Signed po r335505_08202026132502.pdf

24-416CMS-BOSS4-P-59654:2721

DOC - Corrections Release Order Number

Purchase Order

Vendor Number: V00007184 Logsdon Stationers, Inc.

E 111 S. Fairbank St.

N Addison, IL 60101

D IBROWN@LOGSDONOFFICESUPPLY.COM

null

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 OrderlContract - 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.

24-416CMS-BOSS4-P-

59654:2721

Master Contract? Y

Master Con/Ref #: 9100001720

Contract/PO #: P-59654

Michelle Grogan s 4017 E. 2603rd Road

H Melissa Morsch Sheridan, IL 60551

I US

p Email: Michelle.grogan@illinois.gov

(815) 496-2181

T

Michelle Grogan

B 4017 E. 2603rd Road Melissa Morsch Sheridan, IL 60551

L US

L Email: Michelle.grogan@illinois.gov

(815) 496-2181

T

I Shipping Method: I Freight Terms:

Payment Terms: NA Shipping Terms:

Solicitation (Bid) No.: N/A

Release Begin Date: 08/20/2026 Release End Date: 06/30/2027 Delivery Calendar Day(s) A.R.O.: 1

Item # 1

Class-Item 615-39

DIVIDERS, INSERTABLE, 8 CLEAR TABS

Quantity I Unit Price I UOM Discount % 'Total Discount!

I Tax Rate ITax Amounti Freight Total Cost

Amt.

20.00 $0.28 EA 0.00% $0.00 $0.00 $0.00 $ 5.60

24-416CMS-BOSS4-P-59654:2721

Item #2

Class-Item 785-76

PAPER, FILLER, 11"X 8.5", COLLEGE RULED

3 HOLE PUNCH, RECYCLED

Quantity I Unit Price I UOM I Discount % ITotal Discount'

Amt. Tax Rate ITax Amount' Freight I Total Cost I

240.00 $2.02 EA 0.00% $0.00 $0.00 $0.00 $484.80

TAX: $ 0.00

FREIGHT: $0.00

TOTAL: $490.40

24-416CMS-BOSS4-P-59654:2721.

The undersigned agree to the Terms and Conditions as acknowledged by the Vendor and maintained in the State of Illinois' a-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: L1i/? (Ii tI6 Title: (.,tJ1jr) 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__________________________

APPROVED

By: Amanda Crisman

Phone#: (8151 496-2181