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WATER CONSERVATION BOARD DATE 05-04-07 ,"N.. PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 `' 7. ' i�; ORDER <br /> DENVER, CO 80203 IMPORTANT * ; G`J <br /> The POEM and Line#must **`.L-{,* STATE OF COLORADO <br /> Buys MAGGIE VAN CLEEF appear on all invoices, <br /> packing slips,cartons <br /> Phone Number: 303-866-4188 <br /> and correspondence P.O. # OE PDA 07000000080 Pagel, 01 <br /> Agency Contact STEVEN SHULL <br /> PhoneNumber: 303 866 3998 ACC: 05-03-07 State Award# <br /> FEIN 840628885 Phone: 970-247-1302 BID# <br /> Vendor Contact Invoice in Triplicate <br /> Purchase Requisition it: To: DIVISION OF WATER CONSERVATION <br /> v 1313 SHERMAN STREET, ROOM 721 <br /> E SOUTHWESTERN WATER CONSERVATION DIS DENVER, CO 80203 <br /> N <br /> D PO BOX 475 <br /> O DURANGO CO 81302 Payment grin be made by this agency <br /> R Ship <br /> DIVISION OF WATER CONSERVATION <br /> INSTRUCTIONS TO VENDOR <br /> To 1313 SHERMAN STREET, ROOM 721 <br /> 1. If for any reason,denuerY of this order is delayed beyond the deliverWinstatiatlon date DENVER, CO 80203 <br /> shown.please notify the agency contact named at the lop 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: 06-30-07 <br /> 9. NOTE Additional terms and conditions on reverse side. F.O.B. <br /> DESTINATION STATE PAYS NO FREIGHT <br /> SPECIAL INSTRUCTIONS: <br /> LINE COMMOD l y/rr a UNIT OF <br /> ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST <br /> 001 91843000000 $10,000.00 <br /> SEVERANCE TAX GRANT:RIVER PROTECTION WORKGROUP-REACH COMMON <br /> UNDERSTANDING AMONG PONT ENTITIES RE: WATER ISSUES. <br /> DOCUMENT •TAL = S10.000.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FOR �. COLORADO <br /> This PO is effective on the date signed by dIB authorized P individual. � <br /> �9b PAA <br /> G <br /> Au�ioriz ,Sure ate <br /> DP-01(R 02/08) gn. / <br />