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WATER CONSERVATION BOARD DATE: 05-26-09 �(°_<., '` PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 ORDER <br /> DENVER, CO 80203 IMPORTANT ,r ; GI4* *; <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: 303-866-3292 and correspondence P.0.1? OE PDA 09000000132 Page# 01 <br /> Agency Contact STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 05-22-09 State Award# <br /> FEIN 364528664 Phone: - - BID# <br /> Vendor Contact Invoice in Triplicate <br /> Purchase Requisition it: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> ✓ LOWER LOGAN WELL USERS INC DENVER, CO 80203 <br /> E <br /> N <br /> D PO BOX 1065 <br /> • STERLING STERLING CO 80751 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 /> I. if for any reason.delivery of this order is delayed beyond the delivery/Installation date DENVER, CO 80203 <br /> shown,pleat*notify Me agency contact named or the top left(Right of cancellation is <br /> reserved in instances in whidi 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 /> S. NOTE Atl6tiM81 terns and conditions on reverse aide F.O.B. DESTINATION STATE PAYS NO FREIGHT <br /> SPECIAL INSTRUCTION$ <br /> GOODS ARE NOT TO BE DELIVERED, OR SERVICES PERFORMED <br /> PRIOR TO 07/01/09 <br /> ulE C<1NMOOITY/ITEM UNIT OF <br /> ITBd CODE MEASURBANT ClUAHnnr UNIT COST TOTAL ITEM COST <br /> 001 91843000000 $164,882.00 <br /> AGRICULTURAL EMERGENCY DROUGHT GRANT, PER ATTACHED GRANT <br /> AWARD <br /> DOCUMENT TOTAL S164.882.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AN)FEDERAI.REGULATIONS FOR THE STATE OF io 1 ,' i 9 <br /> This PO is Weave on the date signed by the authorized individual. �/ //9 /�]p7- <br /> OP-01f;', .riredSi. .lurermro PA* Dale <br /> OP-01(R-02106) / <br />