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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: 303 866 3441 <br />DATE: 07-14-10 <br />IMPORTANT <br />The PO# and Line # must <br />appear on all invoices, <br />packing slips, cartons <br />and correspondence <br />ACC: 0 7 - 13 - 10 <br />FEIN 846000726 Phone: 303 - 430 -2400 <br />Vendor Contact: <br />Purchase Requisition #: <br />V CITY OF WESTMINSTER <br />E <br />N <br />D 4800 WEST 92ND AVE <br />O WESTMINSTER CO 80031 - 6387 <br />R <br />INSTRUCTIONS TO VENDOR: <br />1. If for any reason, delivery of this order is delayed beyond the delivery /installation date <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 />3. NOTE: Additional terms and conditions on reverse side. <br />­C PURCHASE <br />O <br />* ORDER <br />STATE OF COLORADO <br />P.O. # OE PDA 11000000004 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 b y this agency <br />Ship DIVISION OF WATER CONSERVATION <br />To: 1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br />Delivery/Installation Date: 04 - 30 -11 <br />F.O.B. DESTINATION STATE PAYS NO FREIGHT <br />SPECIAL INSTRUCTIONS: <br />LINE COMMODITYATEM UNIT OF <br />ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST <br />001 91843000000 <br />WATER CONSERVATION GRANT - WESTMINSTER WILL COMPLETE A WATER <br />CONSERVATION PLAN. PER SOW. CMS #20333. <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 />$38,130.00 <br />ate <br />DP -01 (R- 02/06) <br />