ELCO_LeakDetection_PO

• Water Efficiency Grant Type: Water Conservation Implementation Grant
• Contract/PO #: OE PDA 11-03
• Applicant: East Larimer County Water District
• Project Name: Leak Detection Program
• Title: Purchase Order
• Date: 7/14/2010
• County: Larimer
• Water Efficiency - Doc Type: Purchase Order

WATER CONSERVATION BOARD
1313 SHERMAN STREET, ROOM 721
DENVER, CO 80203
Buyer: MAGGIE VAN CLEEF
Phone Number: 303 - 866 - 3292
Agency Contact: STEVEN SHULL
Phone Number: 303 8 6 6 3441
DATE: 07 -14-10
IMPORTANT
The PO# and Line # must
appear on all invoices,
packing slips, cartons
and correspondence
ACC: 07 -13 -10
FEIN 840521615 Phone: [phone]
Vendor Contact: EARNEST J. CROISSANT
Purchase Requisition #:
V EAST LARIMER COUNTY WATER DISTRICT
E
N
D PO BOX 2044
O FORT COLLINS CO 80522
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 conditions on reverse side.
c PURCHASE
New \ O
* ORDER
* '18 7 s * STATE OF COLORADO
P.O. # OE PDA 11000000003 Page# 01
State Award #
BID #
Invoice in Triplicate
To: DIVISION OF WATER CONSERVATION
1313 SHERMAN STREET, ROOM 721
DENVER, CO 80203
Payment will be made b y this agency
Ship DIVISION OF WATER CONSERVATION
To: 1313 SHERMAN STREET, ROOM 721
DENVER, CO 80203
Delivery/Installation Date: 11 - 30 -10
F.O.B. DESTINATION STATE PAYS NO FREIGHT
SPECIAL INSTRUCTIONS:
LINE COMMODITYATEM UNIT OF
ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST
001 91843000000
WATER EFFICIENCY GRANT - ELCO WILL HIRE A VENDOR TO DETECT WAT
ER LEAKS TO HELP CONSERVE WATER. PER SOW. CMS #20331.
THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS
This PO is effective on the date signed by the authorized individual.
EPSPO PAA
FOR THE STATE OF
$9,790.00
711 VI-)
Date
DP -01 (R- 02/06)