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°� c°` PURCHASE <br /> WATER CONSERVATION BOARD DATE: 03-09-12 ��� �- o,�d <br /> 1313 SHERMAN STREET, ROOM 721 ., i o DENVER, CO 80203 IMPORTANT (* * ORDER <br /> The PO#and Line#must STATE OF COLORADO <br /> Buyer: ALLAN SMITH appear on all invoices, `"6 <br /> packing slips,cartons <br /> Phone Number: 303-866-3292 <br /> and correspondence P.O. # OE PDA 12000000070 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 03-08-12 State Award # <br /> FEIN 840605064 Phone: — — BID # <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> e MT WERNER WATER & SANITATION DIST DENVER, CO 80203 <br /> N <br /> D PO BOX 880339 <br /> 0 STEAMBOAT SPRINGS CO 80488 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. <br /> Delivery/Installation Date: 03-31-13 <br /> 3. NOTE:Additional terms and conditions on reverse side. F.O.B. DESTINATION STATE PAYS NO FREIGHT <br /> SPECIAL INSTRUCTIONS: <br /> LINE COMMODITY/ITEM UNIT OF <br /> ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST <br /> 001 91843000000 $49,500.00 <br /> WATER EFFICIENCY GRANT-IMPLEMENT A REBATE PROG TO REPLACE <br /> ALL OBSOLETE WATER DEVICES. PER SOW. CMS#41885. <br /> DOCUMENT TO AL = $49,500 .00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS / FOR THE STATE OLORADO <br /> This PO is effective on the date signed by the authorized individual. /! /( <br /> EPSPO FAA C <br /> horized Signature Date <br /> DP-01(R-02/06) <br />