HomeMy WebLinkAboutpurchase sheet12/21/2004 11:56 FAX 3054185444 MIAMI FIRE RESCUE
ESC PUBLIC SAFEIY
e9/26/21304 15:90 5953322
a 001/002
SOLE SOURCE PURCHASE DATA SHEET
Date Submitted: 1/12/04 Reguestar$rdd Ott
Rcgoisition No,; De . iv_ Naxnm. Pu 1ia Safe
Itexn Description: 7o e
Your Suggested Vendor's Name: Information Statism Special1ate Imc.
Vendor's Address: P.O. 11cm 51• 3368 8$th Avenue, Zeeland, NI 49464
Veiui0x's Phone #: 616-772.-00 w,105
Contact Name: nt _ Whitcomb
Sole Source Justification, state why this is the only item vwhich will fulfill your needs:
Banana. of the conf2guration with reepett to the parented grounding Worts,
it wLU allow us the moat versatility with the pi oduat in alb, soil condi �. , es,
331.11
and terrains.
Comment and/or verify if tbif thgre are other sources of'supply that meet this need:
. 1 .
Vendor #1 contacted; Telephone:
Vendor 42 contacted:
Telephone.
Vendor #3 contacted: Telephone:
Attachments: Yes ._ No
Requesting Division Heed 9i nature: ' late: //. I Xte.' V
Requesting Department Read Signature; Date:
Review by purchasing Staff
Purchasing Division: Buyer Review: -- Dam
Supervisor Review: Date:
Purchasing Manager - Sole Source Determination
Comments:
Approval Disapproval
Purcteing Manager Sisnature:
Purchoee Order No.:
F0110
Amount of Purchase: $ $9 s'S8S .00