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, , i''' tce <br /> � °• PURCHASE <br /> WATER CONSERVATION BOARD DATE: 06-03-09 a'' � <br /> 1313 SHERMAN STREET, ROOM 721 ORDER <br /> IMPORTANT '* V4 j*� <br /> DENVER, CO 80203 The PO#and Line#must 4(.4,' '4,* STATE OF COLORADO <br /> appear on all invoices, <br /> Buyer. MAGGIE VAN CLEEF packing slips,cartons <br /> PhoneNumber: 303-866-3292 and correspondence P.O.f OE PDA 09000000134 Page# 01 <br /> Agency Contact STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 06-02-09 State Award# <br /> FEIN 481298144 Phone: 719-254-5155 BID# <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition#, To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> ✓ LOWER ARKANSAS VALLEY WATR CNSRVNCY DENVER, CO 80203 <br /> E <br /> N <br /> D 801 SWI NK AVENUE <br /> O ROCKY FORD CO 81067 Payment will be made by this agency <br /> R Ship DIVISION OF WATER CONSERVATION <br /> INSTRUCTIONS TOVENDOR To: 1313 SHERMAN STREET, ROOM 721 <br /> I. if for any reason.delivery of this order is delayed beyond the detivery/Installatidn 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: 06-30-09 <br /> 3. NOTE Additional terns end conditions on reverse aide. F.O.B. DESTINATION STATE PAYS NO FREIGHT <br /> SPECIAL INSTRUCTIONS: <br /> LINE COMMODITY/ITEfi UNIT OF QUANTITY UNIT COST TOTAL ITEM COST ITEM 000E MEASUREMENT <br /> 001 91843000000 $32,485.93 <br /> AGRICULTURAL EMERGENCY DROUGHT GRANT, PER ATTACHED GRANT <br /> AWARD <br /> DOCUMENT -7 S32.485.93 <br /> THIS PO I8 ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FOR THE STA DOCUMENT: <br /> OF'OL DO /� <br /> This PO Is effective on the date signed by the authorized individual. 6// <br /> EPwPO PAA Y <br /> Aut Zed etwe Q Dale <br /> DP-01(R'o2/06) <br />