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f/( V • <br /> WATER CONSERVATION BOARD DATE: 05-15-14 A�° 'c9 PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 a o <br /> DENVER, CO 80203 The PO#and Line#must **• ORDER <br /> �' STATE OF COLORADO <br /> appear on all invoices, <br /> Buyer: BRENDA HANNU packing slips,cartons <br /> Phone Number. 303-866-8627 and correspondence P.O. # OE PDA 14000000114 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number. 303 866 3441 ACC: 05-14-14 State Award # <br /> FEIN 846007781 Phone: - - BID# <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> v 1313 SHERMAN STREET, ROOM 721 <br /> E TOWN OF MONUMENT DENVER, CO 80203 <br /> N <br /> D 645 BEACON LITE RD <br /> O MONUMENT CO 80132 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. Delivery/Installation Date: 06-30-15 <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 $22,573.00 <br /> WATER EFFICIENCY GRANT-CONDUCT WATER LOSS AUDITS THAT WILL <br /> REVIEWED BY EXPERT REINHARD STURM. PER SOW. CMS#69095. <br /> DOCUMENT TOTAL = $22,573.00 <br /> THIS PO IS 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 /> EPSPO PKA ' y <br /> Authorized 1/11.---n/13.1,4 <br /> i ature D to <br /> DP-01(R-02/06) <br />