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WATER CONSERVATION BOARD DATE: 05-06-13 °F �O� PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 i % 90 <br /> DENVER, CO 80203 IMPORTANT ORDER <br /> The PO#and Line#must * '` —° STATE OF COLORADO <br /> appear on all invoices, 1:76 <br /> Buyer: ALLAN SMITH <br /> Phone Number: 303-86 6-3292 packing slips,cartons <br /> and correspondence P.O.# OE PDA 13000000104 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 05-03-13 State Award # <br /> FEIN 840521615 Phone: 970-493-2044 BID# <br /> Vendor Contact: EARNEST J. CROISSANT Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> V <br /> EAST LARIMER COUNTY WATER DISTRICT DENVER, CO 80203 <br /> N <br /> D PO BOX 2044 <br /> 0 FORT COLLINS CO 80522 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: 12-31-13 <br /> 3. NOTE:Additional terms and conditions on reverse side. F.O.B. DESTI NATI ON 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 ,775.00 <br /> WATER EFFICIENCY GRANT-FUND A WATER RATE STUDY. PER SOW. <br /> CMS#55790. <br /> DOCUMENT TOTAL $24 ,775.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS •T TATE 0 '4LORyet <br /> This PO is effective on the date signed by the authorized individual.MA 1 � �� <br /> EPSPO A (f/I y <br /> Authorized Signature Date- <br /> DP-01(R-02/Q6) <br />