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CO �� I K) <br /> WATER CONSERVATIONi BOARD DATE: 07-30-12 40 _c_ PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 ��� •,cs <br /> DENVER, CO 80203 , IMPORTANT I* t C<` ORDER <br /> '� <br /> r The PO#and Line#must ‘:+‘*- _• A': STATE OF COLORADO <br /> appear on all invoices, f <br /> Buyer. ALLAN SMI TH packing slips,cartons <br /> Phone Number: 303-866-3292 and correspondence P.Q. • OE PDA 13IBC000003 Page# 01 <br /> Agency Contact: DORI VIGIL <br /> Phone Number. 303 866 3441 ACC: 07-27-12 State Award # <br /> FEIN 204448864 Phone: 970-827-5406 BID# <br /> Vendor Contact: DAVI D FULTON Invoice In Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> ✓ EAGLE RIVER WATERSHED COUNCIL INC DENVER, CO 80203 <br /> E <br /> N <br /> D PO BOX 7688 <br /> O AVON CO 81620 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. Delivery/Installation Date: 12-31-13 <br /> 3. NOTE:Additional terms and conditions on reverse side. F.O.B. DESTI NATION 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 $30,000.00 <br /> CMS#47365- WSRA GRANT - CO RIVER INVENTORY & ASSESSMENT <br /> / ✓ <br /> n o� � <br /> • <br /> DOCUMENT TOTAL = / 530.000.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS <br /> s- E TATE OF COLORADO/ <br /> This PO Is effective on the date signed by the authorized individual. f .� 17/ /! <br /> Aot FPSPO MA , `t <br /> Authorized ..."-re Date <br /> DP-01(R-02/06) <br />