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WATER CONSERVATION BOARD DATE: 06-05-14 �woF coy <br /> °� PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 <br /> DENVER, CO 80203 IMPORTANT * � V.a >a*J ORDER <br /> The PO#and Line#must STATE OF COLORADO <br /> Buyer: ALLAN 5MI TH appear on all invoices, ``? <br /> andkior slips,cartons <br /> Phone Number: 303-866-3292 <br /> and correspondence P.O. • OE PDA 14000000130 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 06-04-14 State Award# <br /> FEIN 840688506 Phone: 970-513-5834 BID# <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> KEYSTONE CENTER DENVER, CO 80203 <br /> N <br /> D - 1628 STS JOHN ROAD <br /> • KEYSTONE CO 80435 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: 06-30-15 <br /> 3. NOTE:Additional terms and conditions on reverse side. F.O.B. DE ST I NATI ON STATE PAYS NO FREIGHT <br /> SPECIAL INSTRUCTIONS: <br /> • <br /> UNE COMMODITY/ITEM UNIT OF <br /> ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST <br /> 001 91843000000 $45,000.00 <br /> WATER EFFICIENCY GRANT-CONDUCT ADDRESS WATER USE AND LAND US <br /> E PLANNING NEXUS. PER SOW, CMS#70095. <br /> • <br /> DOCUMENT TOTAL = $45,000.00 <br /> THIS POTS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FOR THE STATE OF COLORADO <br /> This PO is effective on the date signed by the authorized individual. <br /> SPSPO PM <br /> ut r ig ature Dat <br /> DP-01(R-02/06) <br />