StCharlesMesa_MeterRplcmnt_PO

• Water Efficiency Grant Type: Water Conservation Implementation Grant
• Contract/PO #: OE PDA 12-10
• Applicant: St Charles Mesa Water District
• Project Name: Meter Replacement Program
• Title: Purchase Order
• Date: 7/26/2011
• County: Pueblo
• 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 840530580
Vendor Contact:
Purchase Requisition #:
DATE: 07 -26 -11
IMPORTANT
The PO# and Line # must
appear on all invoices,
packing slips, cartons
and correspondence
— c
PURCHASE
*
ORDER
STATE OF COLORADO
P.O. # OE
PDA 12000000010 Page# 01
ACC: 07 -25 -11 I StateAward #
Phone: 719 - 542 -4380 BID #
V ST CHARLES MESA WATER DISTRICT
E
N
D 1397 ASPEN ROAD
O PUEBLO CO 81006
R
INSTRUCTIONS TO VENDOR:
1. If for any reason, delivery of this order is delayed beyond the delivery /Installation 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.
Invoice in Triplicate
To: DIVISION OF WATER CONSERVATION
1313 SHERMAN STREET, ROOM 721
DENVER, CO 80203
Payment will be made by this agency
Ship DIVISION OF WATER CONSERVATION
To: 1313 SHERMAN STREET, ROOM 721
DENVER, CO 80203
Delivery /Installation Date: 06 -30 -12
F.O.B. DESTINATION STATE PAVS NO PRP.Tr_U
SPECIAL INSTRUCTIONS:
LINE COMMODITY /ITEM UNIT OF
ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST
001 91843000000 $49,915.65
WATER EFFICIENCY GRANT - REPLACE OLD WATER METERS IN THE WATER
DISTRICT. PER SOW. CMS #34598.
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
DP-01 (R- 02/08)
THE STATE
L-L� `zlz &tlel/
rture Date