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WATER CONSERVATION BOARD DATE: 05-26-09 Q• <br /> c_ • PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 ORDERDENVER, CO 80203 IMPORTANT * G`J *; <br /> The PO#and Line#must * *' STATE OF COLORADO <br /> Buyer: MAGGIE VAN CLEEF <br /> appear on slips,all invoices, <br /> x�: . <br /> Phone Number: 303-866-3292 packing socartonsen <br /> and correspondence P.O. # OE PDA 0 9 0 0 0 0 0 0131 Page# O 1 <br /> Agency Contact STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 05-22-09 State Award# <br /> FEIN 840562269 Phone: 970-522-1378 BID# <br /> Vendor Contact Invoice in Triplicate <br /> Purchase Requisition t: ToDIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> • LOWER SOUTH PLATTE WATER CONSERVNCY DENVER, CO 80203 <br /> N DISTRICT <br /> D 100 BROADWAY PLAZA SUITE 12 <br /> O STERLING CO 80751 Payment will 6e made bythis agency <br /> R Ship DIVISION OF WATER CONSERVATION <br /> INSTRUCTIONS TO VENDOR To: 1313 SHERMAN STREET, ROOM 721 <br /> I If for any reason,delivery of this order is delayed beyond the deliveryIInstallation 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: 06-30-09 <br /> 3. NOTE Additional terms and conditions on reverse side. F.08 DESTINATION STATE PAYS NO FREIGHT <br /> SPECIAL INSTRUCTIONS✓ <br /> IME COM lOorTYnrl IA IMT OF <br /> ITBl CODE IAEASUIEINBIT tXMMITY UNIT COST TOTAL ITEM COST <br /> 001 91843000000 $49,923.00 <br /> AGRICULTURAL EMERGENCY DROUGHT GRANT, PER ATTACHED GRANT <br /> AWARD <br /> DOCUMENT TOTAL = S49.923.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AM)FEDERAL REGULATIONS FOR THE STATE OF t,'1:< . <br /> This PO is Weave on the date sired by the authorized individual. <br /> 'M S/atelo <br /> signature <br /> DP-01(t-02/06) <br /> R. . Date <br />