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1' PURCHASE <br /> WATER CONSERVATION BOARD DATE: 06-04-14 ,� ;,, <br /> 1313 SHERMAN STREET, ROOM 721 �e y.,,,,, <br /> DENVER, CO 80203 IMPORTANT .G`J ORDER <br /> � <br /> The PO#and Line#must STATE OF COLORADO <br /> appear on all invoices, <br /> Buyer: ALLAN SNITS packing slips, cartons <br /> Phone Number: 303-866-3292 and correspondence P.O.# OE PDA 14000000129 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 06-03-14 State Award# <br /> FEIN 840561304 Phone: - - BID# <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> ✓ MT CRESTED BUTTE WTR & SANITN DIST DENVER, CO 80203 <br /> E <br /> N <br /> D PO BOX 5740 <br /> O MT CRESTED BUTTE CO 81225 Payment will be made by this agency <br /> R Ship DIVISION OF WATER CONSERVATION <br /> INSTRUCTIONS TO VENDOR: To: 1n3�1TC3 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. Ali chemicals,equipment and materials must conform to the standards required by OSHA, Dalverylinstaliation Date: 06-30-15 <br /> 3. NOTE:Additional terms and conditions on reverse aide. F.O.B. DESTINATION STATE PAYS NO FREIGHT <br /> SPECIAL INSTRUCTIONS: <br /> UNE COMMODITYATEM UNIT OF <br /> ITEM CODE fMASUREWNT QUANTITY UNIT COST TOTAL REM COST <br /> 001 91843000000 $17,650.00 <br /> WATER EFFICIENCY GRANT-DEV 2 WATER CONSERVATION PLANS.MOUNT <br /> CRESTED BUTTE WATER & SANITATION DIST. PER SOW. CMS#70084. <br /> DO Ui:i TOTAL = X17,650.00 <br /> E ATE OF COLD' ri _ <br /> THIS PO IS ISSUED f ACCORDANCE WITH STATE AND FEDERAL REGULATIONS �� t /� !� <br /> This PO is effective on the date signed by the authorized individual e�. (/ `( <br /> rvrPO PAA <br /> Authorized Signature Date <br /> OP-01(R-02100) <br />