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A <br /> WATER CONSERVATION BOARD DATE: 08-17-12 ,�- PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 = ORDER <br /> DENVER, CO 80203 IMPORTANT * G j ; * <br /> The PO#and Line#must * + =' * STATE OF COLORADO <br /> appear on all invoices, ` <br /> Buyer: MAGGIE VAN CLEEF packing slips,cartons <br /> Phone Number: 303-866-3292 and correspondence P.O.# OE PDA 13IBC000008 Page# 01 <br /> Agency Contact DORI VIGIL <br /> Phone Number: 303 866 3441 ACC: 08-16-12 State Award# <br /> FEIN 846000800 * Phone: 719-657-4215 BID# <br /> Vendor Contact KARLA SHRI VER Invoice In Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> ✓ RIO GRANDE COUNTY DENVER, CO 80203 <br /> E <br /> N <br /> D 925 6TH STREET ROOM 207 <br /> O DEL NORTE CO 81132 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.D. DESTINATION STATE PAYS NO FREIGHT <br /> SPECIAL INSTRUCTIONS: <br /> LINE COMMOINTY/ITEM UNIT OF <br /> ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST <br /> 001 91843000000 $99,564.00 <br /> CMS#48054 - RIO GRANDE COUNTY HYDRGEOLOGIC STUDY IN THE RIO <br /> GRANDE RIVER BASIN <br /> DOCUMENT TOTAL = S99,564.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS F•' •LORADO <br /> This PO Is effective on the date signed by the authorized Individual #rave PM I-. a• re <br /> DP-01(R-02/06) <br />