FY27 Midland Paper order 25-416CMS-BOSS4-P-76708-350 signed PTAB.pdf

25-416CMS-BOSS4-P-76708:350

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

25-416CMS-BOSS4-P-

76708:350

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:

Shipping Terms:

Release Begin Date: 08/12/2025 Release End Date: 09/12/2025

V E N D O R

Freight Terms:

Payment Terms:

Delivery Calendar Day(s) A.R.O.: 15

Master Con/Ref #: 9100001935

Item # 1 Class-Item 645-21

Virgin Paper: Type # 2 Bond or better; Size 8.5" X 11", 20 lb; Color - White; Brightness 92; Smoothness 150-160; Caliper 3.4 - 4.0; Opacity 88 - 90;

Minimum order is full skid only; One skid is 200,000 (200M) sheets, package 40 cartons/skid and 5000 sheets/carton; Unit of Measure PAL = pallet (skid)

Quantity UOMUnit Price Discount % Total Discount Amt. Tax Rate Tax Amount Freight Total Cost

1.00 PAL$ 1,863.60 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 1,863.60

TOTAL: $ 1,863.60

TAX: $ 0.00

FREIGHT: $ 0.00

25-416CMS-BOSS4-P-76708:350

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__________________________