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WATER CONSERVATION BOARD DATE: 08-30-12 ���; °�,.� PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 ORDER <br /> DENVER, CO 80203 IMPORTANT �* 'tt i'W►�O <br /> The PO#and Line#must \* STATE OF COLORADO <br /> appear on all invoices, `''6 <br /> Buyer: ALLAN SMITH packing slips,cartons <br /> Phone Number: 303-866-3292 and correspondence P.O. # OE PDA 13000000029 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 08-24-12 State Award # <br /> FEIN 846014562 Phone: 970-532-2096 BID # <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> E LITTLE THOMPSON WATER DISTRICT DENVER, CO 80203 <br /> N <br /> D 835 EAST HIGHWAY 56 <br /> O BERTHOUD CO 80513 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: 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 /> LINE COMMODITY/ITEM UNIT OF <br /> ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST <br /> 001 91843000000 $24,150. 00 <br /> WATER EFFICIENCY GRANT-CONDUCT A WATER RATE COST OF SERVICE <br /> STUDY FOR WATER CONSERVATION. PER SOW. CMS#48214. <br /> DOCUMENT TOTAL = $24,150.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FOR HE STATE OF COLORAD <br /> This PO is effective on the date signed by the authorized individual. <br /> EPSPO PAA `/ <br /> Authorized Signature; Date <br /> DP-01(R-02/06) <br />