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Nfa Order Forms - Excel by ftp85006

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									Nixa Fire Protection District                                                                         X     PURCHASE ORDER
301 South Nicholas Road
Nixa, Missouri 65714                                                                                        REQUISITION FORM
Phone: (417) 725-4025 - Fax: (417) 725-2393
Missouri Tax Exemption Number: 13339303




   For purchases over $100, the P.O. Number must appear on all related correspondence, shipping papers, and invoices.

P.O. NUMBER:

                                                                                  Authorized Signature
Officer:

                                                                                   Fire Chief Signature
                                   **NOTICE: If the total amount of this order is over $1,000 a second signature of the Fire Chief is REQUIRED!

Vendor-
To:                                                                                                     Payment Method Used:
Address:                                                                                                  Charge on Account
City:                                     State:             Zip Code:                                    Department Credit Card
Phone:                                                                                                    Personal Cash/ Charge

      P.O. Date:            Requisitioner:               Shipped Via:                   F.O.B. Point:                      Terms:


Quantity:   Account:      Unit:                             Description:                                  Unit Price:            Total:
                                                                                                                                           $0.00
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                                                                                                       Subtotal:                 $0.00
                                                                                            Shipping & Handling:
                                                                                                         Other:
Special Instructions or Comments:                                                                     **TOTAL:                   $0.00




