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WATER CONSERVATION BOARD <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br />Buyer: MAGGIE VAN CLEEF <br />Phone Number: 303 - 866 -3292 <br />Agency Contact: STEVEN SHULL <br />Phone Number: 303 8 6 6 3441 <br />FEIN 846009165 Phone: - — <br />Vendor Contact: <br />Purchase Requisition #: <br />V SECURITY WATER DISTRICT <br />E <br />N <br />D 231 SECURITY BLVD <br />O COLORADO SPRINGS CO 80911 <br />R <br />DATE: 03-29-10 <br />IMPORTANT <br />The PO# and Line # must <br />appear on all invoices, <br />packing slips, cartons <br />and correspondence <br />ACC: 03 -26 -10 <br />c PURCHASE <br />* ORDER <br />* / 7 * STATE OF COLORADO <br />P.O. # OE PDA, 10000000095 Page# 01 <br />State Award # <br />BID # <br />Invoice In Triplicate <br />To: DIVISION OF WATER CONSERVATION <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br />Payment will be made by this agency <br />Ship DIVISION OF WATER CONSERVATION <br />INSTRUCTIONS TO VENDOR: To: 1313 SHERMAN STREET, ROOM 721 <br />1. if for any reason, delivery of this order is delayed beyond the delivery/installation date DENVER, CO 80203 <br />shown, please notify the agency contact named at the top left. (Right of cancellation is <br />reserved in instances in which timely delivery is not made.) <br />2. All chemicals, equipment and materials must conform to the standards required by OSHA. <br />Delivery /Installation Date: 12 -31 -10 <br />3. NOTE: Additional terms and conditions on reverse side. F.O.B. DESTINATION STATE PAYS NO FREIGHT <br />SPECIAL INSTRUCTIONS: <br />LINE COMMODITY /ITEM UNIT OF <br />ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST <br />001 91843000000 $23,265.00 <br />WATER CONSERVATION PLAN GRANT -THE SECURITY WATER DIST WILL <br />DEVELOP A WATER CONSERVATION PLAN. PER SOW, CMS #13834. <br />13V l:U]XIMN'r Y' U'1'AL = LJ 600. UU <br />THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FOR THE STATE F COL A O <br />This PO is effective on the date signed by the authorized individual. / <br />EPSPO PAA "W." ( <br />Authorized Si a Date <br />DP -01 (R- 02/08) <br />