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WATER CON5ERVATION BOARD <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br />Buyer. TARA LARWI CR <br />Phone Number. 303-866 <br />AgencyContact: DORI VIGIL <br />Phone Number. 303 866 3441 <br />DATE: O g 2 Z Q <br />III�ORTANT <br />The PO# and Line � must <br />appear on all invoices, <br />packing slips, cartons <br />and correspondence <br />ACC: 09-21-10 <br />FEIN 742408579 A Phone: 970-259 <br />vendor Contact: LEE CAMPBELL , PRES I DENT <br />Purchase Requisition #: <br />v <br />E <br />N <br />D <br />0 <br />R <br />SAN JUAN RESRC CONSERVE & DEV CNCL <br />31 SUTTLE STREET <br />DURANGO CO 81303 <br />INSTRUCTIONS TO VENDOIt <br />1. N for any reason, delivery of this order is delayed beyond 1he deliverYfir�stallation date <br />shown, please notify the agency contact named at the top 1eft (Righi of car�celiatlon is <br />reserved tn instances in which Umeiy de�iverY is not made.) <br />, -,._,•;-• ; <br />. <br />�t `s ** <br />.. G .� <br />:.. <br />PURCHASE <br />ORDER <br />STATE OF COLORADO <br />p,p. # OE PDA 1100Q000028 Page# O1 <br />State Award # <br />BfD # <br />invoice in Triplicate <br />ro: DIVISION OF WATER CONSERVATION <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br />Parment wilt be tsade by ffiis <br />Shtp <br />To: <br />DIVISION OF WATER CONSERVATION <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br />2. All chemicals. equipment and materials must confarm to the standards raquired by OSHA• � �ive.yn�tanation uate- p 9- 3 a-12 <br />3. NOTE: Additional terms and condiUons on reverse side. F .O .e. DE5TI NATI ON . STATE PAYS NO FRE I GHT <br />SPECIAL INSTRUCTIONS: <br />LINE C�M11001TY/fTB1 �r � � �1' Cp$� TOTAL ITEM COST <br />ITEM COOE �� <br />001 92535000000 <br />W5RA GRANT - ANIMAS RIVER NEEDS ASSESSMENT CMS#22990 <br />$57,000.00 <br />DOCUIKENT TOTAL = S 5?..0 0 0. 0 Q <br />THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS POR THE TE OF OLORADO <br />This PO is eifective on the date signed by the authorized individuai. / , f ° / \ <br />('35f0 PAA j( �' e l `I f , 1..�{r -� � �'�.._ f �J <br />� Date <br />uilwriz SFgrteture <br />DP-01 (R-02/OB) <br />