SS26-017_Novamed_Pipette Calibrations_FY26_OFD_LH.pdf
PDF 702 KB Posted
- Contract number
- 24-493ISP-FOREN-P-63898
- Issued by
- Illinois
About this file
This is a Contractual/Commodities/Equipment Request Form issued by the Illinois State Police Springfield Forensic Science Laboratory on August 12, 2025. The purchase order is identified as SS26017 with a BidBuy REQ# R-282181 and Contract REQ# P-63898. The requesting party is Stephanie Bodine from the Administration section, approved by supervisor Lorah Hoe. The vendor is Novamed Inc., located at 8136 Lawndale Ave, Skokie, IL 60076. Both shipping and billing are directed to ISP Springfield Forensic Science Lab at 825 N Rutledge St, SCLF 4th Floor, Springfield, IL 62702.
The order encompasses laboratory testing kits and reagents totaling $5,174.00 before shipping charges. The items ordered include: 5 DNA Multi-Channel units at $90.00 each ($450.00); 97 DNA Single Channel units at $32.00 each ($3,104.00); 2 Tox Multi-Channel units at $90.00 each ($180.00); 44 Tox Single Channel units at $32.00 each ($1,408.00); and 1 Drug Chemistry Single Channel unit at $32.00 ($32.00). The total order amount is $5,174.00, which exceeds the $2,000 threshold requiring MRF Packet completion and approval prior to ordering. Approximately 10% shipping and freight charges are anticipated. The order is designated for Fiscal Year 25 with Cost Center 345 and Obligation number 29 VEND345.
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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: Stephanie Bodine |
| ReferenceConfirmation: |
| Date of Request: 08/12/2025 |
| CINCatalo g Stock Row1: |
| Description Please include page and color if appropriateRow1: DNA Multi-Channel |
| Line Row1: |
| QTYRow1: 5 |
| Unit each box etcRow1: ea |
| Unit PriceRow1: 90.00 |
| Total PriceRow1: 450 |
| CINCatalo g Stock Row2: |
| Description Please include page and color if appropriateRow2: DNA Single Channel |
| Line Row2: |
| QTYRow2: 97 |
| Unit each box etcRow2: ea |
| Unit PriceRow2: 32.00 |
| Total PriceRow2: 3104 |
| CINCatalo g Stock Row3: |
| Description Please include page and color if appropriateRow3: Tox Multi-Channel |
| Line Row3: |
| QTYRow3: 2 |
| Unit each box etcRow3: ea |
| Unit PriceRow3: 90.00 |
| Total PriceRow3: 180 |
| CINCatalo g Stock Row4: |
| Description Please include page and color if appropriateRow4: Tox Single Channel |
| Line Row4: |
| QTYRow4: 44 |
| Unit each box etcRow4: ea |
| Unit PriceRow4: 32.00 |
| Total PriceRow4: 1408 |
| CINCatalo g Stock Row5: |
| Description Please include page and color if appropriateRow5: Drug Chemistry Single Channel |
| Line Row5: |
| QTYRow5: 1 |
| Unit each box etcRow5: ea |
| Unit PriceRow5: 32 |
| Total PriceRow5: 32 |
| 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: |
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| Total PriceRow8: 0 |
| CINCatalo g Stock Row9: |
| Description Please include page and color if appropriateRow9: |
| Line Row9: |
| QTYRow9: |
| Unit each box etcRow9: |
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| Total PriceRow9: 0 |
| CINCatalo g Stock Row10: |
| Description Please include page and color if appropriateRow10: |
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| Unit each box etcRow10: |
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| 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: |
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| Total PriceRow12: 0 |
| CINCatalo g Stock Row13: |
| Description Please include page and color if appropriateRow13: |
| Line Row13: |
| QTYRow13: |
| Unit each box etcRow13: |
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| 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: 5174 |
| Obligation: 29 VEND345 |
| Cost Center: [345] |
| Vendor Information: Novamed Inc. |
8136 Lawndale Ave Skokie, IL 60076
| OFDPurchase Order SS11: 017 | |
| FY: [ 25] | |
| Section: [Administration] | |
| 2025-08-12T17:53:57-0500 | |
| Lorah Hoe |
| PO #: [SS26] |
| BILL TO LIST: [825 N Rutledge St. SCLF 4th Floor] |
| SHIP TO LIST: [825 N Rutledge St. SCLF 4th Floor] |
| Contract REQ Number: P-63898 |
| BidBuy REQ #: R-282181 |
| Order Date: 08/12/2025 |
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