HomeMy WebLinkAboutRequest to Purchase - District CourtGRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT:District Court
REQUEST SUBMITTED BY:Desiree Ochocinski
CONTACT PERSON ATTENDING MEETING:Brittany B@VI@C
CONFIDENTIAL INFORMATION: F]YES WNO
DATE: 10/24/2023
PHONE:ext 3128
[all , C1W
1 6:
11
------- ---
------ --------- -- -
I
DAgreement Contract
EIAP Vouchers
ElAppointment Reappointment
❑ARPA Related
El Bids / RFPs / Quotes Award
E]Bid Opening Scheduled
E Boards / Committees
0 Budget
0 Computer Related
0 County Code
El Emergency Purchase
El Employee Rel.
E]Facilities Related
❑ Financial
717unds
El Hearing
7 Invoices / Purchase Orders
❑ Grants — Fed/State/County
FILeases
EIMOA / MOU
❑ Minutes
E] Ordinances
El Out of State Travel
0 Petty Cash
ElPolicies
El Proclamations
® Request for Purchase
F-1 Resolution
El Recommendation
El Professional Serv/Consultant
El Support Letter
E]Surplus Req.
E]Tax Levies
ElThank You's
E]Tax Title Property
E1WSLCB
------------------------------ -
--------------------
WrA000`PPROVED DATE OF ACTION: O � '"
ODENIED
EITABLED/DEFERRED/NO ACTION TAKEN:
EICONTINUED TO DATE:
E]OTHER
FINANCIAL REQUEST
Requestor
Desiree Ochocinski
Requestor's Department
District Court
Date
10/24/2023
Fund/Dept of Request
001-102
Capital Asset Approval
Yes
Budget Extension
No
Establish/Close Fund
No
Cash Transfer
No
Description/Notes: Purchase of Sharp printer from GCDC Current Expense of 2023 Budget. Quote from July 27th 2023, confirmation from Kelley
Connect October 2023 that quote is still accurate.
CAPITAL ASSET PURCHASE APPROVAL
BUDGET REQUIREMENT
Asset Description
Sharp Printer
Additional Expense
-
Total Purchase Expense
6,400
Additional Revenue
Less: Existing Approval
-
Additional Cash Requirement
Additional Funding Source
-
Additional Approval Required 6,400
Capital Facility Related
No
Grant Funded
No
Documentation
Quote/s attached
BUDGET EXTENSION REQUEST
Fund Name
Revenue code/s
Account Description
Amount
Fund Name
Expense code/s
Account Description
Amount
CASH TRANSFER REQUEST
Fund Name (From)
Code
Account Description
Amount (From)
Fund Name (To)
Code
Account Description
Amount (To)
COMPLETED BY ACCOUNTING
FUND CASH SUMMARY
Notes:
Beginning Cash -
Expense Bdgt (w/amendments)
-
Expense Ext. Requested
-
Budget Hearing:
Revenue Bdgt (w/amendments)
-
Resolution Required:
Revenue Ext. Requested (excl 308)
-
Estimated Ending Cash
-
Reviewed By:
Grant County District Court
Grant Behavioral Health and Wellness
After a careful evaluation of your needs, I would recommend the following solution
BP -70M45
45 ipm Monochrome MFP
BP-DE14
3 X 550 Sheet Cabinet
BP -FN 11
Inner Stapler Finisher
D5133NT 15 Amp Surge Protector
Replacing MX-M453N ID#KC27949
SHARP Suggested Retail Price
SET UP & TRAINING*
Standard Discount from Retail Pricing
NASPO State Contract Discount
$18,430.00
$0.00
-$7,228.00
-$4,831.40
Grant County Purchase Price 6,370.60
SHARP,
BP -70M45
*First 2 hours only Sales Tax not included
Sales Tax not included
Full Service Maintenance Agreement Images
Included
B & W $0.0075 Per Image 0
Sales Tax not included
Includes all toner, supplies, parts, and labor
Does not include paper