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WATER CONSERVATION BOARD DATE: °� c°` PURCHASE <br /> E: 12-02-13 � ' °� <br /> 1313 SHERMAN STREET, ROOM 721 �y� r90 <br /> DENVER, CO 80203 IMPORTANT * `� * ORDER <br /> The PO#and Line#must * * STATE OF COLORADO <br /> appear on all invoices, /:76 <br /> Buyer: MAGGIE VAN CLEEF <br /> packing slips,cartons <br /> Phone Number: 303-866-3292 <br /> and correspondence P.O. # OE PDA 14000000055 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 3 ACC: 11-29-13 State Award # <br /> FEIN 261268215 Phone: 970-963-4959 BID # <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> RUEDI WATER & POWER AUTHORITY DENVER, CO 80203 <br /> N <br /> D 238 FAWN DRIVE <br /> 0 CARBONDALE CO 81623 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: 01-31-15 <br /> 3. NOTE:Additional terms and conditions on reverse side. F.O.B. DESTINATION 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 $93 , 538.13 <br /> WATER EFFICIENCY GRANT-FUND REGIONAL WATER CONSERVATION PLAN <br /> PER SOW. CMS#63061. <br /> DOCUMENT TOTAL $93 ,538.13 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS OR THE STAT • COL', <br /> This PO is effective on the date signed by the authorized individual j� <br /> EPSPO PAA F 1 <br /> Authorized Signature Date <br /> DP-01 (R-02/06) <br />