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WATER CONSERVATION BOARD <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br />Buyer: ALLAN SMI TH <br />Phone Number. 303-866-3292 <br />Agency Contact: STEVEN SHULL <br />Phone Number: 303 866 3441 <br />FEIN 491301738 <br />Vendor Contact: <br />Purchase Requisition tt: <br />v <br />E <br />N <br />D <br />O <br />R <br />DATE: 12-12-13 <br />IMPORTANT <br />The PO# and Line # must <br />appear on all invoices, <br />packing slips, cartons <br />and correspondence <br />ACC: 12-11-13 <br />Phone: — — <br />SMITH, THOMAS <br />1701 E 147TH STREET <br />KANSAS CITY <br />MO 64146 <br />'� �°��c°`°9 PURCHASE <br />� <br />v�ie � �O <br />* * ORDER <br />* *�� STATE OF COLORADO <br />P.O. # OE PDA 14000000062 Page# O1 <br />State Award # <br />BID # <br />Invoice in Tripiicate <br />To: DIVISION OF WATER CONSERVATION <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br />Payment will be made by this agency <br />Ship DIVISION OF WATER CONSERVATION <br />INSTRUCTIONS TO VENDOR: T�' 1313 SHERMAN STREET, ROOM 721 <br />t. It (or any reason, delivery of this order Is deiayed beyond the dellvery/Installatlon date DENVER, C� 8 � 2 � 3 <br />shown, piease notity the agency contact named at the top left. (Right ot cancellation is <br />reserved in Instances in which timely deiivery is not made.) <br />2. Ail chemlcals, equipment and materiais must contorm to the slandards required by OSHA. D6I IVBry!/I�StSI18tlOn DSte' O G— 3 O-14 <br />3. Nore: ndd�t�ona� terms and cond�t�o�s on reverse s�de. F.O.B. DESTI NATI ON • STATE PAYS NO FREI GHT <br />SPECIAL INSTRUCTIONS: <br />LINE COMMODITY/ITEM UNIT OF <br />ITEM CODE MEASUHEMENT DUANTITY UNIT COST TOTAL ITEM COST <br />001 91843000000 <br />SEV TA% GRANT—DROZ CREEK DAM LOCATED AT DROZ CREEK RESERVOIR <br />IN CHAFFEE COUNTY. PER SOW. CMS#63618. <br />AL <br />THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS <br />This PO Is effective on the date signed by lhe authorized Indivlduai. <br />EPSPO PAA <br />DP-01 (R•02/08) <br />$5,600.00 <br />�5.600.00 <br />i ����`� <br />Date <br />