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WATER CONSERVATION BOARD DATE: 08-21-13 <'ov cozO� <br /> -/-1--2-,:1) PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 �l ° ORDER <br /> DENVER, CO 80203 IMPORTANT I* +�4.9 <br /> The PO#and Line#must * * STATE OF COLORADO <br /> appear on all invoices, <br /> Buyer: ALLAN SMITH <br /> Phone Number: 303-866-3292 packing slips,cartons <br /> and correspondence P.O. # OE PDA 14000000023 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 08-20-13 State Award # <br /> FEIN 846000555 Phone: - - BID # <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> v 1313 SHERMAN STREET, ROOM 721 <br /> REGENTS OF UNIVERSITY OF COLORADO DENVER, CO 80203 <br /> • CU BOULDER SPONSORED PROJECT ACCT <br /> D 574 UCB <br /> O BOULDER CO 80309-0574 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.-all-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 $24 ,937.00 <br /> DROUGHT ASSESSMENT FOR RECREATION & TOURISM PHASE 2 FOR THE <br /> DROUGHT HAZARD MITIGATION PLAN. PER SOW. CMS#60094 . <br /> / DOCUMENT TOTAL / $24,937.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS • i°THE STATE OF COLD y:O <br /> EMPO MA This PO is effective on the date signed by the authorized individual. 47 �� / / <br /> Authorized Signature Date <br /> DP-01(R-02/06) <br />