                                                                                                                                 Revised: 5/20/2010
700   Dues/Subscriptions        CCAFC                      700 – Dues and Subscriptions      746 – Tuition/Training     945 – Com
                                CC Headliner News          704 – Office Supplies             750 – Uniforms             946 – Walm
                                                           706 – Computers/IT                751 – Fuel*
                                Chamber of Commerce        710 – Bond Handling               753 – Fleet Repairs/PM*    950 – Cap
                                                           714 – Elections                             General*
                                FFAM                       718 – Professional Fees                     Grd ladder       VEHICLE
                                Fire Chaplains Corp        720 – Insurance                   test*                      1000 – Mis
                                                           722 – Public                      755 – Dispatch/E911        1010 – 199
                                FMAM                       Relations/Prevention              Sup.                       1011 – 199
                                Greene County Trng Assoc   726 – Station Maint. & Supplies   807 – Dry Hydrants         1023 – 200
                                                                      01 - Station 1         900 – COP                  1024 – 199
                                IAAI                                  02 - Station 2         901 – Loan-Tankers         1025 – 199
                                                                      03 - Station 3         901 – Loan-                1027 – 200
                                IAFC                                  04 - Station 4         Engines/Ladder             1028 – 200
                                ICC                                       - General          940 – Fed Fire Act Grant   Jimmy*
                                                           728 – Fire/EMS                    941 – SEMA WMD             1029 – 200
                                Lions Club                 Equip/Expendables                 Grant                      Jon*
                                MAFC                       734 – Fire/EMS Repairs*           942 – SEMA Comm            1030 – 200
                                                           742 – Telecommunications          Grant                      Whitney*
                                Ministerial Alliance       744 – Utilities                   943 – Fire Prevention      1031 – 200
                                National PIO Assoc                                           Grant                      Lloyd*
                                                                                             944 – SEMA Comm. II
                                NFC                                                          Grant
                                NFPA
                                Optimist Club
                                Other
                                Ozark Gateway Chiefs
                                PFFIA
                                SMCO
                                SHRM
                                Sam's Club
                                SAPA
                                Springfield News Leader
                                SMESO
                                Tri-Lakes Chiefs
                                QCAFC
                        Total
704   Office Supplies           Copier Contract
                                Copy Usage
                                General Supplies
                                Postage/Shipping
                                Printing/Postings
                        Total
706   Computer/IT               Domain Register
                                Enterpol Maint
                                ESRI
                                Fire Program Support
                                Hardware/Software
                                InTime Support
                                Parts/Computers
                                Remote Support Services
                                Trend Micro Server
                                Web Page Support
                        Total
710   Bond Handling              COP Fees
714   Elections                  Board Member Elections
718   Professional Fees          Audit
                                 Cafeteria Plan
                                 CLIA License
                                 Employee Annual Physicals
                                 Expense Accounts
                                 Legal
                                 Medical Director
                                 Physicals/Drug Screens
                         Total
720   Insurance                  Building/Apparatus/Equip
722   Public Relations           Address Signs
                                 Awards Banquet
                                 Bereavement
                                 Chamber Banquet
                                 Community Foundation
                                 Halloween
                                 Indian Pictures
                                 National Night Out
                                 NIXPO
                                 State of the Community
                                 Smoke/CO Alarms
                                 T-Shirts
                                 Weather Radios
                         Total
724   Prevention                 Fire Extinguisher Class
                                 Forms
                                 Prevention Supplies
                                 Public Education Supplies
                         Total
726   Station Maint/Supp         Station 1
                                          Alarm System
                                          Garage Doors
                                            Generator
                                              HVAC
                                           Pest Control
                                 Station 2
                                          Alarm System
                                           Floor Maint
                                          Garage Doors
                                            Generator
                                              HVAC
                                         Lawn Sprinkler
                                           Pest Control
                                 Station 3
                                        Garage Doors
                                           HVAC
                               Station 4
                                        Garage Doors
                                           HVAC
                       Total
728   Fire/EMS Equip           EMS Expendables
                               New Equipment
                               SCBA/Spare Cylinders
                       Total
734   Equipment Repairs        Computers
                               Cell Phones
                               Equipment
                               Ground Ladders
                               Life Packs/AED
                               Radios/Pagers
                               Rescue Tools
                               SCBA Flow Testing
                               SCBA Fit Testing
                               Storm Sirens
                       Total
742   Telecommunications       ATT
                               Cell Phones
                               E911
                               Maint/Repair
                               Wireless Internet/DSL
                       Total
744   Utilities                Gas/Electric/Water/Sewer
                               Propane
                               Storm Sirens
                               Trash
                       Total
746   Training                 Adopt A Class
                               Chaplain Development
                               CPR Classes
                               EMS Refreshers
                               FRI/IAFC
                               Fire Programs
                               General Supplies
                               Inspector Recertification
                               Instructor Recertification
                               Investigator Recertification
                               LAGERS Conference
                               MAFC Conference
                               MVAFC Conference
                               NFA
                              NASAR
                              Other Outside Classes
                              PM Class
                              Payroll Conference
                              PM Refreshers
                              SFS
                              WFS
                      Total
750   Uniforms/PPE            PPE/Accessories
                              PPE/Bunker Gear
                              Uniforms
                      Total
752   Fuel                    Gas/Diesel
753   Fleet Maintenance       Apparatus Repair
755   E911 Supplement         Nixa Dispatch
900   COP/Lease/Grants        Engine Lease (2000 ALFs)
                              1994/2003
                              2000/2005
Tuition/Training     945 – Comm Foundation Grant      1033 – 1992 Spartan-Ladder 1*
Uniforms             946 – Walmart Public Ed Contri   1034 – 1994 E-One/Engine 3*
Fuel*                                                 1035 – 1995 E-One/Engine 4*
Fleet Repairs/PM*    950 – Capital Improvements       1036 – All Hazard Trailer-Trailer
    General*                                          4*
    Grd ladder       VEHICLE #:                       1039 – 2007 Impala, Fire
                     1000 – Misc. Fuel*               Marshals*
Dispatch/E911        1010 – 1996 Freightliner-R1*     1040 – 2007 Impala, Fire-
                     1011 – 1999 Kubota               Marshals*
Dry Hydrants         1023 – 2003 Ford F-350 B1*       1041 – 2008 Blazer Boat-Trailer
COP                  1024 – 1994 Chevy-Tanker 1*      3*
Loan-Tankers         1025 – 1994 Chevy-Tanker 2*      1042 – Toro Lawn Mower*
Loan-                1027 – 2003 F-250 Truck,B2*      1043 – Light/Generator Trailer*
 s/Ladder            1028 – 2003 Explorer-Chief 1-    1044 – 2000 Am. LaFrance-
Fed Fire Act Grant   Jimmy*                           Engine 1
SEMA WMD             1029 – 2003 Explorer-Chief 2-    1045 – 2000 Am. LaFrance-
                     Jon*                             Engine 2
SEMA Comm            1030 – 2003 Explorer-Chief 4-    1046 – 2010 Expedition/BC-1
                     Whitney*                         1047 - 1996 GMC 3500
Fire Prevention      1031 – 2003 Explorer-Chief 3-    1048 – 2010 Toro Lawn Mower
                     Lloyd*                           Other – __________________
SEMA Comm. II                                         Other– __________________

								
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