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ECH/BaT A <br />~y(err ,B <br />Exui~~T E <br />~aiar r- F <br />ExurBr2'Cj <br />~~~ ~:~. <br />DEC 21 1918 <br />RECLAMATION SECTION <br />rp;p, Ccp`., of f~aturdl¢~@p~,SSE ORDER <br />E1 Paso County <br />DEPARTMENT OF PUBLIC <br />3170 Century, Colo. Spgs., <br />Seller ~ ~~~%ri~i=4`7 <br />Address /~:Ou-t[' <br />~~~2a-yc ~e' ~a~o~ <br />i• <br />Check One <br />WORKS <br />Colo. 80907 <br />Gravel <br />Water <br />soil C] <br />Other <br />NUMBER /4.3 <br />Dated ~d -o~ ~ 19z~ <br />Refer to the above number or <br />provide a cony of this order <br />with any claim you may find <br />necessary to file. <br />I declare that I am o•.aner of the real property wherein <br />exists and is located in Township /.~ (s), Range / w, <br />Section 7 ~ Quarter The Department of <br />Public Works may purchase from me, in the quantity <br />estimated below, during the period /D -~ 7 7~ to include <br />_/D - ~ 7- 79 ,, subject to the follow},n~ Special P ovcisions• <br />(If none this wild be so ngted hereon). ~_~~~Q~Ld__d-d.-~'~Gt~y.~~ <br />Unit of <br />Measure <br />~~~ <br />Cost <br />Per Unit <br />6'yC r2 Eiic"c' <br />/D ~` <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 />(Signature o Seller) <br />Purchase Order Acquired by~~ <br />Signatu~' <br />it 7 <br />~~ <br />/~ (Purchasing Agent) <br />By <br />Purchase Order Approved <br />Max L,~RO,thschild, P.E. <br />Director of Public Works/County Engineer <br />Approx. No. <br />of Units <br /> <br />