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WATER CONSERVATION BOARD DATE: 08-17-12 4'; c ° PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 ��� 0 <br /> ` '� ORDER <br /> DENVER, CO 80203 IMPORTANT * �� � ���; <br /> ' The PO#and Line#must * STATE OF COLORADO <br /> appear on all invoices, �'_% <br /> Buyer: ALLAN SMITH packing slips,cartons <br /> Phone Number: 303-866-3292 and correspondence P.O.# OE PDA 13000000026 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 866 3411 ACC: 08-16-12 State Award # <br /> FEIN 846000728 Phone: 970-686-7476 BID # <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> ✓ TOWN OF WINDSOR DENVER, CO 80203 <br /> E <br /> N <br /> D 301 WALNUT STREET <br /> O WINDSOR CO 80550 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: 10-31-13 <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 $14,058.00 <br /> WATER EFFICIENCY GRANT-TOWN OF WINDSOR WILL GIVE AWAY 1000 <br /> RESIDENTIAL WATER KITS, PER SOW. CMS#48051. <br /> DOCUMENT TOTAL = $14,058.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FO' ATE• OL;RADO <br /> This PO is effective on the date signed by the authorized individual. , / J�(y (( <br /> EPSPO PAA � L e �� %• dJ i7j <br /> A horized:gnature Dat <br /> DP-01(R-02/06) <br />