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Colorado Dept of Transportation 1 <br /> DATE:O1/30/2017 ; 4 _ �urchase Order <br /> 4201 E. Arkansas Ave. <br /> Denver, Co 80222 INQ i �I State of Colorado <br /> IMPORTANT <br /> The PO# and Line# <br /> Buyer: Purch under$5,000 must appear on all <br /> Phone Number: invoices, packing 1876 <br /> Agency Contact: Deborah Penner slips, cartons and PO#421030852 Page# 1 of 1 <br /> Phone Number: 970-826-3441 correspondence Award#: <br /> BID#: <br /> Vendor Master#:2000100 <br /> Phone: Invoice <br /> Vendor Contact:MANNIE COLON <br /> TO: CDOT R3 MTCE SUPT CRAIG <br /> v 260 RANNEY ST. <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 /> R Ship <br /> INSTRUCTIONS TO VENDOR TO: Colorado Dept of Transportation <br /> 260 RANNEY ST <br /> I If for any reason,delivery of this order is delayed beyond the delivery/Installation date shown,please notify CRAI G CO 81625 <br /> the agency contact named at the top left(Right of cancellation is reserved in instances in which timely delivery <br /> is not made) 2 All chemicals,equipment and materials most conform to the standards required by OSHA Delivery/Installation Date:02/28/2017 <br /> 3 NOTE Additional terms and conditions on reverse side or at address shown in Special Instructions <br /> SPECIAL INSTRUCTIONS 6itf1V'l <br /> LINE PRODUCT NUMBER UOM QUANTITY UNIT COST TOTAL ITEM COST <br /> PRODUCT CATEGORY PLANT <br /> DESCRIPTION <br /> 00001 AU 1.00 323.00 323.00 <br /> 96200 3002 <br /> PERMIT <br /> ----------------------------------------------------------------------------------------------------------------------------------------- <br /> DOCUMENT TOTAL: 323.00 <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 />