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WATER CONSERVATION BOARD DATE: 01-29-13 PURCHASE <br /> ,�� -°q`� <br /> 1313 SHERMAN STREET, ROOM 721 yam ,-\tva- <br /> DENVER, CO 80203 IMPORTANT '7 i1, * ORDER <br /> The PO#and Line#must *„ ,‘; STATE OF COLORADO <br /> appear on all invoices, x'76 <br /> Buyer: ALLAN SMI TH packing slips,cartons <br /> Phone Number: 303-866-3292 and correspondence P.O. #) OE PDA 13000000073 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 01-28-13 State Award # <br /> FEIN 911641772 Phone: — — BID# PDA-1329 <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> ✓ AMEC ENVIRONMENT & INFRASTRUCTURE DENVER, CO 80203 <br /> E <br /> N <br /> D 24376 NETWORK PLACE <br /> O CHICAGO IL 60673-1376 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 lett.(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. FA-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 $99,690.00 <br /> SEV TAX-COMPLETE REVISION OF THE DROUGHT MITIGATION PLAN FOR <br /> THE CWCB & FEMA. PER SOW. CMS#Q5433 <br /> DOCUMENT TOTAL , $99,690.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FOR THE STAT' •F COL•'ADO <br /> This PO is effective on the date signed by the authorized individual. �f <br /> EPSPO PA '— / 9 11 , <br /> Authori 7 ignature II Date <br /> DP-01(R-02/06) • <br />