EstesPark_WCPlan_PO

• Water Efficiency Grant Type: Water Conservation Planning Grant
• Contract/PO #: OE PDA 11-76
• Applicant: Town of Estes Park
• Project Name: Town of Estes Park Water Conservation Plan
• Title: Purchase Order
• Date: 1/19/2011
• County: Larimer
• Water Efficiency - Doc Type: Purchase Order

WATER CONSERVATION BOARD
°C c PURCHASE
DATE: 01-20-11 ,�� °9
1313 SHERMAN STREET, ROOM 721
o
IMPORTANT
ENVER CO 80203
,
o p
The PO# and Line # must STATE OF COLORADO
Buyer: ALLAN SMI TH
appear on all invoices,
packing slips, cartons
Phone Number: 303-866-3292
and correspondence P.O. # OE PDA 11000000076 Page# 01
Agency Contact: STEVEN SHULL
Phone Number 303 866 3441 1
ACC: 01 -19 -11 State Award #
FEIN 846000661 Phone: -
- BID #
Vendor Contact:
Invoice In Triplicate
Purchase Requisition #:
To: DIVISION OF WATER CONSERVATION
1313 SHERMAN STREET, ROOM 721
E TOWN OF ESTES PARK
DENVER, CO 80203
N
D PO BOX 1200
a ESTES PARK CO 80517
Payment will be made by this agency
R
Ship DIVISION OF WATER CONSERVATION
INSTRUCTIONS TO VENDOR:
To: 1313 SHERMAN STREET, ROOM 721
1. If for any reason, delivery of this order is delayed beyond the delivery /installation
date DENVER, CO 80203
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. Delivery /Installation Date: 10
3. NOTE: Additional terms and conditions on reverse side.
F.O.B. DESTINATION STATE PAYS NO FREIGHT
SPECIAL INSTRUCTIONS:
INE COMMODITY /ITEM UNIT OF
ITEM CODE MEASUREMENT
QUANTITY UNIT COST TOTAL ITEM COST
001 91843000000
$34,075.00
WATER EFFICIENCY GRANT - ESTES
PARK WILL COMPLETE A WATER CONS
ERVATION PLAN FOR THE TOWN.
PER SOW. CMS #28067.
U1'iGD17 Y =
FOR THE STATE OF COLORADO
Date
THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS
This PO is effective on the date signed by the authorized individual.
EPSM PM
DP -01 (R- 02/06)