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<br />WATER CONSERVATION BOARD <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br /> <br />DATE: <br /> <br />06-01-07 <br /> <br /> <br />PURCHASE <br />ORDER <br />STATE OF COlORADO <br /> <br />Buyer: <br />Phone Number. <br />Agency Contact <br />Phone Number: <br /> <br />MAGGIE VAN CLEEF <br />303-866-4188 <br />STEVSN 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 />P.o., <br /> <br />OE PDA 07000000086 Pagel 01 <br /> <br />ACC: 05-31-07 <br /> <br />State Award' <br />BIOI <br /> <br />FEIN 846000204 <br />Vendor Contact: <br />Purchase Requisition #: <br /> <br />Phone: 970-532-7700 <br /> <br />V <br />E <br />N <br />D <br />o <br />R <br /> <br />NORTHERN COLO WATER CONSV DISTRICT <br />SOUTH PLATTE FORUM <br />220 WATER AVENUE <br />BERTHOUD <br /> <br />Invoice in Triplicate <br />T~ DIVISION OF WATER CONSERVATION <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br /> <br />CO 80513 <br /> <br />Pay.-ent win be _ade by this agency <br /> <br />Sh~ DIVISION OF WATER CONSERVATION <br />To: 1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br /> <br />INSTRUCTIONS TO VENDOR: <br /> <br />1. Ir for any reason, delivery Of thiS arder is delayed beyonllthe deliveryJinsl8llation elate <br />shown, ple_ notify the agency contact named at the lop 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: AO<fitional terms and conditions on reverse side. <br /> <br />Delivery nnstallation Date: <br />F.O.B. DESTINATION <br /> <br />09-01-07 <br />STATE PAYS NO FREIGHT <br /> <br />SPECIAL INSTRUCTIONS: <br /> <br />UNE <br />ITEM <br /> <br />COMIiIODfTYIITBI <br />CODE <br /> <br />UNrr OF <br />ItIEASU&HiT <br /> <br />CIUAIITTTT <br /> <br />UNrr COST <br /> <br />TOTAL fTBI COST <br /> <br />001 91843000000 <br />HB 1254 GRANT WATER EFFICIENCY GRANT-AUDIO TOUR OF XERESCAPE <br />PROJECT PER ATTACHED TASK BREAKDOWN <br /> <br />$7,158.00 <br /> <br />THIS PO IS ISSlED IN ACCORDANCE WITH Sf ATE AND FEDERAL REGUlATIONS <br />This PO is effective on 1Ile <fate signed by the authorized individual. <br />EI'SFO ....... <br /> <br /> <br />7 158 00 <br /> <br />DP-Ol (R-02Ill6) <br /> <br />c'111c7 <br />Date <br />