HomeMy WebLinkAboutJessen_downtown bike equipSLOPD PURCHASE REQUISITION FORM
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DATE:
VENDOR NAME:
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FISCAL OFFICER:
DATE:
ACCOUNT:
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REASON FOR PURCHASE:+A48A48:J54
Bike Uniform and POA MOU Equipment.
DESCRIPTION
Jacket, Black soft shelled ("Police reflective screen print on back)
Bicycle shirt- Black short sleeve
Bicycle shirt- Black long sleeve
Screen Printing "POLICE" reflective back on shirts
Cloth Badge Patch for shirts and Jacket
Shoulder patch for shirt and jacket
Bicycle Pants zip off pants
Bicycle gloves (not to exceed $40)
Bicycle helmet (not to exceed $75)
Gun Saftey lock
Nylon magazine holder
Nylon keepers
Nylon duty belt
Nylon handcuff case
Nylon pepper spray case
Nylon duty holster
Nylon key holder
Nylon baton holder
Nylon radio holster
Nylon flashlight holder
Sgt. Hixenbaugh/Blake Etherton
11/15/2016
Templeton Uniform
M Ellsworth via email
4/11/2017
80200-7875
INVOICE TO BE SENT TO PD:
PURCHASE MADE WITH CREDIT CARD*:
NAME ON CREDIT CARD:
ADDITIONAL APPROVAL:
Add'l approval required if purchase is a non-budgeted item or over $500
Subtotal
TAX
Shipping & Handling
Other
TOTAL
UNIT PRICE
109.62
39.99
39.99
59.5
33.44
64.99
13.28
25.86
11.21
46.8
28.2
18.45
225
18.87
56.41
35.33
13.28
o yes
o yes
*attach receipt
TOTAL
109.62
39.99
79.98
0
0
36
119
33.44
64.99
13.28
25.86
11.21
46.8
28.2
18.45
225
18.87
56.41
35.33
13.28
975.71
78.0568
1053.7668