PO 95-13 Purchase Order

• Contract/PO #: PO 95-13
• Contractor Name: Victor, City of
• Contract Type: Loan
• Loan Projects - Doc Type: Contract Documents

` r DATE: � c�.c� PURCHASE
�, ORDER
y s
o
IMPORTANT * 45 j *
The PO#and Line Item * * STATE OF COLORADO
must appear on all '1876
ect Inquiries To: invoices, packing slips, P.O. #
cartons, and
Phone Number: correspondence. Page#
FEIN Invoice in
Tripliate
Vendor Contact: Phone: To:
Purchase Requisition#:
✓ Terms:
E Payment will be made by this agency
N
D Ship
O To:
R
INSTRUCTIONS TO VENDOR:
1.On accepting verbal telephone order,purchase order number must be obtained before
making delivery. F.O.B.
2.All discounts must be noted on invoice. Delivery/Installation Date:
3.All chemicals,equipment and materials must conform to the standards required by OSHA. Agency Contact: Phone:
4.NOTE:Additional terms and conditions on reverse side.
SPECIAL INSTRUCTIONS:
LINE COMMODITY/ITEM UNIT OF QUANTITY UNIT COST TOTAL ITEM COST
ITEM CODE MEASURE
up
THIS PO IS ISSUED IN ACCORDANCE WIDTH STATE AND FEDERAL REGULATIONS. FOR THE STATE OF COLORADO
Form DP-01 (2/94)
395-53.05-0194 AGENCY COPY 2 Authorized Signature