SS25-191_Tri Industries_toner_OFD_LH.pdf

PDF 704 KB Posted

Attached to
Release State Use/Facilities for Personal with Severe Disabilities IL|24-416CMS-BOSS4-P-70125
Contract number
24-416CMS-BOSS4-P-70125
Issued by
Illinois

About this file

This document is a Purchase Order (PO) from the Illinois State Police Springfield Forensic Science Laboratory, specifically from the Administration section, issued on 02/03/25 with the fiscal year 25 and cost center 345. The purchase order is made to George Indelli Tri Industries, located in Vernon Hills, Illinois, and was requested by Alice Larnerd and approved by Lorah Hoe.

The purchase order is for one (1) toner cartridge, specifically a refurbished, high-yield black toner cartridge (SKL-C4127X-C) for HP LaserJet 4000 Printers, priced at $39.00. The total order amount is $39.00, with no additional shipping or freight charges noted. The document indicates that for orders of $2,000 or more, an MRF Packet must be completed, and for orders of $10,000 or more, three price quotes are required. The purchase is identified with the contract requisition number R-70125.

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Text version

FY CC: (fiscal only) OFD/Purchase Order # SS11-_____

Obligation:______________ (fiscal only)

(PLEASE GIVE THE ABOVE # TO VENDOR)

Illinois State Police Springfield Forensic Science Laboratory

Contractual/Commodities/Equipment Request Form

Requested by: Reference/Quote #

Date of Request: BidBuy REQ #

Section: Contract REQ #

Supervisor Approval & Date:

SHIP TO:

Catalog or Stock #

Description (Please include page # and color, if appropriate)

Line

QTY Unit, each, box, etc

Unit Price

Total Price

SHIPPING/FREIGHT CHARGES - APPROXIMATELY 10% OF TOTAL ORDER/IF MORE THAN 1 PAGE SUBTOTAL(S) HERE:

TOTAL ORDER AMOUNT

Vendor:

Address:

City, ST, Zip:

TIN/FEIN #

Phone # Acct/Cust #

If order is $2,000 or more, an MRF Packet must be completed and can’t be ordered without approval.

If order is $10,000 or more, three price quotes must be submitted.

ISP Spr ingf ie ld Forensic Science Lab ISP Spr ingf ie ld Forensic Science Lab

Springf ie ld, IL 62702 Springf ie ld, IL 62702

Order Date:

BILL TO:

Requested by: Alice Larnerd
ReferenceConfirmation:
Date of Request: 01/15/25
CINCatalo g Stock Row1: SKL-C4127X-C
Description Please include page and color if appropriateRow1: Toner Cartridge, Black, Refurbished, High Yield for HP LaserJet 4000 Printers.
Line Row1: 1
QTYRow1: 1
Unit each box etcRow1: ea
Unit PriceRow1: 39.00
Total PriceRow1: 39
CINCatalo g Stock Row2:
Description Please include page and color if appropriateRow2:
Line Row2:
QTYRow2:
Unit each box etcRow2:
Unit PriceRow2:
Total PriceRow2: 0
CINCatalo g Stock Row3:
Description Please include page and color if appropriateRow3:
Line Row3:
QTYRow3:
Unit each box etcRow3:
Unit PriceRow3:
Total PriceRow3: 0
CINCatalo g Stock Row4:
Description Please include page and color if appropriateRow4:
Line Row4:
QTYRow4:
Unit each box etcRow4:
Unit PriceRow4:
Total PriceRow4: 0
CINCatalo g Stock Row5:
Description Please include page and color if appropriateRow5:
Line Row5:
QTYRow5:
Unit each box etcRow5:
Unit PriceRow5:
Total PriceRow5: 0
CINCatalo g Stock Row6:
Description Please include page and color if appropriateRow6:
Line Row6:
QTYRow6:
Unit each box etcRow6:
Unit PriceRow6:
Total PriceRow6: 0
CINCatalo g Stock Row7:
Description Please include page and color if appropriateRow7:
Line Row7:
QTYRow7:
Unit each box etcRow7:
Unit PriceRow7:
Total PriceRow7: 0
CINCatalo g Stock Row8:
Description Please include page and color if appropriateRow8:
Line Row8:
QTYRow8:
Unit each box etcRow8:
Unit PriceRow8:
Total PriceRow8: 0
CINCatalo g Stock Row9:
Description Please include page and color if appropriateRow9:
Line Row9:
QTYRow9:
Unit each box etcRow9:
Unit PriceRow9:
Total PriceRow9: 0
CINCatalo g Stock Row10:
Description Please include page and color if appropriateRow10:
Line Row10:
QTYRow10:
Unit each box etcRow10:
Unit PriceRow10:
Total PriceRow10: 0
CINCatalo g Stock Row11:
Description Please include page and color if appropriateRow11:
Line Row11:
QTYRow11:
Unit each box etcRow11:
Unit PriceRow11:
Total PriceRow11: 0
CINCatalo g Stock Row12:
Description Please include page and color if appropriateRow12:
Line Row12:
QTYRow12:
Unit each box etcRow12:
Unit PriceRow12:
Total PriceRow12: 0
CINCatalo g Stock Row13:
Description Please include page and color if appropriateRow13:
Line Row13:
QTYRow13:
Unit each box etcRow13:
Unit PriceRow13:
Total PriceRow13: 0
CINCatalo g Stock Row14:
Description Please include page and color if appropriateRow14:
Line Row14:
QTYRow14:
Unit each box etcRow14:
Unit PriceRow14:
Total PriceRow14: 0
Total PriceSHIPPINGFREIGHT CHARGES APPROXIMATELY 10 OF TOTAL ORDERIF MORE THAN 1 PAGE SUBTOTALS HERE:
Total PriceTOTAL ORDER AMOUNT: 39
Obligation: 04 OFFSUP
Cost Center: [345]
Vendor Information: George Indelli Tri Industries

780 Corporate Woods Parkway Vernon Hills, IL 60061

Email: sales@tri-industries.org

OFDPurchase Order SS11: 191
FY: [ 25]
Section: [Administration]
2025-02-03T19:28:55-0600
Lorah Hoe
PO #: [SS25]
BILL TO LIST: [825 N Rutledge St. SCLF 4th Floor]
SHIP TO LIST: [825 N Rutledge St. SCLF 4th Floor]
Contract REQ Number: R-70125
BidBuy REQ #:
Order Date: 02/03/25

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