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T 4 <br /> • <br /> WATER CONSERVATION BOARD DATE 07-01-04 _ PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 I yf% o; <br /> DENVER, CO 80203 IMPORTANT i* �t.G *! ORDER <br /> The PO#and Line*must .* `_. . STATE OF COLORADO <br /> •Buyer. JIM SHARP • appear on all invoices, �7e, . <br /> Phone Number. 303-866-2532 Packin sliPs,cartons P.O.• # OE PDA 05000000003 Page# 01 <br /> Agency Contact STEVEN•SHULL and correspondence <br /> Phone Number. 303 866 3998 ACC: 06-30-04 State Award # <br /> FEIN 840821008 Phone: — — Bid # <br /> Vendor Contact Invoice in Triplicate - • <br /> Purchase Requisition #: To= DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> e CENTENNIAL WATER & SANITATION DIST DENVER, CO 80203. <br /> N <br /> 0 62 WEST PLAZA DRIVE Payment will be made by this agency <br /> R HIGHLANDS RANCH CO 80126 <br /> Ship DIVISION OF WATER CONSERVATION <br /> INSTRUCTIONS TOVENDOR: TD: 1313 SHERMAN STREET, ROOM 721 <br /> t.H for any mason,dreamy areas order is evy.d beyond me dertvemenstallation data DENVER, CO 80203 <br /> shown,ph malty lty the agency correct named aeteetop M o t Might caneellasonis <br /> reserved In Deftness In which timely delivery Is not made.) • <br /> 2.A2 Chemicals,equlpmantat d mantel*must conrormtothe standards required by 0Si k. <br /> S.NOTE:Additional terms and condinonson mama Ms. Deliveryltnstallation Date: 12-31"05 <br /> F.O.B. DESTT NATI ON STATE PAYS NO FRR T t 97' <br /> SPECIAL INSTRUCTIONS: <br /> GOODS ARE NOT TO BE DELIVERED, OR SERVICES PERFORMED <br /> PRIG+R TO 07/01/04 <br /> LINE COMMOOITYIITEM WeT OF OUMMTY UNIT COST TOTAL ITEM COST <br /> ITEM CODE MEASUREMENT <br /> • <br /> 001 91858000000 $50,000.00 <br /> THE VENDOR WILL BUILD A SATELLITE WASTEWATER REUSE FOR NON— <br /> POTABLE IRRIGATION DEMO PROJECT. SEE EXHIBIT A FOR MORE INFO <br /> • <br /> • <br /> DOCUMENT TOTAL = $50,000.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS PORgIESTATE. DO <br /> • <br /> . • � • Igneture <br /> • <br />