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V Colorado Dept of Transportation OF COlO <br /> 4201 E. Arkansas Ave. DATE:02/18/2016 �ti= =_•p urchase Order <br /> Denver, Co 80222 q0 State of Colorado <br /> IMPORTANT * 1� <br /> The PO# and Line# * < z <br /> Buyer: Purch under$5,000 must appear on all I876 <br /> Phone Number: invoices, packing <br /> Agency Contact: Deborah Penner slips, cartons and PO#421020731 Page# 1 of DECEIVED <br /> Phone Number: 970-826-3441 correspondence Award#: <br /> BID#: <br /> Vendor Master#:2000100 nq <br /> Phone: Invoice '� Lu <br /> Vendor Contact:MANNIE COLON <br /> TO: CDOT R3 MTCE SUPT CRAIG DIVISION OF RECLAMATION <br /> V 260 RANNEY ST. MINING AND SAFETY <br /> E STATE OF COLORADO Craig CO 81625 <br /> N 633 17TH ST # 1500 <br /> D DENVER CO 80202-3661 <br /> Payment will be made by this agency <br /> 0 <br /> Ship <br /> INSTRUCTIONS TO VENDOR TO: Colorado Dept of Transportation <br /> 260 RANNEY ST <br /> 1.If for any reason,deliver of this order is delayed beyond the deliver/Installation date shonar,please notify CRAIG CO 81625 <br /> the agency contact named at the top left(Right of cancellation is reserved in instances in ehich timely delivery is not made).2.All chemicals,equipment and materials must conform to the standards required by OSHA. Delivery/Installation Date'02/18/2016 <br /> 3.NOTE.Additional terms and conditions on reverse side or at address shown in Special Instructions. <br /> SPECIAL INSTRUCTIONS <br /> LINE PRODUCT NUMBER UOM QUANTITY UNIT COST TOTAL ITEM COST <br /> PRODUCT CATEGORY PLANT <br /> DESCRIPTION <br /> 00001 EA 1 791.00 791.00 <br /> 96200 3002 <br /> MAYBELL PERMIT <br /> ------------------------------------------------------------------------------------------------------------------------------------------------ <br /> DOCUMENT TOTAL: 791.00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FOR THE STATE OF COLORADO <br /> https://www.codot.gov/business/procurement-and-contract- <br /> services/purchase-order-terms-and-conditions/purchase-order-terms- <br /> and-conditions/view Authorized Signature Date <br /> DP-01(R-02/06) <br /> Signature not required if PO transmitted <br /> electronically. <br />