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PURCHASE <br /> WATER CONSERVATION BOARD DATE: 03-03-OS ,a*•c° , <br /> � <br /> 1313 SHERMAN STREET, ROOM 721 <br /> DENVER, Co 80203 IMPORTANT * ,�� <br /> , a *; ORDER <br /> The PO#and Line#must *.,*- ...= * STATE OF COLORADO <br /> appear on all invoices, *- = <br /> Buyer: MAGGIE VAN CLEEF packing slips,cartons <br /> Phone Number: 303-866-4188 and correspondence P.O.# OE PDA 08000000085 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 8 6 6 3998 ACC: 02-29-08 State Award # <br /> FEIN 846000569 Phone: — — BID# <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> ✓ CITY OF CANON CITY DENVER, CO 80203 <br /> E <br /> N <br /> D PO BOX 1460 <br /> o CANON CITY CO 81215-1460 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: 06-30-08 <br /> S. 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 $25,000.00 <br /> SEV TAX GRANT-CANON CITY WILL DRAFT A DESIGN FOR AN RICD ON <br /> THE ARKANSAS RIVER PER ATTACHED SCOPE OF WORK <br /> DOCUMENT TO)!;,-- ---)T/ S25.000.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FOR THE STAT LORAD&T <br /> This PO is effective on the date signed by the authorized individual. \ �r G 77 )PLO PAA u Date <br /> DP-01(R-02/06) ,J <br /> I <br />