PO27-084 Decatur FO Copy Paper - Executed PO.pdf
PDF 131 KB Posted
- Contract number
- 23-416CMS-BOSS4-P-55004
- Issued by
- Illinois
About this file
Purchase Order Summary
This is a Purchase Order (PO27-084) issued by the State of Illinois, Department of Children and Family Services (CFS), to Midland Paper (Vendor Number V00002071), a paper supplier located in Wheeling, Illinois. The purchase order is a release from an existing Master Contract (Master Con/Ref #: 9100001657) and is identified as Release Order Number 23-416CMS-BOSS4-P-55004:667. The order is directed to Raelyn Galassi at the CFS facilities in Decatur and Peoria, Illinois. The buyer is Paul Irwin, and the order was approved on the state's e-procurement system.
The purchase order specifies two line items: Item #1 consists of 200 thousand sheets (TS) of virgin #2 bond white paper, 8.5" x 11", 20 lb weight, packaged in 5,000-sheet cartons at $10.93 per thousand sheets, totaling $2,186.00; Item #2 provides inside delivery service for more than 21 full cartons at $3.00 per carton for 40 cartons, totaling $120.00. The combined order total is $2,306.00 with no applicable taxes or freight charges. Delivery is required within 25 calendar days, with freight prepaid by the vendor under "Best Way" shipping. No discounts were applied to either line item.
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Text version
23-416CMS-BOSS4-P-55004:667
Vendor Number: V00002071 Midland Paper
101 E. Palatine Road Wheeling, IL 60090 Doug.Damascus@midlandpaper.com
(847) 777-2710
Purchase Order
CFS - Children and Family Services
23-416CMS-BOSS4-P-
55004:667
Contract/PO #: PO27-084
Release Order Number
Master Contract? Y
S H I P
T O
Raelyn Galassi 2900 North Oakland Avenue Ste B Decatur, IL 62526
US
Email: Raelyn.Galassi@illinois.gov
(217) 875-6750
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
Raelyn Galassi 5415 North University Street Peoria, IL 61614
US
Email: Raelyn.Galassi@illinois.gov
(309) 693-5400
Solicitation (Bid) No.: N/A
Shipping Method: Best Way Shipping Terms:
Release Begin Date: Release End Date:
V E N D O R
Freight Terms: Freight Prepaid
Payment Terms: NA
Delivery Calendar Day(s) A.R.O.: 25
Master Con/Ref #: 9100001657
Item # 1 Class-Item 645-21 645-21-32050-3
PAPER, VIRGIN
TYPE: #2 BOND OR BETTER
SIZE: 8 1/2"X 11" - 20 LB
COLOR: WHITE
PACKAGED: 5,000 SHEETS/CARTON
(1 TO 39 FULL CARTONS ONLY)
UNIT OF MEASURE: 1TS = 1,000 SHEETS
Quantity UOMUnit Price Discount % Total Discount Amt. Tax Rate Tax Amount Freight Total Cost
200.00 TS$ 10.93 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 2,186.00
Item # 2 Class-Item 962-24
INSIDE DELIVERY (>21 FULL CARTONS)
Quantity UOMUnit Price Discount % Total Discount Amt. Tax Rate Tax Amount Freight Total Cost
40.00 CAR$ 3.00 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 120.00
TOTAL: $ 2,306.00
TAX: $ 0.00
FREIGHT: $ 0.00
APPROVED
By:
Phone#:
Paul Irwin
(309) 693-5400
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__________________________
| 2026-07-28T13:25:09-0500 | |
| Devin McQuillan APO |
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