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WATER CONSERVATION BOARD DATE: 08 �, °- C HA <br />PURL E S <br />1313 SHERMAN STREET ROOM 721 CA <br />IMPORTANT * ORDER <br />DENVER, CO 80203 The PO# and Line #must <br />STATE OF COLORADO <br />ALLAN SMITH appear on all invoices, <br />Buyer: packing slips, cartons <br />Phone Number 303-8 and correspondence P.O. # OE PDA 11000000016 Page# OIL <br />Agency Contact: STEVEN SHULL <br />Phone Number. 303 8 6 6 3441 ACC : 08 -13 - State Award # <br />FEIN 846000668 Phone: 303- 833--2388 1 BID # <br />Vendor Contact: Invoice In Triplicate <br />Purchase Requisition # : T o: DIVISION OF WA'T'ER CONSERVATION <br />1313 SHERMAN STREET, ROOM 721 <br />V TOWN OF FREDERICK DENVER, CO 80203 <br />E <br />N <br />D PO BOX 435 <br />O FREDERICK CO 80530-0435 Payment will be made by this agency <br />R Ship DIVISION OF WATER CONSERVATION <br />1313 SHERMAN STREET <br />INSTRUCTIONS TO VENDOR: To. r ROOM 721 <br />t . 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 06 <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 $15,000eoo <br />WATER EFFICIENCY GRANT -TOWN OF FREDERICK WILL COMPLETE A <br />WATER CONSERVATION PLAN. CMS #21872. <br />DOCUMENT TOT 15 000.00 <br />THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FOR THE STATE OF ORADO <br />This PO -is effective on the date signed by the authorized individual. <br />EPSPO PAA &2 <br />Authorized Signature Date <br />DP -01 (R- 02/06) <br />