10 - Donner Park Pump Repair4 s CITY OF ATLANTIC BEACH
5 800 SEMINOLE ROAD
Fj s7if ATLANTIC BEACH FLORIDA 32233 4445
MOLINE ELECTRIC MOTOR MACHINE INC
1420 3 MAYPORT ROAD
ATLANTIC BEACH FL 32233
CITY OF ATLANTIC BEACH 125967800SEMINOLEROADN0ATLANTICBEACHFLORIDA322334445
PURCHASE PROJECT ACCOUNT
ORDER NOiIt1M63EE1 NUMBER
727 10 13 2016 170031 S16MAT 410 5506 535 34 00 1 433 26
GROSS RETAINAGE DISCOUNT NET
1 433 26 1 433 26
5187 MOLINE ELECTRIC MOTOR MACHINE INC
t ltr Bank of America i 63 4 NO 125967
CITY OF ATLANTIC BEACH Jacksonville Florida 630
rS V 800 SEMINOLE ROAD Member FDIC
141 71 ATLANTIC BEACH FLORIDA 32233 4445
VOID AFTER SIX MONTHS
NET AMOUNT
5187 10 26 2016 1 433 26
ONE THOUSAND FOUR HUNDRED THIRTY THREE AND 26 100 DOLLARS
MOLINE ELECTRIC MOTOR MACHINE INC NON NEGOTIABLE
PAY 1420 3 MAYPORT ROAD AUTHORIZED SIGNATURE
TO THE ATLANTIC BEACH FL 32233 NON NEGOTIALBE
ORDER OF AUTHORIZED SIGNATURE
CITY OF ATLANTIC BEACH PURCHASE ORDER
PURCHASING
PHONE 904 247 5880
7 I
FAX 904 247 5819 P O NUMBER DATE
J
170031 10 21 16
1
i
THIS P O NUMBER MUST APPEAR ON ALL INVOICES
PACKING SLIPS LABELS BILLS OF LADING AND
CORRESPONDENCE
POSTED
VENDOR SHIP TO
MOLINE ELECTRIC MOTOR MACHIN CITY BEACH
1420 3 MAYPORT ROAD
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
EMERGENCY
VENDOR DATE NEEDED TERMS REQUISITIONED BY
5187 10 13 16 NET MCNALLY
F O B CONTRACT NO ACCOUNT NO PROJECT REQ NO REQ DATE
41055065353400 S16MAT 98034 10 14 16
LINE QUANTITY UOM ITEM NO AND DESCRIPTION UNIT COST EXTENDED COST
1 1433 26 DL MAKE EMERGENCY REPAIRS TO PUMP AT 1 00 1433 26
DONNER ROAD L S
SUB TOTAL 1433 26
TOTAL 1433 26
REMARKSREPAIR REPLACE PUMP AT DONNER RD L S NTE 1500DAMAGEDDUETOHURRICANEMATTHEWINOCT2016APPROVEDASANERBYKAYLEREQUESTEDBYHARRY M
10 13 16 PROJECT S16MAT PJ13
RECEIVED
C T 21 2016
PURCHASING UEPARTtiIENT
l
NOTICE
I CERTIFY THAT THE ABOVE PURCHASE IS NECESSARY FOR THEPROPEROPERATIONOFTHECITYOFATLANTICBEACHAND
THE FUNDS ARE APPROPRIATED IN THE CURRENNTT BBUDDGGET
PLEASE SEND INVOICE TO
9CITYOFATLANTICBEACH
ATTN ACCOUNTS PAYABLE CLERK
800 SEMINOLE ROAD PURCHASING AGENT
ATLANTIC BEACH FL 32233 THE LAWS OF THE STATE OF FLORIDA U S A SHALL GOVERN INCONNECTIONWITHTHEFORMATIONPERFORMANCEANDTHE
LEGAL ENFORCEMENT OF THIS PURCHASE ORDER
FEDERAL TAX ID 59 6000267
STATE TAX EXEMPT 85 8012740083C 8
I4IL
1 1
Invoice
1 M O L i Date Invoice
it per cLcC7 rTG morcr E MA G 477E G7
1420 3 Mayport Road
10 13 2016 727
qi Atlantic Beach FL 32233 REMIT TO
904 247 3376 904 372 7507 Fax 554 PRINDLE DR E
molineelectric@gmail com JACKSONVILLE FL 32225
Bill To Ship To A I d
CITY OF ATLANTIC BEACH DONNER ROAD LIFT STATIO
ATTN ACCOUNTS PAYABLE CLERK
800 SEMINOLE RD OCT 2 6 2016
ATLANTIC BEACH FL 32233
CK Z 7
P O Number Terms Rep Completed Via F O B Project
170031 Net 30 MTM 10 13 2016 SERVICE
Quantity Item Code Description U M Price Each Amount
