DouglasCo WCPlan PO

• Water Efficiency Grant Type: Water Conservation Planning Grant
• Contract/PO #: OE PDA 10-116
• Applicant: Douglas County Government
• Project Name: Douglas County Regional Water Conservation Plan
• Title: Purchase Order
• Date: 6/3/2010
• County: Douglas
• Water Efficiency - Doc Type: Purchase Order

WATER CONSERVATION BOARD
1313 SHERMAN STREET, ROOM 721
DENVER, CO 80203
Buyer. MAGGI E VAN CLEEF
Phone Number. 303 866 - 3292
Agency Contact: STEVEN SHULL
Phone Number. 303 8 6 6 3441
FEIN 846000761 Phone:
Vendor Contact.
Purchase Requisition #:
V DOUGLAS COUNTY
E
N
D PO BOB 1208
O CASTLE ROCK CO 80104
R
INSTRUCTIONS TO VENDOR:
1. If for any reason, delivery of this order is delayed beyond the delivery/installation date
shown. please notify the agency contact named at the top left. (Right of cancellation is
reserved in Instances in which timely delivery is not made.)
2. All chemicals, equipment and materials must conform to the standards required by OSHA.
3. NOTE: Additional terms and oonditlons on reverse side.
DATE: 05 -10 -10
IMPORTANT
The PO# and Line # must
appear on all invoices,
packing slips, cartons
and correspondence
ACC: 05 -07 -10
• � a
STATE OF COLORADO
P.O. # OE PDA 10000000116 Page# 01
State Award #
BID #
Invoice In Triplicate
To: DIVISION OF WATER CONSERVATION
1313 SHERMAN STREET, ROOM 721
DENVER, CO 80203
will be made by this agency
Ship DIVISION OF WATER CONSERVATION
To: 1313 SHERMAN STREET, ROOM 721
DENVER, CO 80203
Delivery/Installation Date 12-31-10
F.O.B. DESTINATION STATE PAYS NO FREIGHT
SPECIAL INSTRUCTIONS:
LINE COMMODITY/ITEM UNIT OF
ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST
001 91843000000 $49,980.00
WATER EFFICIENCY GRANT - DOUGLAS COUNTY WILL COMPLETE A WATER
CONSERVATION.PLAN. PER SOW. CMS#16754.
DOCUMENT TOTAL = S49,980.00
THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FOR THE STATE OLORADO
This PO Is effective on the date signed by the authorized Individual.
RPM ►M
(O .2 p
- , At0&1zed Signature Date
DP -01 (R- 02/08)