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WATER CONSERVATION BOARD DATE: 05-16-13 Ado PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 ''" <br /> DENVER, CO 80203 IMPORTANT * FJA * ORDER <br /> The PO#and Line#must \* STATE OF COLORADO <br /> appear on all invoices, x`876 <br /> Buyer: ALLAN SMITH <br /> packing <br /> or slips,cartons <br /> Phone Number: 303-866-3292 <br /> and correspondence P.O. # OE PDA 13000000107 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 05-15-13 State Award # <br /> FEIN 840198350 Phone: — BID # <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition #: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> TOWN OF ERIE DENVER, CO 80203 <br /> D PO BOX 750 <br /> O ERIE CO 80516 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: 02-28-14 <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 $37 ,452.00 <br /> WATER EFFICIENCY GRANT-TOWN OF ERIE WILL DEVELOP A DROUGHT <br /> MANAGEMENT PLAN. PER SOW. CMS#56328. <br /> DOCUMENT TOTAL $37 ,452 .00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FO•.THE STATE OF COLO'•DO <br /> This PO is effective on the date signed by the authorized individual. / P / <br /> EPSPO PAA S/� / <br /> Authorized Signature Date <br /> DP-01(R-02/06) <br />