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SFUND'RECORDS CTR 83224740 AMERICAN SAMOA GOVERNMENT · PDF filesfund records ctr 5103-00005) •; american samoa government pago pago, american samoa 96799 unit price adjustment sfund'records

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  • SFUND RECORDS CTR

    5103-00005 ) •;

    AMERICAN SAMOA GOVERNMENT PAGO PAGO, AMERICAN SAMOA 96799

    UNIT PRICE ADJUSTMENT

    SFUND'RECORDS CTR

    83224740

    In reply refer to:

    Stock No: fcfep -OO -Lto -23*?0

    1. Regn/P.O.No.

    2. Quantity Received

    3. Invoice Value

    4. Ocean Freight

    5. Total Value 3 & 4

    6. Quantity old Stock

    7. Unit Cost of Line 6

    8. Total Value of Line 6

    9. 10% of Line 8

    10. Less Value of Line 9 from Line 8

    11. Total Quantity of Line 2 & 6

    12. Total Value of Line 5 & 10

    13. Plus 10% of Line 12

    14. Total Value of Line 12 & 13

    15. Line 11 into Line 14

    16. New Adjusted of Unit Price

    REMARKS:

    Date: ^4, ms

    \Z--af-

    ic4-cy.

    III. i&

    13,11

    I ,7-11-54

    10,403.%/

    __________ 12-1 -CY

    12. S

    I, 7-4^-LD

    ^ilZ-.gS

    _________ 113> .3>*i

    H3>.g.s-cy.

  • ..'.I

    £.

    AMERICAN SAMOA GOVERNMENT

    PAGO PAGO, Af ’ "(CAN SAMOA

    -w;-v -/cv- -

    * ■- ... ... ■■ ■'' *- ?,

    PR NO.

    ■ ? TERMS-"-.""-

    ■ VNEJ/A

    /AavT’0"

    ■jiife" ao-fo FOB, CIE. OR ClF, (FOB POINT)'■

    A;"- H'aos /SAN.-FRANC. l nCO

    TWS NUMBER vusr APPEAR CM AU_ PACKAGES AND PAPERS RELATED TD THiS CRCER ^ P.a Na AND/OR CONTRACT No.

    •R41503.--

    DATE WANTED

    01/ :j; PAGE.

    Sr!-PRCCURHi';EHT

    ; P 4. 8 AND A- GOVT 'pagov/acqOOaH/Canoa 9

    //o V

    '•OOP

    Bill. to:; — - , . ; :v--.

    ACCOUNTS PAYABLE DIVISION ■ z.

    AMERICAN SAMOA GOVERNMENT

    ' AMERICAN SAMOA, 96799 . ..

    VT:aOio- X •: a - fi. '..-U.,' i.C-’V.;."-'.

    FF:F>'F,F ' 1 ' pPsFsVFF

    ' 0 V: V-V ! "•• o-noo/o-oo. '.-TF :ta r.ca

    ■o/;v ' *x" %V.

    SPECIAL SHIPPING INSTRUCTIONS:'

    " AC-V !■ 0*0*-/ ..'A„;y.'-T*'VyAC

    j:

    IMPORTANT.NOTICE: V :'. . ■ • •: . 1 _ _____ FOR PROMPT PAYMENT OF YOUR INVOICE, THE PURCHASE ORDER

    NUMBER ABOVE' MUST APPEAR ON- ALL INVOICES, B/L, INDIVIDUAL PACKAGE/& SHIPPING CONTAINERS. - ■

    ITEM SUPPLIES OR SERVICES ., . ,L =

    .us. ,i GULF I CO.-; Vi 50- ■■ YOUNG/

    UNIT PRICE , , AMOUNT.

    —.■■ ....

    QTY. REC'D

    LAFAcrrv. per lroiNP-

    4M‘$

    C.O’.PVO 1 ! ; .'-‘A . WATH.O ECRP.L3,3YE.T0NO . ' vj ' A: . VP Hr V LLaBl. A VL.Y Ni;?oo>... >> -L'. v y"cyl Oneera i ■ F; ‘ :VOA:; — . T:0 ; ’• V -300

    :V .PEP '■ 0/C." D 0NV: LUCA.- -r—onvco 0:-"- -• t\~:: .. - ,»

    3.. ;icV i L.L >-!• 'V 0 v: 0/; T'V A;V ERICAA VC-VV':AOp'rT

    ra 7/W)3 >

    FREIGHT EST.

    TOTAL:

    •; V ' '• . • • :

    u.U

    . A •’ • 1 ■kj-K'-. > .V- ;

    p*. ■ :? '.V. . " - .•••

    YvOFOUIO

    IMPORTANT V S^^^,p/STO:;:i /

    A t v .

    '/•..A - -• ,

    A FA ''F; .-..'V/A'-A' O'FFFAV : A V-'-' •’ - ;i 'v ;

    . A

    O' : : \\ -vO'/'■■•■VV'.'.'.o'.vO v--W v / :o;v';pv

    ''.. ■ -y~L-V:~^y ..

