245-25 PO 185438 RES 260-24 KORWEL PUMP STATION.pdf

TOWNSHIP OF WEST ORANGE TOWNSHIP HALL 66 MAIN STREET WEST ORANGE, NEW JERSEY 07052 245-25 VOUCHER MUST BE RETURNED FOR PAYMENT Ship to: 66 MAIN STREET WEST ORANGE, NJ 07052 WEST ORANGE NEW JERSEY 07052 FOB DESTINATION FREIGHT PREPAID & CHARGED BACK Vendor: GRABOWSKI CONSTRUCTION 770 NORTHFIELD AVE WEST ORANGE, NJ 07052 Account 03-2829-23-0500-030 PURCHASE ORDER Streets, Roads, Sewers & Sidewalks -- DECOMMISSION PS — Vendor Code 73150 Date of Order 09/12/2024 Quantity =< Unit i 1.000 res 260-24 korwell pump station decommission project 184,547.00 184,547.00 Purchase Order Total: 184,547.00 THIS ORDER IS TAX EXEMPT PER NJSA 54:32B-9(a)(1) TAX EXEMPT ID NO, 22-6002396 Manditory Prevalling Wage Policy P.L. 2007,c.68 for all Public Works Contractors and Suo-Contractors ( Proof of Business Registration Certificate is Mandatory. P.L. 2004 57.Pursuant to NJSA 2A:30A2 the TWO has an ADR policy. ) CLAIMANT'S CERTIFICATION OFFICER'S OR EMPLOYEE'S CERTIFICATION VOUCHER MUST BE SUBMITTED TO THE 1100 SOLENINLY DECLARE AND CERTIFY UNDER THE PENALTIES. OF THE LAW THAT THE WITHIN ILL IS CORRECT INALL ITS. PARTICULARS; THAT THE ARTICLES HAVE EEN FURNISHED OR SERVICES RENDERED ASSTATED THEREIN; THAT NO BONUS HAS SEEN GIVEN OR RECEIVED BY ANY PERSON OR PERSONS: WITH THE KNOWLEDGE OF THIS CLAIMANTIN CONNECTION WITH THE ASOVE CLAIM; THAT THS AMOUNT THERINSTATED (3 JUSTLY DUE AND OWING; AND THAT THE AMOUNT CHARGEDIS A. REASONABLE ONE. & VENDOR SIGN HERE HAVING KNOWLEDGE OF THE FACTS IN THE COURSE OF REGULAR PROCEDURES, | CERTIFY THAT THE MATERIALS AND SUPPLIES HAVE BEEN RECIEVED OR THE SERVICES RENDERED; SAID CERTIFICATION |S BASED ON DELIVERY SLIPS ACKNOWLEDGED BY A. MUNICIPAL OFFICIAL OR EMPLOYEE OR OTHER REASONABLE PROCEDURES. TOWNSHIP TREASURER ON OR BEFORE THE 1ST DAY OF THE MONTH FOR PAYMENT, DEPARTMENT HEAD: DEPARTMENT ORDERED BY CERTIFICATION OF FUNDS AVAILABLITY | OFFIGIAL-ROSITION - - - — DATE SIGN AND RETURN ONLY THIS ORIGINAL FOR PAYMENT MX AAS