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°F°`° PURCHASE <br /> WATER CONSERVATION BOARD DATE: 09-05-12 4� T� <br /> 1313 SHERMAN STREET, ROOM 721 ° ORDER <br /> DENVER, CO 8 0 2 0 3 IMPORTANT ,Niti*,The PO#and Line#must „* STATE OF COLORADO <br /> appear on all invoices, 7s7s <br /> Buyer: ALLAN SMITH <br /> packing slips,cartons <br /> Phone Number: 303-866-3292 <br /> and correspondence P.O. # OE PDA 13000000031 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 09-04-12 State Award # <br /> FEIN 840530580 Phone: 719-542-4380 BID # <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition #: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> E ST CHARLES MESA WATER DISTRICT DENVER, CO 80203 <br /> N <br /> D 1397 ASPEN ROAD <br /> 0 PUEBLO CO 81006 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: 06-30-13 <br /> 3. NOTE:Additional terms and conditions on reverse side. <br /> FDA- 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, 919.66 <br /> WATER EFFICIENCY GRANT-REPLACE 400 OLD WATER METERS IN THE <br /> ST CHARLES WATER 259 RADIO READ METER. PER SOW. CMS#48725. <br /> DOCUMENT TOTAL i $49,919.66 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL THE STATE OF COLOR'.�0 <br /> This PO is effective on the date signed by the authorized individual. <br /> PSPO PAA / t�t.._ 97 cl( <br /> /' J( <br /> Author-.e. .nature Date <br /> DP-01(R-02/06) <br />