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WATER CONSERVATION BOARD DATE: 05-06-14 c <br /> °� PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 it-7 :...-��- ORDER <br /> ' IMPORTANT * a4 Via'j*% <br /> DENVER, CO 80203 The PO#and Line#must *�* ' *' STATE OF COLORADO <br /> appear on all invoices, �` s <br /> Buyer: BRENDA HANNU packing slips,cartons <br /> Phone Number. 303-866-8627 and correspondence P.O. # OE PDA 14000000115 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 05-05-14 State Award # <br /> FEIN 840736777 Phone: - - BID # <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> V TOWN OF FIRESTONE DENVER, CO 80203 <br /> E <br /> N <br /> D PO BOX 100 <br /> O FIRESTONE CO 80520 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: 03-30-15 <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 $31,703.68 <br /> WATER EFFICIENCY GRANT-UPDATE THE MUNICIPAL WATER EFFICIENCY <br /> PLAN. PER SOW. CMS#68771. <br /> DOCUMENT TOTAL = $31 ,703.68 <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.P 5/6//y <br /> EPSPO mu, ,/ <br /> Authori Signature Date <br /> DP-01(R-02/06) <br />