20051360 Ver 3_Check_20070118

TOM~N OF CARY
316 N. ~`.c,~clemy-St. - P.O. Box 8005
Cary, tvortfi Carolina 27512-8005
('~19) 469-4049
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CHECK N0. 2 713 5
~. PO VOUCHER INVOICE DESCRIPTION ~
12/19/200; 6 171432 PI2814 APPFEEMORRVPKY MISC SERVICES 475.0
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NC DIV OF WATER QUALITY 624333 ~ $*******475.0

. ~
CORF~ESPONDENCE TO:
PURCHASING DIVISION
420 JAMES JACKSON AVE.
P.O. BOX 8005
CARY, NC 27512-8005
Town of Cary
North Carolina
TEL [phone]
DATE 1 •~ f '~ 9 f 0 6 REQ. NO.: ~ 514 3 6 ACCOUNT NO.:
624333
VENDOR: NC DIV CIF WATER C~UALIT'Y
1650 MAIL SERVICE CENTER
PROJECT NAME: MURRISVILLE
PARKWAY EXT - ST1104
RALEIGH, NC 27699-1650
FAX:
ATTN:
QUOTED BY:
TERMS: NC T
CONTRACT NO:
PROJECT NO: S T 112 0
EA 947 999 APPLICATION FEE FUR
PROJECT 5T1120 MORRISVILLE
PARKWAY EXT.
ITEM QUANTITY UNIT OF DESCRIPTION UNIT COST EXTENDED COST
MEASURE
1 1.00
475.GOOtr 475.OU
SUQ--TOI-AL ~F75.00
Tt:ITAL 4~rs . 00
REMARKS:
MAKE CHECK 1='AYAEILE TU NC DIVISION OF WATEF; f~UALITY
RETURN CHECK TO SPILSON IN ENGINEERING FOR MAILING
PLEASE ATTACH THE WHITE Ct7PY OF THE PO WITH CHECK
~~~~~~~~~~ PREPAYMENT REt~UIREO ~~~~~~~~~~~~~~~~
PLEASE ATTACH THE WHITE COPY OF THE PO WITH CHECK.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~a~~~~~~~~~~~~
~~~~~ OO NOT MAIL CHECK ~~~~>~
PLEASE HOLD CHECK FOR PICK UP.
IMPORTANT THIS INSTRUMENT HAS BEEN PREAUDITED IN THE MANNER REQUIRED BY THE
THIS PURCHASE ORDER IS A COUNTEROFFER AND NOT AN ACCEPTANCE BY THE TOWN LOCAL GOVERNMENT BUDGET AND FISCAL CONTROL ACT.
OF CARY. THE TERMS AND CONDITIONS THAT GOVERN THIS PURCHASE ORDER ARE
ATTACHED AND ARE DEEMED ACCEPTED BY THE VENDOR UPON RECEIPT. VENDORS
ARE ADVISED TO VERIFY ALL INFORMATION CONTAINED HEREIN AND TO IMMEDIATELY
NOTIFY THE PURCHASING DIVISION OF DISCREPANCIES IN WRITING. APPLICABLE TAXES
MUST BE STATED SEPARATELY ON THE INVOICE. PURCHASE ORDER NUMBER AND
COMPLETE SHIP TO ADDRESS MUST APPEAR ON ALL SHIPPING LABELS AND INVOICE.
COD SHIPMENTS ARE NOT ACCEPTABLE. VENDOR UTY FINANCE OFFICER
FAX [phone]
062-0000-514.45-00
INVOICE TO:
ACCOUNTS PAYABLE
P.O. BOX 8005
CARY, NC 27512-8005
~•~ PREPAYMEN~r ~>~
171432
DELIVER T0: TOWN OF CARY
ENGINEERING DEPT
P O f3OX Li005
~i16 N ACADEMY ST
CARY, NC 2751-8005
ATTN. SPILSt)Nf' R Ot/ERTON
F.O.B.:
FREIGHT:
SHIP VIA:
DELIVER BY: ~ 2 f 0 3 .f G 7