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• • <br /> . O� � c <br /> CONSERVATION BOARD DATE: 03- 31- 11�, >._ ° �;: ; v\I <br /> 1313 SHERMAN STREET, ROOM 721 ` , A � <br /> `' <br /> IMPORTANT * � �s�; �� E <br /> DENVER, CO 80203 0 The PO# and Line # must " i' STATE OF COLORADO <br /> appear on all invoices, / <br /> B uyer: ALLAN SMITH packing slips, cartons <br /> Phone Number: 303 and correspondence P.O. # OE PDA 11000000104 Page# 01 <br /> Agency Contact: STEVEN AHULL <br /> Phone Number: 303 866 3441 ACC: 03 -30 -11 State Award # <br /> FEIN 840515829 Phone: - - BID # <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition #: Tm DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> • NORTH TABLE MOUNTAIN WATER DENVER, CO 80203 <br /> • & SANITATION DISTRICT <br /> D 14806 WEST 52ND AVENUE <br /> O GOLDEN CO 80403-1228 Payment will be made by this agency <br /> R Ship DIVISION OF WATER CONSERVATION <br /> INSTRUCTIONS TO VENDOR: To: 1313 SHERMAN STREET, ROOM 721 <br /> 1. 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 deft. (Right of cancellation is 7 <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: 12-31-12 <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 $25,370.00 <br /> WATER EFFICIENCY GRANT - TO IMPLEMENT 3 CONSERVATION MEASURES <br /> IDENTIFIED IN THE WATER CONSERVATION PLAN.PER SOW. CMS #30155 <br /> DOCUMENT TOTAL 525.370.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS F R THE STATE OF COLO DO <br /> This PO is effective on the date signed by the authorized individual. v �� G <br /> EPSPO PAA 3(3//i( <br /> Authori Signature Date <br /> DP -01 (R- 02/06) <br />