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WATER CONSERVATION BOARD DATE: 03-15-13 -COLON PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 Nom %`O <br /> DENVER, CO 80203 IMPORTANT * *I ORDER <br /> The PO#and Line#must % *' STATE OF COLORADO <br /> Buyer: ALLAN SMI TH appear on all invoices, ` 76 <br /> packing slips,cartons <br /> Phone Number: 303-866-3292 <br /> and correspondence P.O.# . OE PDA 13000000086 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> 'Phone Number: 303 866 3441 ACC: 03-14-13 State Award # <br /> FEIN 846000614 Phone: 970-325-7352 BID # <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> CITY OF OURAY DENVER, CO 80203 <br /> N <br /> D PO BOX 468 <br /> O OURAY CO 81427 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. <br /> Delivery/Installation Date: Q 6-30-14 <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 $35,000.00 <br /> WATER EFFICIENCY GRANT-DEVELOP WATER EFFICIENCY ACTIVITIES <br /> FOR THE CITY OF OURAY. PER SOW. CMS#54063. <br /> DOCUMENT TOTAL = $35,000.00 <br /> THIS PO,IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FOR THE STATE OF CO ORADO <br /> This PO is effective on the date signed by the authorized Individual.EPSPO PAA <br /> etX I■ iMr44#Cill& <br /> Au orizedSi.nature Date <br /> DP-01(R-02/06) <br />