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WATER CONSERVATION BOARD DATE: 11-16-12 ��°E;,: PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 4. %„....e • <br /> DENVER, CO 80203 IMPORTANT * ;, 49 * ORDER <br /> The PO#and Line#must ** :.. ,�* STATE OF COLORADO <br /> Buyer: ALLAN SMI TH appear on all invoices, <br /> Phone Number: 303-866-3292 <br /> packing slips, encns <br /> and correspondence P.O.IT OE PDA 13000000058 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number. 303 866 3441 ACC: 11-15-12 State Award # <br /> FEIN 840625315 Phone: 970-565-7562 BID# <br /> Vendor Contact: Invoice In Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> V 1313 SHERMAN STREET, ROOM 721 <br /> E DOLORES WATER CONSERVANCY DISTRICT DENVER, CO 80203 <br /> N <br /> D PO BOX 1150 <br /> O CORTEZ CO 81321 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' 04-30-13 <br /> 3. ROTE:Additional terms and conditions on reverse side. F.O.B• DESTINATION STATE PAYS NO FREIGHT <br /> SPECIAL INSTRUCTIONS: <br /> LIM COMMODITY/ITEM UNIT OF <br /> ITEM CODE MEASUREMENT ou*wflTY UNIT COST TOTAL ITEM COST <br /> 001 91843000000 $10,000.00 <br /> WILD & SCENIC-FACILITATE MEETINGS ABOUT THE ANIMAS & PIEDRA <br /> WILD & SCWNIC WORKGROUPS. PER SOW. CMS#50923. <br /> DOCUMENT TOTAL ■ $10.000.00 <br /> THIS PO IS ISSUED IN ACCORDANCE ve on the WITH STATE AND FEDERAL REGULATIONS i/ J "E STATE OF COL'S <br /> This PO is effective on the date signed by the authorized Individual. / C //( <br /> ITSPO FAA <br /> Authorized Signature Date <br /> DP-01(H-02/Ott) <br />