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t D `^' ry.^l' <br /> ill AAg <br /> °v.cO` PURCHASE <br /> WATER CONSERVATION BOARD DATE: 03-03-14 AY °� <br /> 1313 SHERMAN STREET, ROOM 721 rte?9° <br /> ��`- ORDER <br /> DENVER, CO 80203 IMPORTANT *'� '���T <br /> The PO#and Line#must * STATE OF COLORADO <br /> appear on all invoices, */ 76 <br /> Buyer: ALLAN SMITH <br /> packing slips,cartons <br /> Phone Number: 303-866-3292 <br /> and correspondence P.O. # OE PDA 14000000088 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 02-28-14 State Award # <br /> FEIN 846000625 Phone: — — BID # <br /> Vendor Contact: GOVERNMENT Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> E CITY OF TRINIDAD DENVER, CO 80203 <br /> N <br /> D PO BOX 880 <br /> 0 TRINIDAD CO 81082 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: 06-30-14 <br /> 3. NOTE:Additional terms and conditions on reverse side. F.O.B. DESTI NATI ON STATE PAYS NO FREI GHT <br /> SPECIAL INSTRUCTIONS: <br /> LINE COMMODITY/ITEM UNIT OF <br /> ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST <br /> 001 91843000000 $14,000.00 <br /> SEV TAX GRANT-PERFORM A DAM BREACH MAP FOR 3DAMS-FISHER PEAK <br /> DETENTION DAM FPC-1&2,PINON CANYON DAM. PER SOW. CMS#66015. <br /> DO UMENT TOTAL = $14,000.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS 4fr,• E STATE OF COLORA <br /> This PO is effective on the date signed by the authorized individual. - <br /> MM ��MM FAA l/ <br /> Authorized Signature Date <br /> DP-01(R-02/06) <br />