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q/A-tvl Piet PDarS rh> <br /> WATER CONSERVATION BOARD DATE: 10-30-12 ,c. °v.cotO PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 L o <br /> DENVER, CO 80203 IMPORTANT ,t+�)�. f�* ORDER <br /> The PO#and Line#must *„� <br /> -/ 76, STATE OF COLORADO <br /> Buyer ALLAN SMITH appear on all invoices, <br /> Packing slips,cartons <br /> Phone Number: 303-866-3292 <br /> and correspondence P.O. # OE PDA 13I BC 0 0 0 0 0 6 Page# 01 <br /> Agency Contact: DORI VI GI L <br /> Phone Number: 303 8 6 6 3441 ACC: 07-31-12 State Award # <br /> FEIN 273657002 Phone: — — BID # <br /> Vendor Contact: KEN VERTREES Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> E FRIENDS OF THE YAMPA DENVER, CO 80203 I <br /> N <br /> D PO BOX 771654 <br /> 0 STEAMBOAT SPRINGS CO 80477 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. DESTINATION STATE PAYS NO FREIGHT <br /> SPECIAL INSTRUCTIONS: <br /> *NOTE* THIS ORDER WAS MODIFIED ON 10-26-12 <br /> LINE COMMODITY/ITEM UNIT OF <br /> ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST <br /> 001 91843000000 $50,000.00 <br /> CMS#47583 - WSRA GRANT FOR THE YAMPA RIVER STRUCTURES <br /> PROJECT PER ATTACHED SCOPE OF WORK <br /> ,,De <br /> DOCUMENT TOTA ' = ,'" $50,000.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS C/ THE STATE OF C;j'RADO <br /> This PO is effective on the date signed by the authorized individual. ' / 1 <br /> Authorized Signature UI/Date [/l/ <br /> DP-01(R-02/06) <br />