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WATER CONSERVATION BOARD DATE: 10-26-11 �4, -�O'P PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 , i .\o <br /> i ,... <br /> DENVER, CO 80203 IMPORTANT * .V: <br /> �l * ORDER <br /> The PO#and Line#must * ° STATE OF COLORADO <br /> appear on all invoices, --i:76* <br /> Buyer: ALLAN SMITH <br /> packing slips,cartons <br /> Phone Number: 303-866-3292 <br /> and correspondence P.O. # OE PDA 12000000030 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 10-25-11 State Award # <br /> FEIN 846000545A Y Phone: 970-491-3599 BID # <br /> Vendor Contact: JUDITH WADMAN Invoice in Triplicate <br /> Purchase Requisition #: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> COLORADO STATE UNIVERSITY DENVER, CO 80203 <br /> N CASHIER' S OFFICE <br /> D 6015 CAMPUS DELIVERY - OSP <br /> O FORT COLLINS CO 80523-6015 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 /> 1. 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. Delivery/Installation Date: 06-30-12 <br /> 3. NOTE:Additional terms and conditions on reverse side. F.O.B. DESTI NATI ON STATE PAYS NO FREI GHT <br /> SPECIAL INSTRUCTIONS: <br /> LINE COMMODITY/ITEM UNIT OF <br /> ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST <br /> 001 91843000000 $34,753. 00 <br /> SEV TAX GRANT-ESTIMATING THE SHORT & LONG TERM EFFECTS OF <br /> THE CURRENT DROUGHT IN SOUTHERN COLORADO. PER SOW. CMS#37797 <br /> DOCUMENT TOTAL = $34 ,753.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS •R -E STATE OF f. GRAD• <br /> This PO is effective on the date signed by the authorized individual. / ' tsd�� (// <br /> EPSPO PAA G <br /> `a - ` _..... <br /> Authors"-. '•-ature Date <br /> DP-01(R-02/06) <br />