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<br />, <br />WATER CONSERVATION BOARD <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br /> <br />DATE: <br /> <br />09-19-06 <br /> <br /> <br />Buyer: <br />Phone Number: <br />Agency Contact <br />Phone Number: <br /> <br />MAGGIE VAN CLEEF <br />303-866-4188 <br />STEVEN SHULL <br />303 866 3998 <br /> <br />IMPORTANT <br />The PO# and line # must <br />appear on all invoices. <br />packing slips, cartons <br />and correspondence <br /> <br />PURCHASE <br />ORDER <br />STATE OF COlORADO <br /> <br />P.o. # <br /> <br />OE PDA 07000000022 Pagel 01 <br /> <br />ACC: 09-18-06 <br /> <br />State Award. <br />BID' <br /> <br />FEIN 840736777 <br />Vendor Contact <br />Purchase Requisition #: <br /> <br />Phone: <br /> <br />TOWN OF FI RESTONE <br /> <br />Invoice in Triplicate <br />T~ DIVISION OF WATER CONSERVATION <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br /> <br />V <br />E <br />N <br />o <br />o <br />R <br /> <br />PO BOX 100 <br />FIRESTONE <br /> <br />CO 80520 <br /> <br />PaYMent wiD be .ade by this lIfI8I'ICy <br />Ship DIVISION OF WATER CONSERVATION <br />To: 1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br /> <br />INSTRUCTIONS TO VENDOR: <br /> <br />I. If fOr any reason. delivery Of this crder is delayed beyOnd tile deliveryJiMlallation date <br />shown, pleese 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 /> <br />2. All Chemicals, equipment and materials must conform to the standards required by OSHA. <br /> <br />3, NOTE: AtklitionBI terms and conditions on rwerse side. <br /> <br />Deliverynnstallation Date: <br />F.O.B. DESTINATION <br /> <br />06-30-07 <br />STATE PAYS NO FREIGHT <br /> <br />SPECIAL INSTRUCTIONS: <br /> <br />UNE <br />ITEM <br /> <br />COMIlIODrrYIITBI <br />CODE <br /> <br />tNT OF <br />MEASl.flEIDff <br /> <br />CIUAIITTTT <br /> <br />UNrr COST <br /> <br />TOTAL fTBI COST <br /> <br />001 91843000000 <br />TOWN OF FIRESTONE WATER CONSERVATION PLAN. HB 1365 WATER <br />CONSERVATION PLAN. <br /> <br />$24,975.00 <br /> <br />nus PO IS ISSlED IN ACCORDANCE WITH Sf ATE AND FEDERAL REGUlA nONS <br />This PO is effective on the <fate signed by the authorized individu.1. <br />"""'" ...... <br /> <br /> <br />24 975.00 <br /> <br />q/;7J6 <br /> <br />DP-O 1 (R.02Ill6) <br />