39_Fire Department Oil Water Separator file_provided after audit rept prepared_20230623

GREASE TRAP INPSECTIONS
NAME: S'4car es-}tsw� F D
DATE COMMENTS
T--' tir acA- -Clow cko-
a-,14-aa

Ordered by:
TOWN OF JAMESTOWN, NC
PURCHASE
P.O. Box 848
Jamestown, NC 27282
To
Vendor 974
FAX ( ) -
ZEBRA ENVIRONMENTAL & INDUSTRIAL
PO BOX 357
HIGH POINT, NC 27261
Notes
Oil/water tank cleaning at fire station
ORDER
PO #: 5084
Page: 1
Date Issued 03/05/19
Ship To:
Town of Jamestown
301 E. Main Street
Jamestown, NC 27282
336-454-1138
Ship Via
Requested by PAUL BLANC
Approved by JUDY GALLM
Orgn.
Item # Description Quantity UOM Unit Cost Total Cost
1.000 2500.0000 2500.00
10- 5000-4990
Total 2500.00
This instrument has been preaudited in the manner required by the Local Budget
and Fiscal Control Act.
1
s
Finance Department
By acceptance of this purchase order, vendors, contractors and/or subcontractors
affirm they are not listed on the Final Divestment List created by the State
Treasurer pursuant to N.C.G.S. 147-86.58, Iran Divestment Act Certification.
PLEASE SHOW PURCHASE ORDER NUMBER ON ALL CORRESPONDENCE.

Claimant ZEBRA ENVIRONMENTAL & INDUSTRIAL SERVICE
Address PO BOX 357
HIGH POINT, NC 27261
Date Invoice Description Amount Fund Org Account Object Proj
04/22/19 75437 4,026.57 30 7100 4990
04/22/19 75437 1,166.31 10 5000 4990
Total: 5,192.88
Page: 1
Claim #: 31983
Vendor #: 974
Check #: 33299
06/22/23
13:24:35
5/19

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