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WATER CONSERVATION BOARD DATE: 12-19-11 �l` • ' PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 ORDER <br /> DENVER, CO 80203 IMPORTANT • ;' (,�� + <br /> The PO#and Line#must * • - STATE OF COLORADO <br /> Buyer. ALLAN SMITH appear on all invoices, <br /> packing slips,cartons <br /> Phone Number: 303-866-3292 <br /> and correspondence P.O.# OE PDA 12000000045 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number. 303 866 3441 ACC: 12-16-11 State Award# <br /> FEIN 840625315 Phone: 970-565-7562 BID# <br /> Vendor Contact: Invoice In Triplicate <br /> Purchase Requisition#: Ta DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> • DOLORES WATER CONSERVANCY DISTRICT DENVER, CO 80203 <br /> N <br /> D PO BOX 1150 <br /> O CORTE Z 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: 03-31-13 <br /> 3. NOTE:Additional terms and conditions on reverse side. F.O.B. DESTINATION STATE PAYS NO FREIGHT <br /> SPECIAL INSTRUCTIONS: <br /> LINE CONUOC IY/ITEM UNIT OF <br /> ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST <br /> 001 91843000000 $30,000.00 <br /> WILD & SCENIC-TO HELP FACILITATE RIVER WORKGROUP MEETINGS IN <br /> REGARDS TO THE ANIMSA & PIEDRA RIVERS. PER SOW. CMS#39650. <br /> DOCUMENT TOTAL = S30.000.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FOR THE STATE OF COLORADO <br /> Thla PO is effective on the date signed by the authorized Individual. <br /> wu MA <br /> a re a <br /> DP-01(11.02/06) <br />