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WATER CONSERVATION BOARD DATE: 01 - 20 -10 �� CO�o PURCHASE <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 I MPORTANT ** ORDER, <br />The PO# and Line #must ` STATE OF COLORADO <br />Buyer. MAGGI E VAN CLEEF appear on all invoices, <br />Phone Number. 303- 866 -3292 packing slips, cartons <br />and correspondence P.O. # OE PDA 10000000077 Page# C <br />Agency Contact: STEVEN SHULL <br />Phone Number. 303 8 6 6 3441 ACC : 01-18-10 State Award # <br />FEIN 846000567 Phone: 303 - 655 -2006 BID # <br />Vendor Contact: Invoice in Triplicate <br />Purchase Requisition #: To: DIVISION OF WATER CONSERVATION <br />V 1313 SHERMAN STREET, ROOM 721 <br />E CITY OF BRIGHTON DENVER, CO 80203 <br />N <br />D 3401 EAST BROMLEY LANE <br />O BRIGHTON CO 80601 Payment will be made by this agency <br />R Ship DIVISION OF WATER CONSERVATION <br />INSTRUCTIONS TO VENDOR T o: 1313 SHERMAN STREET, ROOM 721 <br />1. If for any reason, delivery of this order is delayed beyond the deliverylinstallation date DENVER, CO 80203 <br />shown, please notify the agency contact named at the top left (flight 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 />3. NOTE: Additional terms and conditions on reverse side Delivery/installation Date 02-28-11 <br />I F-0-8- DESTINATION STATE PAYS NO FREIGHT <br />SPECIAL INSTRUCTIONS: <br />LINE COMMODM/f EM UMT OF <br />REM CODE MEASUFIB11ENT QUANTITY UWr COST T OTA L ITEM COST <br />001 91843000000 <br />WATER EFFICIENCY GRANT BRIGHTON WILL REPLACE FIXTURES <br />WORK CANNOT BEGIN UNTIL 1/19/2010 CMS #10669 <br />THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS <br />This PO is effective on the date signed by the authorized individual. <br />EPSPO PAA <br />DP -01 (R- 42/06) <br />FOR THE STATE <br />$49,613.101 <br />/ &kF7 <br />Date <br />