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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. 303-866-3292 <br />Agency Contact: STEVE RENNER <br />Phone Number. 970 2 41 0336 <br />DATE: 10-27-10 oF .CO PURCHASE <br />H� o <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 11000000034 Page# 01 <br />ACC: 10-26-10 IStateAward# <br />FEIN Phone: 970-872-2423 I BSD 7 <br />vendor Contact: DARNELL OXFORD <br />Purchase Requisition M <br />V OXFORD, DARNELL MARTIN <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 />1. If for any reason, delivery of this order is delayed beyond the delivery/installation 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. <br />Delivery/Installation Date: 11-19-10 <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 OUANTITY UNIT COST TOTAL ITEM COST <br />001 96273000000 $17,300.00 <br />COAL BASIN EROSION CONTROL MAINTENANCE PER DOCUMENTED QUOTE <br />AND STEVE RENNER, PROJECT MANAGER. CMS# 25025 <br />THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS <br />This PO is effective on the date signed by the authorized individual. <br />EPSPO PM <br />DP -01 (R-02/06) <br />loi�s� <br />Date <br />