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�v c°`� PURCHASE <br /> WATER CONSERVATION BOARD DATE: 01-21-14 �� ��q9 <br /> 1313 SHERMAN STREET, ROOM 721 ,, '''' <br /> lyi, r�o <br /> DENVER, CO 80203 IMPORTANT * Gs * ORDER <br /> The PO#and Line#must * - STATE OF COLORADO <br /> Buyer: ALLAN SMITH <br /> appear on all invoices, ` 76 <br /> packing slips,cartons <br /> Phone Number: 303-866-3292 <br /> and correspondence P.O. # OE PDA 14000000074 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 01-17-14 State Award # <br /> FEIN 846009165 Phone: — — BID # <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition #: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> E SECURITY WATER DISTRICT DENVER, CO 80203 <br /> N <br /> D 231 SECURITY BLVD <br /> 0 COLORADO SPRINGS CO 80911 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.(flight 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: 05-30-14 <br /> 3. NOTE:Additional terms and conditions on reverse side. <br /> "2- 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 $17 ,825.00 <br /> WATER EFFICIENCY GRANT TO FUND A WATER LOSS CONTROL AUDIT <br /> FOR SECURITY WATER DIST. PER SOW. CMS#64837. <br /> DOCUMENT TOTAL = $17 ,825.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS ••.,H ATE OF COLORAD <br /> This PO is effective on the date signed by the authorized individual. Air ;_t 2.L1(6--(7 <br /> meo FAA <br /> WIPP' Authorized irr ure Date <br /> DP-01(R-02/06) <br />