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RECLAMATION, MINING & SAFETY <br />1313 SHERMAN STREET, ROOM 215 <br />DENVER, CO 80203 <br />Buyer. MAGGIE VAN CLEEF <br />Phone Number: 303-866-4188 <br />Agency Contact STEVE RENNER <br />Phone Number: 970 2 41 0336 <br />DATE: 08-25-08 �� PURCHASE <br />IMPORTANT * * ORDER <br />The PO# and Line # must *� * STATE OF COLORADO <br />appear on all invoices, <br />packing slips, cartons <br />and correspondence P.O. # OE PKA 09000000007 Page# 01 <br />ACC: 07-14-08 State Award # <br />FEIN 523065887 Phone: 970-872-2423 1 BlD r PKA-8- <br />Vendor Contact DARNELL OXFORD <br />Purchase Requisition #: <br />V OXFORD, DARNELL MARTIN <br />E <br />N RED DOG ENTERPRISES <br />D PO BOX 452 <br />O HOTCHKISS CO 81419 <br />R <br />Invoice in Triplicate <br />To: DIV RECLAMATION,MINING &SAFETY <br />1313 SHERMAN STREET, ROOM 215 <br />DENVER, CO 80203 <br />Payment will be made by this agency <br />Ship DESIGNATED JOB SITE, PER SPECS <br />INSTRUCTIONS TO VENDOR To: <br />i if for any reason, delivery of this order is delayed beyond the deliveryinstallation date <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 Delivery/Installation Date: 09-10-08 <br />s. NOTE: Additional terms and conditions on reverse side. F.O.B. DESTINATION STATE PAYS NO FREIGHT <br />SPECIAL INSTRUCTIONS: <br />*NOTE* THIS ORDER WAS MODIFIED ON 08-15-08 <br />LINE COMMODITY/ITEM UNIT OF <br />ITEM CODE MEASUIIBIENT OUAMm' UNIT COST TOTAL ITEM COST <br />001 96273000000 $31,427.00 <br />COAL BASIN DITCH RECONSTRUCTION—EXCAVATE, PROVIDE/INSTALL <br />RIPRAP, REVEGETATE PER QUOTE & AS APPROVED BY PROJECT MANAGR <br />DOCUMENT TOTAL — $31,427.00 <br />THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FOR THE STA OF RADO <br />This PO is effective on the date signed by the authorized individual. <br />FTHPO PAA <br />uorized Sign tune Da <br />DP -01 (R-02/08) <br />