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WATER CONSERVATION BOARD DATE: 06-27-12 4:0 zds,p PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 �i ` <br /> DENVER, CO 80203 IMPORTANT (* 49 * ORDER <br /> �t�f�'�? <br /> ' The PO#and Line#must `*® �* STATE OF COLORADO <br /> appear on all invoices, */ 76 <br /> Buyer: ALLAN SMITH <br /> packing slips,cartons <br /> Phone Number: 303-866-3292 <br /> and correspondence P.O. # OE PDA 12000000088 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 06-26-12 State Award # <br /> FEIN 846000585 Phone: — — BID # <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> CITY OF EVANS DENVER, CO 80203 <br /> N <br /> D 1100 37TH STREET <br /> 0 EVANS CO 80620 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 OSHA. Delivery/Installation Date: 03-30-13 <br /> 3. NOTE:Additional terms and conditions on reverse side. F.O.B. DESTI NATION 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 $44, 026.00 <br /> WATER EFFICIENCY GRANT-DEVELOP A DROUGHT PLAN FOR THE CITY <br /> OF EVANS. PER SOW. CMS#46428. <br /> DOCUMENT TOTAL $44 ,026.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS !4FOR 1J1E STAT • .OLO <br /> This PO is effective on the date signed by the authorized individual. CZ ��/7I <br /> EPSPO PAA (4 [ l <� <br /> v <br /> Autho •d Signature Date <br /> DP-01(R-02/06) <br />