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~~ STATE OF COLORADO <br />~v~v Ydd~9.~ PURCHASE REQUISITION <br />SUGGESTED VENDOR AND ADDRESS PURCHASE <br />ORDER NUMBER SUGGESTED VENDOR AND ADDRESS PURCHASE <br />ORDER NUMBER <br />Dirt-N-Iron <br />1417 326 Road VENDOR NUMBER VENDOR NUMBER <br />Silt, CO ZIP 81652 ZIP <br />TERMS FOB TERMS FOB <br />DOC ID CODE NO. <br />ooalo 0 5~) <br />PV DATE ACCT PRD BUD FY ACT PV TYPE <br /> <br />FUND AGENCY ORG SUB-ORG APPR BS ACCT OBJECT SUB-OBJ REV SRC <br />2 7 0 P K A C C C 8 m 1 0 8~ 23" 1 1 m <br />SUB-REV PROGRAM GBL FUNCTION REPORTING CAT PROJ/JOB NO OFF REC ACCT <br />m M N R C <br />BILL TO -Name antl Atltlres> SHIP TO -Name an0 Atltlress <br />Division of Minerals and Geology Designated Job Site <br />1313 Sherman St., Rm. 215 <br />1 <br />Denver, CO 80203 <br />I REQUESTING AGENCY - Name anp Aapress <br />1 TELEPHONE PERSON(S) TO CONTACT ( <br />~ <br />Same as Bill To (30'1 <br /> 866-3567 Maggie Van Cleef <br />I heraGy certify that t s a ervmes listetl are nece ry ! the uccessiul operation FAX <br />of the agency antl to uanury ques etl Is the minimum mo ran funtl eslgnate0 Is I <br />sutnclentm cover ~arys <br />/ ~ ~ 303) <br />~ <br />/ 832-8106 <br /> AUTHORI ED SIGNATURE <br />ITEM ( <br />NO q ""~'T I" COMMODITY Nt1MRFR qND <br />""I' COMPi.ETE DESCRIPTION OF ITEM OR SERVICE UNIT <br />COST ^q'""'^' f <br /> RE-E=.E~acE RRicE AGREEMENT n ~ <br /> L ?~ L Energ~! Blue Flame Forfeiture Proj. ; <br />! Permit ItC-S1-053 ~ <br /> ~g#kXX'XM~il4X~~S3QgX~'143E~fJ4XlEl43El4XffilE~b~i4~'1EXX p <br /> Shrub Planting, !993 <br />1 1 Job Plant 500 shrubs at the Blue Flame Coal N/A $2200.00 <br /> Revocation Site as specified in telephone <br /> bid by Paul Krabacher <br /> i <br /> REQUESTED DELIVE RV DATE <br />395-53-g5-]1<1 <br />WHITE - Purcnasmg Copy YELLOW -Accounts 8 Comrol Copy PINK -Agency Copy GOLDENROD - Deparimem Capy <br />