Laserfiche WebLink
� <br /> Purchase Order. and u.S.DepartmeM of Housing ' "d• ��� �:: "' '� <br /> and Urban Derelopment - � ' /A� ' <br /> Payment Authorization Property Dispositlon Program. �� <br /> Pertalning To Expense On Acquired Properties <br /> OMB Approval No.2502-0278(exp. 5/31/91) <br /> Processing Instructions-See handbooks 4305.3,Chapter 8;4045.1,Chapter 11 and HUD Property Management System•CPO and <br /> Property Manager Procedures Manual. � <br /> AccouMing Uae Only <br /> Bureau Vouoher No. Bureau Schedule No. Name Control Rpt.Code <br /> Prompt PaymeM Act Date (Note;See rererse for explanation of items.) <br /> Vouche►No. 1. 2 3. 4. <br /> S. B. <br /> 1a.To:Contractor and Peyee 1b.MBE Oroup 2 Payee'e Acoount No. ����.!�: �a,t,{�;�'���;�y <br /> Ci of Urrn�.o `. ., � � � � <br /> 3.3treet Addrese 4.City 5.8tate g.�p�e � i ' <br /> P.O. Box 66, sta.l Ba. Orono MLV 55323 <br /> 7.Fleld Office(City Only) 8.Order No. 9.Date 10.Olecount Terms <br /> Mitmea.polis 8-3-90 net <br /> SubJect to conditions printed on the reverse side hereof,you are hereby requested and authorized to perform the services and/or deliver <br /> the articles below(or on attached)according to terms of your quotation.The informatlon indicated in items 7,8,and 9 must appear on <br /> all packages, papers,correspondence,etc., relating to this transaction. <br /> 11.OMered by(HUD o►Area Menagement BrokedProJect ManagePe Name and Addresa) 12 Conalpnee(Addrese of properly or proJect offlce) <br /> DKC PropertieS, InC. 271-2 $620-20 <br /> 3400 West 66th 5treet, Suite 235 C3�r����� ..« . <br /> Miimea. lis MDT 55435 Q�.o � �� <br /> 13.Slpnature&Tltle <br /> _ Area emen.t Broker <br /> 14.Authorized by(For completion by Field Office when articles/services ordered by Area Management Broker or Project Manage� <br /> s�gnetore ane e . <br /> ��//� Date <br /> / %"/'! <br /> 15. 18.Articles and/or Services 17. 18 Unit Price <br /> Item If thls Informatlon is itemized on bid specifications, attach GL Quantity 21.Amount: ' <br /> No. a copy and show below"In Accordance With Attached" Code A 19. Cost 20. Per <br /> N/A Sewer hookup & permit $630.50 <br /> . ,��. , , j <br /> See attached pages whtch are made part of <br /> thts purchase order.(Insert A of pages) T�B� �3�.50 <br /> 22. Commencement,Prosecutlon and Completlon oi Work <br /> The Contractor shall be required to(a)commence work under thts contract wlthin calendar days after the date the <br /> Contractor recelves the notic3 of award,(b) prosecute the work dilfgently,and(c)complete the entire work ready for use not later than <br /> calendar days after the date the Contractor receives the notice of award.The time stated for completion ahail include final <br /> cleanup of the premises. <br /> 23.Contractor's CeRiBcatlon oi Completion -• . <br /> The undersfgned hereby certlfies that(aa all services stipulated under this purchase order have been completed or supplies delivered,as <br /> of the date shown, In accordance with the specffications,and (b)that all claims of laborers or others performing services or furnishing � <br /> m terials in the performance of the services have been paid. In addition,fumished herewith are all manufacturer wananties with respect <br /> to rials and equlpment relative to parformance hereunder. <br /> � Signature tte <br /> Dete , <br /> satm shall compl s reprsesmaltons and certllloatbns a�M rstum M the looal oHlcs It doller rslue excssd�,000. � � <br /> 24.Area ManagemeM Broker or Project Manager's Certiflcation(If Applicable) � <br /> I certify that I (or my representative) personally inspected this property on the dates shown and to the best of my knowledge and belief � <br /> all s cifications have been met and all re airs have been made and a ment therefore has not heretofore been made. ' <br /> Signature Date Flrat Inapected Date Finel Inapectlon and Acceptance � <br /> 26.Chlef Property OHicer's(Or Deslgnee's)Certificatfon <br /> Payment Apprwed For � Acceptance of Area Management Broker or ProJect Manager's Inspectfon for Repairs <br /> 630.5� (Form HUD-9519 on file in Local Office) <br /> s on easis o�--� ❑ Staff Inspection Report(Form HUD 9519 on file i� Local Office) <br /> Signature ' Title Dete <br /> 28.Authorized Certlfying Offlcer's CertiHcatlon . � <br /> Pursuant to suthority vested in me, I certify that this Purchase Order and Payment Authorization ts correct and proper for payment. <br /> Signature Date Authorized Cerliiying Ofilcers Stemp . <br /> Original-PaymeM wlll only be be made upon receipt ot this Qne Copy•AMBIPM copy <br /> properly completed original copy.(AMBs-attach to One Copy-CPO•Property case Nle <br /> original accourrting report to support relmbursement One Copy-PM-Send to PMS operatlons Center ea obligating <br /> request.) document.AMB-Attach to Neld oHice copy of <br /> One Copy-Contractora Copy accounting report to suppo�t reimbursement request. <br /> Previous Edition is Obsolete HUD-2642(10$4) <br /> HB 4310.5,4315.1 •4320.1 <br />