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WATER CONSERVATION BOARD DATE: 08-10-12 ;t; PcoTo99 PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 IMPORTANT * 4' ;� �� ORDER <br /> DENVER, CO 80203 The PO#and Line#must -x, * <br /> „40.-76 STATE OF COLORADO <br /> appear on all invoices, <br /> Buyer: ALLAN SMITH <br /> Phone Number: 303-866-3292 packing slips,cartons <br /> and correspondence P.O. # OE PDA 13000000017 Page# 01 <br /> Agency Contact: <br /> Phone Number: ACC: 08-09-12 State Award # <br /> FEIN 453233132 Phone: — — BID # <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> RECHARGE COLORADO DENVER, CO 80203 <br /> D 357 MCCASLIN BLVD STE 200 <br /> O LOUSIVILLE CO 80027-2932 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: 11-30-12 <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 $34,925.00 <br /> WATER EFFICIENCY GRANT-EDUCATIONAL WORKSHOPS FOR WATER & ENE <br /> RGY CONSERVATION. PER SOW. CMS#47727. <br /> DOC E TOTAL = 34 925.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS , OR E-TATE 0 COL•:ADO <br /> This PO is effective on the date signed by the authorized individual. ( <br /> `S <br /> Authorized C/ S/ Date <br /> DP-01 (R-02/06) , <br />