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~KNIB/T <br />l // <br />--~xHlsiT' <br />i:~~' 8 <br />F NiBii ,E <br />Ex~liecr F <br />~aca~r 4 <br />~~~+~i~_~~r° <br />DEC' 1 lyl~ <br />~EC~-~~",ni ~oN s~c-~~uuo~ <br />(olo.'vr,~~, oi'{~dR3~t3X1~E ORDER <br /> <br /> Gravel [] <br />Check One Water <br /> soil <br /> Other (~ <br /> NUMBER ~~_ <br />• E1 Paso County <br />DEPARTMENT OF PUBLIC WORKS <br />3170 Century, Colo. Spgs., Colo. 80907 <br />I declare that I am o-..mer of the real property wherein ~~~~4"~// <br />exists and is located in Township (s), Range W, <br />Section ~ Quarter The Department of <br />Public workPS may purchase from me, in the quantity <br />estimated below, during the period - to include <br />__?~-.~-7~ subject to the followin~ecial Pro n ~J~~ <br />(If none this wi},1 b~ so noted hereon) . ~??'~o~!~' _~~,~~GG~i~ <br />Unit of <br />Measure <br />~~ <br />Approx. No. <br />of Units <br />Dated `~~!'/ ~ 19~, <br />Refer to the above number or <br />provide a copy of this order <br />with any claim you may find <br />necessary to file. <br />Cost <br />Per Unit <br />~zs~~r~~ <br />43~` <br />Payments to be made monthly by warrants issued by E1 Paso County based upon <br />the number of units purchased during prior month. <br />(Signat a of Seller) <br />By <br />Purchase Order Approved by ~:"i_ / /~--~~,c,-fi G" <br />Max L. Rothschild, P.E. <br />Director of Public works/County Engineer <br /> <br />