Item Maintenance Form

ROUTE CODE
ORIGINATOR WASIELEWSKI EXTENSION 43806 DATE 5/15/23 CCB
(If known)
SECTION: A
ADD (New inventory) Note: Submit Quote from supplier with this form

DESCRIPTION 1 F I L T E R E L E M E N T - H Y D R A U L I C
DESCRIPTION 2 5 0 P - 2 2 Q H E L E M ; Q M 5 0 6 2 5

MFG P/N 9 3 2 6 8 3 Q
ITEM NOTES:
Other info i.e.
additional P/N’s,
Model / Serial #’s
(Use additional
sheets if needed)

INTERNAL ATTACHMENTS NOTES (Info for OUC

only, also submit Drawings, Images etc. if available.)

EQUIPMENT CODE / ID: (where 1GTFH21, 1GTFH22, 2GTFH21, 2GTFH22, 3GTFH21, 3GTFH22
used) Include serial /model # of that
equipment if applicable.

SUPPLIER NUMBER 115448 NAME Team Technical Services Inc

NEW SUPPLIER: Fill in 1,2, and 3 if this supplier is not in the address book

1) NAME:
2) ADDRESS:
3) PHONE:

BRANCH
PLANT POWOGS REORDER QTY 2 REORDER POINT 4 UOM EA UNIT COST 435.81
If Yes; Attach the Chemical
REPAIRABLE ITEM Y N LEAD TIME (DAYS) 21 CHEMICAL Y N Registration Request form
approved by Environmental /Safety
QTY PURCHASED AS NON INVENTORY TO
G/L ACCOUNT # / & WORK ORDER
BE ADJUSTED INTO INVENTORY: (note
OR PURCHASE ORDER
turn part over to Logistics)
SECTION: B (Changes - check all that apply)
DESCRIPTION / PART / SUPPLIER # (Fill in the WHAT IS THE ITEM ID:
applicable fields in section “A”)

REORDER QTY REORDER POINT STOCK TYPE “S”- Stock

STOCK TYPE “O” Obsolete STOCK TYPE “U”- Use up STOCK TYPE “I” Inactive

SECTION: C (Review and Approvals)

Supervisor Manager/Director Materials Demand Representative

SECTION: D
PMG / IRP / CCB/ LOGISTICS USE ONLY
ITEM ID # BIN / ROW LOCATION OO REQUISITON # DATE CREATED
 Quotation
Please Address Order To:
TEAM TECHNICAL SERVICES

6202 E BROADWAY AVE. Customer Name:

ORLANDO UTILITIES
TAMPA, FL 33619 COMMISSION
Phone: 813-621-8725 Quote Number: TC-230515O1
Fax: 813-621-8588 Quote Date: 05-15-23
Quote Expiration Date: 06-15-23
Customer ID:
356954

Bill To:
PO BOX 3193; ORLANDO, FL 32802

# Product Qty Unit Price Extended Price

1 932683Q 4 $435.81 $1,743.24

FILTER ELEMENT
50P-2 2QH ELEM; QM50625

3 WEEKS ARO

2 V92246 12 $16.68 $200.16

ORING
O-RING VITON

5 WEEKS ARO

3 925337 2 $144.26 $288.52

925337
EC IND CVRSN KIT 25/31/61P

7 WEEKS ARO

Standard Terms and Conditions Apply Total Value: $2,231.92

Payments Terms: NET 30 Tax: Taxes and Shipping Charges/Fees Not Included
F.O.B. Shipping Point
Quoted By: TREVOR CARNES
Email: TCARNES@TEAMTECHNICAL.COM

Adding value to quality products