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WATER CONSERVATION BOARD DATE: 04-13-12 � oF•cobs., PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 ce, �l� O'. <br /> ti � O'. <br /> bENVER, CO 80203 IMPORTANT * +t o,_*! ORDER <br /> The PO#and Line#must s,-,1( *' STATE OF COLORADO <br /> appear on all invoices, x,876«, <br /> Buyer: ALLAN SMITH packing slips,cartons <br /> Phone Number: 303-866-3292 and correspondence P.O. # OE PDA 12000000075 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 04-11-12 State Award# <br /> FEIN 840624420 Phone: — — BID # <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> v CITY OF DACONO DENVER, CO 80203 <br /> E <br /> N <br /> D PO BOX 186 <br /> o DACONO CO 80514 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 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 051-IA. <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 /> *NOTE* THIS ORDER WAS MODIFIED ON 04-11-12 <br /> LINE COMMODITY/ITEM UNIT OF <br /> ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST <br /> 001 91843000000 $35,230.00 <br /> WATER EFFICIENCY GRANT-DEVELOP A NEW RATE TABLE THAT WILL <br /> HELP WITH CONSERVATION IN DACONO. PER SOW. CMS#43071. <br /> DOCUMENT TOTAL = $35 ,230.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FOR Sy" COLORADO <br /> This PO is effective on the date signed by the authorized individual. 2A.A A <br /> EPSPO PAA , �` �f' / R )i / <br /> Au . zed Si. ature Da <br /> DP-01(R-02/06) <br />