Exhibit D Purchase Order.pdf

PDF 185 KB Posted

Attached to
Sector Paper
Solicitation number
IFB-GC237479
Issued by
Chelan County, King County, Spokane County, Thurston County, Yakima County, Chelan City, Chelan Falls CDP, Kingston CDP, Spokane City, Spokane Valley City, Yakima City, Washington

About this file

This document is a Field Order (Competitive Bid) #237479 issued by the Washington State Patrol (WSP) Supply Section on 03/12/2025 for the procurement of Brother brand Sector Paper. The order includes three line items: one for Standard Perforated 7-year Achievability Sector Paper (6 rolls per pack, 100 pages per roll), and two types of Motorcycle Sector Paper - a Premium Receipt Paper (36-roll pack) and a Standard 4" Receipt Paper (36-roll pack). Each line item has a quantity of 1.00 EA, with all pricing currently listed at $0.0000, suggesting this may be a preliminary or template document for a future competitive procurement.

The purchase order provides detailed shipping and invoicing instructions, with the delivery address set at the WA State Patrol Supply Section in Tumwater, WA, and invoices to be sent electronically to SupplyProcurementInvoices@wsp.wa.gov. The document includes standard vendor compliance requirements, such as certification that the vendor is not debarred or suspended from federal contracts, and notes that Washington State sales tax applies to the order. The document was prepared by Gary Clark and appears to be part of WSP's standard procurement process for specialized sector paper used in their operations.

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Text version

STATE OF WASHINGTON

FIELD ORDER (COMPETITIVE BID)

# 237479

03/12/2025 (13:06)

FROM

AGENCY NO

LOC

Washington State Patrol

WSP SUPPLY (EMAIL OR MAIL)

SupplyProcurementInvoices@wsp.wa.gov

PO BOX 42625

OLYMPIA, WA 98504-2625

Ship To :

1002 WSP SUPPLY (DELIVERY)

WA State Patrol Supply Section 8543 Armstrong Road SW Tumwater, WA 98512-7630

TO :Vendor F.I.N: 91-6001127

WSP

MAIL INVOICE TO :

SupplyProcurementInvoices@wsp.wa.gov

PO BOX 42625

OLYMPIA, WA 98504-2625

Deliver The Articles Ordered Below In Accordance With The Instructions Below And The Terms And Conditions Of The State of Washington that can be found at https://www.wsp.wa.gov/budget-vendor-information/ under Supply Section.

AUTHORITY OR CONTRACT NUMBER

PRICE F.O.B

PAYMENTS TERMS

Line Item Vendor Part# Description Quantity Price Tax1 Tax2 Total 1 Brother

LB3663-003

SECTOR PAPER - Brother LB3663-003 Standard Perforated 7 year Achievability Sector Paper (6 rolls per pack - 100 pages per roll)

1.00 EA $0.0000 $0.0000 $0.0000 $0.0000

2 Brother

#RDM02U5

SECTOR PAPER (Motorcycle) – Brother Mobile Solutions – Premium Receipt Paper, 36 roll pack. 123.4 feet (36.7 meters) ($145.59/pack) Brother Part #RDM02U5 (we only order this one for D2, they are particular)

1.00 EA $0.0000 $0.0000 $0.0000 $0.0000

3 Brother

#RDM01U5

SECTOR PAPER (MOTORCYCLES) Brother Mobile Solutions Standard 4" Receipt Paper 36 Roll Pack 123.4 feet (36.7 Meters) per Roll. Brother Part #RDM01U5 (this is the one stocked in the warehouse)

1.00 EA $0.0000 $0.0000 $0.0000 $0.0000

Subtotal : $0.0000

Tax1 Total : $0.0000 UseTax Total : $0.0000

Freight : $0 PO Total : $0.0000

Description:

Bid for Standard and Motorcycle Sector paper.

RECEIVED BY

DATE

INSTRUCTIONS 1.SHOW FIELD ORDER NO. ON ALL INVOICES,PACKAGES & SHIPPING DOCUMENTS.

TO VENDOR: 2.WASHINGTON STATES SALES TAX APPLIES TO THIS ORDER.

3. BY ACCEPTING AND PROCESSING THIS PURCHASE ORDER, VENDOR CERTIFIES THEY ARE NOT DEBARRED, SUSPENDED, PROPOSED FOR DEBARMENT, DECLARED INELIGIBLE, OR VOLUNTARILY EXCLUDED FROM PARTICIPATING IN ANY CONTRACT (THIS PURCHASE ORDER IS A CONTRACT) BY ANY FEDERAL DEPARTMENT OR AGENCY https://sam.gov/SAM/pages/public/searchRecords/search.jsf

PREPARED BY

GARY CLARK

TELEPHONE NUMBER

03/12/2025

AGENCY APPROVAL

FOR AGENCY USE ONLY

DOC. DATE

PMT DUE

CURRENT DOC. NO.

REF. DOC. NO.

VENDOR NUMBER

VENDOR MESSAGE

OMWBE CODE

TRAN M FUND AI PI PROJECT SUB/SUB

OBJECT

SUBS

DR/CR USE TAX CODE AMOUNT INVOICE

NUMBER

INVOICE

Date

Supply Manager Approval

ACCOUNTING APPROVAL FOR PAYMENT

WARRANT TOTAL

WARRANT NUMBER

3/12/25, 1:07 PM Purchase Order https://wsp.azzier.com/WWReport/PORpt.aspx?keyvalues=237479 1/1 https://sam.gov/SAM/pages/public/searchRecords/search.jsf

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