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°f c PURCHASE <br /> WATER CONSERVATION BOARD DATE: 08-07-13 ,� �- - �`. <br /> 1313 SHERMAN STREET, ROOM 721 /Q - ; \ , <br /> !y d' ° ORDER <br /> DENVER, CO 80203 'IMPORTANT * �� '� ��' *! <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 14000000019 Page# 01 <br /> Agency Contact: STEVEN SHULL <br /> Phone Number: 303 866 3441 ACC: 08-06-13 State Award # <br /> FEIN 846000721 Phone: — — BID # <br /> Vendor Contact: Invoice in Triplicate <br /> Purchase Requisition#: To: DIVISION OF WATER CONSERVATION <br /> 1313 SHERMAN STREET, ROOM 721 <br /> E CITY OF STEAMBOAT SPRINGS DENVER, CO 80203 <br /> N <br /> D PO BOX 775088 <br /> 0 STEAMBOAT SPRINGS CO 80477-5088 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: 06-30-14 <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 $6,250.00 <br /> SEV TAX GRANT-STEABOAT SPRINGS WILL COMPLETE 2 DAM BREACH MO <br /> DELING STUDIES & FLOOD INUNDATION MAPPING.PER SOW. CMS#59608 <br /> DO piT TOTAL = $6,250.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS F:' 'STATE OF COLORA•• <br /> This PO is effective on the date signed by the authorized individual. /^/�� <br /> EPSPO PAA 4/ 6/l/ <br /> t . ./ <br /> Authorized ignature Date <br /> DP-01(R-02/00) <br />