    /aI/v’vP'V' vawevvoE.'Vv :"-"y ■■ 'yr?

    .•> "'-r'/Ev'"c:T>vV''':v;-VV:-:-.1

    V L'H l Ai-(PROCUREMENT OFFICER) "~— AMERICAN SAMOA GOVERNMENT

    v v’~ ■

    - : .1 ;

    VO-i:'V'.V.;,;;Ov.: V./O.V -O'7. ---O.t' ■■ Tf

    .0. i.V-V

    ' V •• '

    * •

    • V-v V....; /

    ORIGINATING DEPARTMENT. ■ ’V- ,.. ' 'V ■

  • / y/

    /

    /

    / /

  • a

    ACCOUNT.No:;-' -;;. 7&QriW?::*

    p.r no.': ; ............. . .

    :f DEPARTMENT^-;v^ . yl .y/a?*-

    Qffice/of- ProcUremen.ty- PURCHASE ORDER DATE ' , •

    -- 1/13/94 -

    THIS NUMBER MUST APPEAR ON ALL . . PACKAGES AND PAPERS RELATED TO -V

    ?:•£ THIS ORDER ^pr> CONCERNS:-

    *-V*. P.O. No. AND/OR CONTRACT No.:---

    P041203-M . *’■

    TO: ' ' " ................... . ' ............ ■ •*.

    David K. Lindeauth Co;, Irsc- ' ;y.”:-v ~ _ 240 Valley Drive V

    ; • Brisbane', California 94005. :

    ,\ri •8 7 r

    L -DATE:OF CHANGE NOTICE'-} '' ^3/8/94^.^;^-:'^

    SPECIAL SHIPPING INSTRUCTIONS.

    FOR INTERMEDIATE HANDLING? - .-'. '.T L ' : . ............- -

    ' □ SHIP TO □ CONTACT.'

    E DO NOT INSURE: THIS ORDER INSURED BY HARTFORD . INSURANCE COMPANY (PAGO PAGO AMERICAN SAMOA)

    FH PLEASE PREPAY INSURANCE,ON ALL PACKAGES ’ :?■

    J—r> SENT VIA SURFACE OR AIRMAIL^. = %. ,X -V;,

    Xflr v- ■V e _

    . - aK-

    - ' W-

    ITEM No. - SUPPUESiOR SERVICES* UNIT ^ AMOUNT

    ' INCREASE S8LIGAII0N v

    L Lj

    >1,043.04

    * iv.-i 1'i *.«**., r ^

    r\

    1 J ^ ^ t ^ \ ' ^ *

    NOTE: THIS CHANGE NOTICE IS ISSUED TO COVER UNDERESTIMATED l FREIGHT ON ORIGINAL P.O. 41203-M. , ~

    ~ ..

    > ,-yy; .. .-'•VVdVVV-.’fky't-iV ■ ' IMPORTANT NOTICE

    FOR PROMPT PAYMENT OF- YOUR INVOICE.THE FOLLOWING MARKS MUST APPEAR ONL ALL INVOICES. B/L. INDIVIDUAL PACKAGES AND SHIPPING CONTAINERS. . V.-:. S ’ .-

    IMPnPTANIT 4 AIR MAIL ALL CORRESPONDENCE, livirwn I MIN I ™ .. . BILLS OF LADING 4 CARRIER RECEIPTS' . PROCUREMENT OFFICER - .

    TO V : AMERICAN SAMOA GOVERNMENT - A . : - ~ PAGO PAGO, AMERICAN SAMOA 96799 ' ”

    RECEIVED FROM SUPPLY OPERATION DIVISION

    TTEM(ST ll_____ — V_____ :----------It—i_______ -

    SHIPPED VIA

    RECT) BY L_

    .DATE

    .DATE

    CHECKED AND RELEASED BY‘

    xf&fa HUN KIN

    (PROCUREMENT OFFICER) AMERICAN SAMOA GOVERNMENT

    SHIPPING & REC. COPY

  • V ?:7 PURCHAsOlQU ISJ II.QN ■ A )cAN SAMOA GOVERNMENT PAu-VAGO, AMERICAN SAMOA, 96799

    I ACCOUNT,N, /S753Q-5994

    t i ^ 2 DEPARTMENT ^ 9 P * 3 TODAY S1DATE ^ *- * ( * ,

    ■ 1 / f1 Procurement Office' : Jan. 11. 1994

    4. ORIGINATOR'S NAME 4 TELEPHONE:NUMBER

    M.A. LELAUTI - ' ' ‘

    S DELIVER TO ‘ • ,

    Shipping & Receiving.

    * + B REQUESTEI

    HkOUISiriON- NUMBER •. •

    6. DA IE WANTED

    ASAP-

    10020:

    v

    7. SUGGESTED VENDOR-'<

    V.

