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WATER CONSERVATION BOARD DATE: 05-26-09 Al;°� CO '.', PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 �� '= * . •', ORDER <br /> DENVER, CO 80203 IMPORTANT * ; G ? *; <br /> The PO#and Line#must *4:*,-..,,,.,*'' STATE OF COLORADO <br /> appear on all invoices, <br /> Buyer: MAGGIE VAN CLEEFpacps, <br /> Phone Number: 303-866-3292 and correspondences P.O.# OE PDA 09000000133 Page# 01 <br /> Agency Contact STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 05-22-09 State Award# <br /> FEIN 651180112 Phone: 970-522-6511 BID# <br /> Vendor Contact Invoice in Triplicate <br /> Purchase Requisition II: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> ✓ LOGAN WELL USERS INC DENVER, CO 80203 <br /> E <br /> N <br /> D PO B01 1172 <br /> O STERLING CO 80751 Payment will be made by this agency <br /> Rp DIVISION OF WATER CONSERVATION <br /> INSTRUCTIONS TO VENDOR: To: 1313 SHERMAN STREET, ROOM 721 <br /> I If tar any reason.delivery of Ws order is delayed beyond the delivery/installation nate DENVER, CO 80203 <br /> shown.please notify the agency contact named at the top left.(Right of cancellation i5 <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 tNSTRtlCTION& <br /> LAE C01111ODIY/ITEM UNIT OF <br /> Mkt CODE MEASUREMENT rJJANTIrt UNIT COST TOTAL RBI COST <br /> 001 91843000000 $218,618.00 <br /> AGRICULTURAL EMERGENCY DROUGHT GRANT, PER ATTACHED GRANT <br /> AWARD <br /> DOCUMENT AL = S218.618.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AM)FEDERAL REGULATIONS FOR THE, STA <br /> This PO is elective on the date signed by the authorized individual. y } <br /> EMPO MA <br /> DP-01(it O2ttl6) <br /> i �A udS•i bite <br />