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WATER CONSERVATION BOARD <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br />Buyer: ALLAN SMITH <br />Phone Number: 303 - 866 - 3292 <br />Agency Contact: STEVEN SHULL <br />Phone Number 303 8 6 6 3441 <br />DATE: 12-21-10 <br />IMPORTANT <br />The PO# and Line # must <br />appear on all invoices, <br />packing slips, cartons <br />and correspondence <br />ACC: 1 2 -20 -10 <br />FEIN 846007781 Phone: — — <br />Vendor Contact: <br />Purchase Requisition #: <br />V TOWN OF MONUMENT <br />E <br />N <br />D PO BOX 325 <br />O MONUMENT CO 80132 -0325 <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 11000000067 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 by this <br />Ship DIVISION OF WATER CONSERVATION <br />To: 1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br />Delivery/Installation Date: 09 <br />F. 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 $36,470.00 <br />WATER EFFICIENCYGRANT - DEVELOP A WATER CONSERVATION PLAN FOR <br />THE TOWN OF MONUMENT. PER SOW. CMS #27253. <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 />DP-01 (R- 02/06) <br />FOR THE STATE OF <br />/�� /a (2 ( ( (U <br />signature Date <br />