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WATER CONSERVATION BOARD DATE: 0 7-2 3-0 9 �``of c O�9 PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 "cam ORDER <br /> DENVER, CO 80203 IMPORTANT ** * <br /> The PO#and Line#must STATE OF COLORADO <br /> appear on all invoices, *! 7 <br /> Buyer: MAGGI E VAN CLEEF packing slips,cartons <br /> Phone Number: 303-866-3292 and correspondence P.O. # OE PDA 10000000001 Page# 01 <br /> Agency Contact DORI VIGIL <br /> Phone Number: 303 866 3441 ACC: 0 7-2 2-0 9 State Award # <br /> FEIN 300164283 Phone: - - BID# <br /> Vendor Contact LAWRENCE GALLEGOS Invoice in Triplicate <br /> Purchase Requisition To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> V EL CODO DITCH COMPANY DENVER, CO 80203 <br /> E <br /> N <br /> D PO BOX 34 <br /> O ANTONI TO CO 81120 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,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: 12-31-0 9 <br /> 3. NOIE:Additional terms and conditions on reverse side. F•OJL DESTINATION STATE PAYS NO FREIGHT <br /> SPECIAL INSTRUCTIONS: <br /> LINE COMMODRY/ITEM LINT OF <br /> ITEM CODE MEASL4*WW OUANTF" UNIT COST TOTAL ITEM COST <br /> 001 92535000000 $64,820.00 <br /> SAN ANTONIO RIVER - EL CODO DITCH DIVERSION REHABILITATION <br /> DOCUMENT TOTAL = S64,820 . 00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FOR THE STATE OF LORAD <br /> 7"his PO is effective on the date signed by the authorized individual. /A <br /> P4'O PAA ./L. y O <br /> Authorized Signatur Date <br /> DP-01(R•02I06) <br />