2 5 LABOR TECHN TECHNICIAN LABOR ONSITE TECHNICIAN HR 95 00 237 50T
ANDY CLARK 1 OOPM 3 30PM 10 13 2016
2 5 LABOR TECHN TECHNICIAN LABOR ONSITE TECHNICIAN HR 95 00 237 50T
TODD MOLINE 1 OOPM 3 30PM 10 13 2016
2 5 PREM TECHNI ONSITE TECHNICIAN RATE FOR OT WEEKEND HR 142 50 356 25T
TECHNICIAN ANDY CLARK 3 30PM 6 OOPM
10 13 2016
2 5 PREM TECHNI ONSITE TECHNICIAN RATE FOR OT WEEKEND HR 142 50 356 25T
TECHNICIAN TODD MOLINE 3 30PM 6 OOPM
10 13 2016
l LABOR ON SITE LABOR ON SITE SERVICES TECHNICIAN HR 95 00 95 00T
ANDY CLARK 7 30AM 8 30AM 10 14 2016
1 LABOR ON SITE LABOR ON SITE SERVICES TECHNICIAN HR 95 00 95 001
TODD MOLINE 7 30AM 8 30AM 10 14 2016
LABOR FOR 1 TECH AND I HELPER TO OPEN
AND INSPECT SUCTION LINE PRIME AND
VERIFY PROPER OPERATION OF 1 PUMP r
DONNER LIFT STATION 10 14 2016
1 MISC MISC SHOP SUPPLIES r 45 00 45 00T
2 6 RR FF 1 8 G 6 RED RUBBER COMMERCIAL FF GASKEAUttt AReq FF Pt 5 3800510761
Up
PUMP 1 NOT PUMPING
Amount S 14 33
FOUND 5 GALLON BUCKET OF MOP MATERIAL
WRAPPED AROUND CHECK VALVE REPLACED C sSELFPRIMERCHECKFLAPREPLACED36
FLANGE GASKETS Approv al Date fruk o rRECEIVEDREMOVEDANDCLEANED90DEGELBOW
prifitmcj2IPING Approva 1 Date 0l 4
OCT 18 2016 Approve l Date tit
kill GG LLApprovaDateT011 Ac7 12
Red B 1 ry t i IVICIV 1 Date T Subtotal
i3 Sales Tax 0 0
Print
Total
All past due invoices will be charged a 1 5 finance charge per month Payments Credits
5 00 minimum Balance Due
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4
Invoice
1 mo InC Date Invoice
Li I cLacrmiC MOTOR 6 MAC krra 7C
10 13 2016 727
4 1420 3 Mayport Road
Atlantic Beach FL 32233 REMIT TO
904 247 3376 904 372 7507 Fax 554 PRINDLE DR E
molineelectric@gmail com JACKSONVILLE FL 32225
Bill To Ship To
CITY OF ATLANTIC BEACH DONNER ROAD LIFT STATION
ATTN ACCOUNTS PAYABLE CLERK
800 SEMINOLE RD
ATLANTIC BEACH FL 32233
P O Number Terms Rep Completed Via F O B I Project
17003 1 Net 30 MTM 10 13 2016 SERVICE IlI
Quantity Item Code Description U M Price Each Amount
RECOMMEND REPAIR REPLACE 2 EACH 6
MUELLER CHECK VALVES CLEAN AND
INSPECT 2 PUMP FOR RAGS
Received By Date Subtotal 1 433 26
Sales Tax 0 0 0 00
Print Total 1 433 26
All past due invoices will be charged a 1 5 finance charge per month Payments Credits 0 00
5 00 minimum Balance Due 1 433 26
WWW molineelectric com Rewind
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770 3
Drake Patricia
From Moore Kayle
Sent Thursday October 13 2016 11 38 AM
To Mc Nally Harry
Cc Drake Patricia
Subject RE EPO
Approved Remember to use project code S16Mat
Kayle
From Mc Nally Harry
Sent Thursday October 13 2016 11 18 AM
To Moore Kayle kmoore @coab us
Cc Drake Patricia pdrake @coab us
Subject EPO
Kayle
1 Need an EPO to Moline Electric to repair replace pump at Donner Road US
41055065353400 1500 00 US Donner Road
2 Need an EPO to Smith Fence to make repairs to Fence at 960 Park Street and 425 11th street
41055065353400 1500 00 US
Harry
1