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r i • <br /> WATER CONSERVATION BOARD DATE: 03-29-13 '.�°�...:c PURCHASE <br /> 1313 SHERMAN STREET, ROOM 721 ;a,-4 �'o <br /> DENVER, CO 80203 IMPORTANT `* 1 VI ►,**1 ORDER <br /> The PO#and Line#must * *' STATE OF COLORADO <br /> appear on all invoices, ��`�' <br /> Buyer: ALLAN SMITH packing slips,cartons <br /> Phone Number: 303-866-3292 and correspondence P.O. • OE PDA 13000000095 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 8 6 6 3441 ACC: 03-28-13 State Award # <br /> FEIN 840418055 Phone: — — BID # <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> E <br /> SANTA MARIA RESERVOIR COMPANY DENVER, CO 80203 <br /> N <br /> D 147 WASHINGTON STREET <br /> o MONTE VISTA CO 81144 Payment will be made by this agency <br /> R Ship DIVISION OF WATER CONSERVATION <br /> INSTRUCTIONS TO VENDOR: To: 1 313 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 ohemioels.equipment and materiel,must oonform to the standards required by 091-IA. <br /> Delivery/Installation Date: 06-30-13 <br /> 3. NOTE:Additional terms and conditions on reverse side. F.O.B. DESTINATION STATE PAYS NO FREIGHT <br /> SPECIAL INSTRUCTIONS: <br /> I . <br /> '- LINE COMMODITY/ITEM UNIT OF <br /> ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST <br /> 001 91843000000 $11,700 .00 <br /> SEV TAX GRNT-INUNDATION MAPPING FOR SANTA MARIA RES CO FOR 2 <br /> DAMS WITHIN THE COMPANIES SYSTEM. PER SOW. CMS#54631. <br /> DOCUMENT TOTAL = $11,700 .00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FOR THE STA E• COLORADO <br /> This PO is effective on the date signed by the authorized individual. <br /> 4! .. �� . <br />, ESPO PAA i, / e / =+ _ DR <br /> Au 7ize•,ignature <br /> DP-01(R-02/06) <br />