APPCOR12700

• Permit No: C1980002
• IBM Index Class Name: Application Correspondence
• Doc Date: 9/13/1995
• Doc Name: ORDER
• Media Type: D
• Archive: No

Op~rrlrR~-.LS & GEGLOG'i DnrE:
09-13-95
~~~
Dp'c III 1111111111111111
sss
'_313 SHERhIAiI STREET, ROOM 215 '"' ORDER

DENVER , C O 8 0 2 0 3 IMPORTANT
The POp and Line Item N a~a
* •
~
~
STATE OF COLORADO
must appear on all reia
Buyer: ~ , ~ F ,
MA=L-~ VAA CLEEF invoices, packing slips,
Phone Number: 3C3-366-3567 cartons, and P.O.#pD PKA 96000000008 Pagea01
Agency Contact
DEBBIE MULLOY correspondence.

Phone Number: 3 0 3 c o b 3 5 6 7 SteteAwardR
FEIN 54068269E Phone: g70-2 42-1835 BIDM
Vendor Contad: CHRISTiivE JOHNSTON
Imolte in
Purchase Requisition K: Triplleate DIV OF MINERALS & GEOLOGY
To: 1313 SHERMAN STREET, ROOM 215
V
E N.L}[ - ITS INC DENVER, CO 8C203
N KLH ENGINEERING OF GRAND JUNCTION
D 2516 FORESIGHT CIRCLE SUITE 9
O GF.AND JUNCTION CO 81505 Payment will be made by this agency
R Shp
To• DESIGNATED JOB SITE, PER SPECS
INSTRUCTIONS TO VENDOR:
t. If for any reason, tlellvery of this ortler Is tlalayetl beyorb the delNeryMStallatlon date
stavm, please notiy the agenq tooted remed et lop IeR (RIpM of mrnellatlon Is
reserved In insdnces m which tlmely delnery Is nol made.)
2. All Memkals, equipment arW materials must conform to Me stantlarts requlretl by OSHA.
3. NOTE: AdtliEOnal terms and contlNOns on reverse sitle. DBllveryMStallatlon Date: 0 9 -1 3 - 9 5
FO.B• DESTINATION POINT
SPECIAL INSTRUCTIONS:
LWE COYYODftyIITEY UIdr OF OIlAllilfy IINR C05T ~ TOfAL REL COST
REY CODE YFJLSUaE
001 92535000000 EAC 4,952.090 1.000000 $4,952.09
SOAP/OC#2
ENGINEERING ENVI ONME TAL SERV PER AT CHED COST SCHEDU E.
DOCUMENT TOTAL $4,952.09
THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS.
FORM DP-01 (555)
3os~~~aa VENDOR
FOR THESTAT OF'COLORADO~
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