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<br />i <br /> <br />Buyer: <br />Phone Number: <br /> <br />Agency Contact <br />Phone Number: <br /> <br />JIM SHARP <br />303-866-2532 <br />TAMMIE PETRONE <br />303 866 3998 <br /> <br />IMPORTANT <br />The PO # and Line # must <br />appear on all invoices, <br />packing slips, cartons <br />and correspondence <br />ACC: 03-09-04 <br /> <br /> <br />PURCHASE <br />ORDER <br />STATE OF COLORADO <br /> <br />WATER CONSERVATION BOARD <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br /> <br />DATE: 03-10-04 <br /> <br />PDA 04000000066 Page# <br /> <br />01 <br /> <br />State Award # <br /> <br />FEIN 846000761 <br />Vendor Contact: <br />Purchase Requisition II: <br /> <br />Phone: <br /> <br />Bid # <br /> <br />DOUGLAS COUNTY <br /> <br />Invoice in Triplicate <br />To: DIVISION OF WATER CONSERVATION <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br /> <br />V <br />E <br />N <br />o <br />o <br />R <br /> <br />PO BOX 1208 <br />CASTLE ROCK <br /> <br />CO 80104 <br /> <br />Payment will be made by this agency <br /> <br />~~:p DIVI SiaN OF WATER CONSERVATION <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br /> <br />INSTRUCTIONS TO VENDOR: <br />1. If fOr any reason, delivery of this order Is dllayed beyond the dellverytlnstallatlon date <br />snown, please notll'y the agency contact named at the top left tRlght of cancellation Is <br />ruerved In Instances In whlcn timely deUllery Is not made.) <br /> <br />2. All chemicals, equlpmenland matertals must conform lollle SllInclaras ""'Iulred by OSHA. <br /> <br />3. NOTE: Addnlonal terms and conUnions on rev..... side. <br /> <br />Deliveryllnstallation Date: <br />F.O.B. <br /> <br />06-30-04 <br /> <br /> <br />SPECIAL INSTRUCTIONS: <br /> <br />LINE <br />ITEM <br /> <br />COMMODITY/ITEM <br />CODE <br /> <br />UNIT OF <br />MEASUREMENT <br /> <br />QUANTITY <br /> <br />UNIT COST <br /> <br />TOTAL ITEM COST <br /> <br />001 91858000000 <br />WILDFIRE FLOOD HAZARD DELINEATION RELATED TO THE HAYMAN BURN <br />AREA IN DOUGLAS COUNTY. SEE EXHIBIT A FOR MORE INFORMATION. <br /> <br />$15,000.00 <br /> <br />EP'9'O PitA <br /> <br /> <br />THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS <br />