Retirement badges purchase request_11212025104406.pdf
PDF 677 KB Posted
- Contract number
- 25-426DOC-CENTO-P-78792
- Issued by
- Illinois
About this file
This document is a Purchase Request form from the Illinois Department of Corrections, specifically for the Fox Valley Adult Transition Center. The sole vendor listed is International Promotional Ideas, and the document is dated 11/19/2025. The purchase request is for a procurement under $2,000, involving retirement-related items for several employees who have retired or are scheduled to retire between 2022 and 2025.
The purchase includes 5 Silver Retirement Badges at $100 each (totaling $500), 1 Gold Retirement Badge at $10, and 6 Side Opening Badge Case Duty items at $10 each (totaling $60), bringing the total purchase amount to $120. The badges and cases are intended for six specific employees who have retired or will retire: Sharman Collins (silver, retired 4/28/22), Ricardo Tejeda (gold, retired 7/31/22), Richard Schwartz (silver, retired 9/30/22), Renee Jackson (silver, retired 4/30/23), Albert Diaz (silver, retired 1/31/25), and Augustus Mangrum (silver, retired 7/31/25). The ordering procedure references a Contract Order number P78792, and the items will be delivered to the Fox Valley ATC in Aurora, Illinois.
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| File | Type | Posted |
|---|---|---|
| Retirement badge detailsnames_11212025104503.pdf |
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Text version
ILLINOIS DEPARTMENT OF CORRECTIONS
Purchase Request
Fox Valley Adult Transition Center/lDOC 2. ( A Facility / Division OFD / Req. #
13c101 11/19/2025
Object Code Date
Item Requested Vendor #1 Vendor #2 Vendor #3
Description of Item(s)
Qty.
Unjt Price Total Price Unit Price Total Price Unit Price Total Price
Silver Retirement Badge 5 EA $1000000 $5000000 $0.00000 $0.00000
Gold Retirement Badge 1 EA $10.00000 $10.00000 $0.00000 $0.00000
Side Opening Badge Case Duty 6 EA $10.00000 $60.00000 $0.00000 $0.00000
________ $0.00000 ________ $0.00000 ________ $0.00000 ___________________________ ______ ____
________ $0.00000 ________ $0.00000 $0.00000
$0.00000 $0.00000 $0.00000
$0.00000 $0.00000 $0.00000
$0.00000 $0.00000 $0.00000
$0.00000 $0.00000 $0.00000
___________________________ ______ ____ ________ $0.00000 ________ $0.00000 ________ $0.00000
Freight_______ _______ _______
NOTE: This form is for purchases under $2,000.
Total $ 120.00000 $0.00000 $0.00000
Justification: 6 Retirement badges and holders to be procured for Sharman Collins (silver) Retired 4/28/22. Ricardo Tejeda (gold) retired 7/31/22, Richard Schwartz (silver) retired 9/30/22, Renee Jackson (silver) retired 4/30/23, Albert Diaz (silver) retired 1/31/25, and Augustus Mangrum (silver) retired 7/31/25
Item Requested Vendor #4 Vendor #5 Vendor #6 fleoription of ltom(n)
()ty unit Price Total Price Unit Price Total Price Unit Price Total Price
________ $0.00000 ________ $0.00000 ________ $0.00000 ___________________________ _____ ____
$0.00000 ________ $0.00000 ________ $0.00000 _____ ____ ________
$0.00000 ________ $0.00000 ________ $0.00000 _____ ________
$0.00000 ________ $0.00000 ________ $0.00000 ________
$0.00000 ________ $0.00000 ________ $0.00000 ____________________________ ______ _____ ________
$0.00000 $0.00000 ________ $0.00000 ____________________________ ______ _____ ________
$0.00000
________ $0.00000 ________ $0.00000
$0.00000 ________ $0.00000 ________ $0.00000 ________
$0.00000 ________ $0.00000 ________ $0.00000 ______ ____ ________
________ $0.00000 ________ $0.00000 $0.00000
NOTE: This form is for purchases under $2,000.
Justification
Freight __________ __________ __________
Total $0.00000 $0.00000 $0.00000
Distribution: Business Office Printedo,, Receded Paper DOC 0143 (Rev. 3/2021)
Name:
Vendor #:
Address:
Phone#:
Email Address:
Contact Person:
Comments:
Name:
Vendor #:
Address:
Phone#:
Email Address:
Contact Person:
Comments:
Vendor#1 Vendor#2 Vendor#3
International Promotional Ideas
0 Awarded LI Written LI Verbal LI Awarded LI Written LI Verbal LI Awarded LI Written LI Verbal
Vendor#4 Vendor#5 Vendor#6
LI Awarded LI Written LI Verbal LI Awarded LI Written LI Verbal LI Awarded LI Written LI Verbal
Awarded Vendor's FEIN#:
Ordering Procedure (check one): LI Mail OFD
LI Requester will phone in:
____________________ If not low bidder, state justification in "comments."
LI FAX OFD [I Contract Order # P78792
LI Other:
Deliver to:
Fox Valley ATC Facility/Division
IDOC
Department
Business Manager Attention )Print Name)
1329 N. Lake Street Address
Aurora IL 60506 City Zip Code
Check Function Code o 01 Satellite #1 0 04 Security 0 07 Warehouse/Dietary o 02 Satellite #2 0 05 Programs 0 08 Clothing o 03 Medical 0 06 Maintenance 0 09 Administration
Requested by:
Nicholas Dragisic 212 Print Name
Approved by:
Extension
Department Head's Signature Date
Nicholas D. Dragisic 11/19/2025 Basiness Administrators Signatare Date
Digitally signed by James Deerr Date: 2025tt20 t2:32:42 -anne' chiet Administrator's Signature Date
Distribution: Business Office P,,tndaeRvcvck.dPapvr' DOC 0143 (Rev. 3/2021)
File details come from the government source that posted it. Updated .