Dacono_WCPlan_PO

• Water Efficiency Grant Type: Water Conservation Planning Grant
• Contract/PO #: OE PDA 11-48
• Applicant: City of Dacono
• Project Name: City of Dacono Water Conservation Plan
• Title: Purchase Order
• Date: 11/9/2010
• County: Weld
• Water Efficiency - Doc Type: Purchase Order

WATER CONSERVATION BOARD
1313 SHERMAN STREET, ROOM 721
DENVER, CO 80203
Buyer: ALLAN SMITH
Phone Number: 303- 866 -3292
Agency Contact: STEVEN SHULL
Phone Number. 303 866 3441
FEIN 840624420 Phone: -
Vendor Contact:
Purchase Requisition M
DATE: 11-09-10
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PURCHASE
IMPORTANT
* *
ORDER
The PO# and Line # must
* *
STATE OF COLORADO
appear on all invoices,
/
packing slips, cartons
and correspondence
P.O. # OE PDA
11000000048 Page# 01
ACC: 11 -08 -10
State Award #
_
I
BID #
V CITY OF DACONO
E
N
D PO BOX 186
O DACONO CO 80514
R
INSTRUCTIONS TO VENDOR:
I. If for any reason, delivery of this order is delayed beyond the delivery /Instaliatlon 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.
SPECIAL INSTRUCTIONS:
Invoice in Triplicate
To: DIVISION OF WATER CONSERVATION
1313 SHERMAN STREET, ROOM 721
DENVER, CO 80203
Payment will be made by this
Ship DIVISION OF WATER CONSERVATION
To: 1313 SHERMAN STREET, ROOM 721
DENVER, CO 80203
Del Ivory/install atlon Date 09 -30 -11
IF- 0 . 6 - DESTINATION STATE PAYS NO FREIGHT
LINE COMMODIMTEM UNIT OF
ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST
001 91843000000 $35,105.00
WATER EFFICIENCY GRANT- CITY_OF DACONO WILL COMPLETE A WATER
CONSERVATION PLAN. PER SOW. CMS #25499.
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 COL DO
AdthMIza&SIonature Date
DP -01 (R -02/08)