewis CDP, Fox Island CDP, Herron Island CDP, Ketron Island CDP, North Fort Lewis CDP, Raft Island CDP, Stevenson City, Hat Island CDP, Lake Stevens City, Snohomish City, Spokane City, Spokane Valley City, Puget Island CDP, Garfield Town, Yakima City, Washington
About this file
This is a blank purchase order template from the Washington State Department of Health. The form includes standard fields for supplier information, shipping and billing details, and line items, with payment terms listed as NET 30 and F.O.B. terms as "DEST., PREPAY & ADD." The document is marked as "DRAFT COPY - DO NOT PROCESS" and includes instructions that purchase order numbers must be shown on all invoices and shipping documents.
The form contains accounting fields for budget tracking and approvals, including spaces for T.I.N., agency approval, and accounting approval for payment. The second page shows an account code summary dated February 12, 2025, with a quantity of 1.00 EA listed as "ONE-OFF" with 100% federal funding allocation and zero state funding. The purchase order template appears to be generated through SpendMap software.
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