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scij <br /> I tip <br /> `* ' PURCHASE <br /> WATER CONSERVATION BOARD DATE: 07-20-12 ,�' '• <br /> 1313 SHERMAN STREET, ROOM 721 '-' ;.~'�'• <br /> • <br /> DENVER Co 80203 IMPORTANT * * ORDER <br /> The PO#and Line#must *" STATE OF COLORADO <br /> appear on all invoices, <br /> Buyer. MAGGI E VAN CLEEF packing slips,cartons <br /> Phone Number: 303-866-3292 and correspondence P.O.# OE PDA 13I BC000002 Page# 01 <br /> Agency Contact: DORI VIGIL <br /> Phone Number: 303 8 6 6 3441 ACC: 07-19-12 State Award # <br /> FEIN 742212616 Phone: — — BID# <br /> Vendor Contact: Invoice In Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> • ASPEN SPRINGS METROPOLITAN DISTRICT DENVER, CO 80203 <br /> D• PO BOX 488 <br /> o PAGOSA SPRINGS CO 81147 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 tefL(Right of cancellation is <br /> reserved in instances In which timely delivery is not made.) <br /> 2. All chemicals.equipment end materials must conform to the standards required by OSHA. <br /> Delivery/Installation.Date: 07-31-13 <br /> 3. NOTE Additional terms and conditions on reverse side. F.O.B. DESTINATION. STATE PAYS NO FREIGHT <br /> SPECIAL INSTRUCTIONS: <br /> • <br /> • <br /> LINE COMMODITY/ITEM UNIT OF <br /> ITEM CODE MEASUREMENT QUANTITY MIT COST TOTAL ITEM COST <br /> 001 91843000000 $30,000.00 <br /> CMS#47160 - ASPEN SPRINGS WATER FILLING STATION <br /> DO UMENT TOTAL = S30,000.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FOR THE STATE 0 COL DO <br /> This PO is effective on the date signed by the authorized individual `/ !!`l , <br /> MAO ,A, �c�Aw1.y lvt L. <br /> Au rized Signature Date <br /> DP-01(R-02/013) <br />