    David, K.jLindemuthCo., Inc.-

    ,V

    240 Valay Drive '

    Brisbane j California?’ 94005 . r

    REQUESTED METHOD OF SHIPMENT

    ^□-SURFACE , ’ -""□(AIR FREIGHT* 1 '

    /•□/SURFACE MAIL'

    □ AIRMAIL _ ‘ ■ -

    □ OTHER

    ITEM *' . - PART No. AND/OR DESCRIPTION ’ •' ;• ,• QUANTITY ‘ ESTIMATED **■

    UNIT PRICE (IF KNOWN)

    TOTAL ESTI- 9. £ofi PROCUREMENT ONLY

    No.. . MODEL No. 4 SERIAL No. OF ITEM.FOR WHICH PARTS ARE OROERED ,. : ' DESlREO / • - ’

    (IF KNOWN) PRICE ' . TOTAL

    ■.r- .V-V"-'-" -■ - V\- :.-vv . &■*?': O' ■

    / ,

    $9,350..

    '■'7 - . 7- '' ■

    1. - GAS, CHLORINE, Commercial.grade, low pre-

    A O O •7* 103.89 0 ‘

    ssure liquef ied..150 pound capacity, per 7 , ’7---,..7 v V -.7' . ■

    cylinder. For chlorinating water supply , ' ’ 77.-' ".'•'7 . V ;

    system. (REFILLABLE CYLINDER) ‘ v ;? 7' •*..

    ’V*' 'h\; ■

    "EMPTY CXLINDERS SHIPPED ABORRD POLYNESIA 7.-‘f:;7;:7'y ‘

    V-205N UNDER B/LADING PLLU22136 DTD. ' ' " . "• ' ..

    1/10/94. EMPTIES ARE TO BE REFILLED &"" ■ -V'7 : -

    ■ RETURN TO AMERICAN SAMOA GOB * T." •

    7777 t' _"7 ■ 'V'7.

    r. . ■ ; ; 7/" - *'^..7 estimated shipping charges

    1,495.1

    TOTAL REQUEST $10,845

    10;. Jf- i i S\ |jly / r / \ 9 ** Q/fJ *

    ENINGnftNO APPROVAL SIGNATURES

    L DIJiSlO»kP^BOlAL Q-S1 ,(

    MULIAGA' Air rELAOTl Supply Branch Manager

    11. DEPT. approvai^v*QOO-jio.o

    tm; 'seIji

    Chief Procurement Officer

    12. PROCUREMENT SCREENING-

    A safe/

    11 BUDGET APPROVAL 14. GOVERNOR APPROVAL

    PROCUREMENT OFFICE USEONLY7

    IS, PROCUREMENT REVIEW COMMITTEETX ^ 16 ATTORNEY GENERAL * £ 1T. PURCHASE,ORDER No. s.i- . 18. PURCHASE ORDER ISSUED. . ... . . , 7

    ’ ~4/Z d3-A? ///3 19. SHIPPING INFORMATION S*' 20. VENDOR

    —< INSTRUCTIONS. 1 COMPLETE BLOCKS 1THROUGH 7 AS INDICATED - . . 2 CHECK REQUESTED METHOD OF SHIPMENTTN BLOCK V - v ' 3 ALWAYS GIVE PART NUMBER AND/OR BRIEF DESCRIPTION OF ITEM. BE SURE TO GIVE QUANTITY DESIRED AND

    ESTIMATED UNIT AND TOTAL PRICE IF KNOWN SHOW ESTIMATED SHIPPING CHARGES.- . ‘Bi

    PROCUREMENT (WHITE) RETURN TO ORIGINATOR (YELLOW ) ORIGINATOR FILE (PINKJ DEPARTMENT FILE (GOLD) 7

  • 1 f I • * i ^ *ASeTFORM.

    10/84

    o o

    PURCHASE ORDER

    CHANGE NOTICE

    AMERICAN SAMOA GOVERNMENT

    PAGO PAGO, AMERICAN SAMOA . ■ ..

    ACCOUNT No. - 7530-5994

    P.R. No.

    DEPARTMENT. Office of Procurement

    TERMS

    PURCHASE ORDER OATE

    1/13/94 □ F.0.8. □ C/F' □ CIF. POINT

    THIS NUM8ER MUST APPEAR ON ALL PACKAGES ANO PAPERS RELATEO TO THIS ORDER CONCERNS:

    P.a Na AND/OR CONTRACT No.

    P041203-M

    TO:

    D3v1d K. Undarauth Co..,' Inc.

    240 Valley Driver

    Brisbane, California 94005 V

    SPECIAL SHIPPING INSTRUCTIONS TlT-f-*

    i ‘

    i DATE OF:CHANGE NOTICE

    125/26/95; - FOR INTERMEDIATE HANDUNG

    □ SHIP TO ' Q CONTACT

    □ DO NOT INSURE. THIS ORDER INSURED BY H