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<br />~N1.`iE'ALS & GEOLOGY <br />1313 SHERt-tA?Q STREET , ROOM 215 <br />DENVER, CO 80203 <br />Buyer: :'4AGGIa VAIr' CLEEF <br />Phone Number: 303-866-3567 <br />Agency Contact: DEBBIE MULLOY <br />Phone Number: 3 0 3 8 6 6- 3 5 6 7 <br />FEIN 840808831 <br />vendor Contact: E CROSBY <br />Purchase Requisition IF: <br />~/G~ <br />DATE: c ~p4~`~ PURCHASE <br />09-13-9~ ~ <br />'~~ ~ ORDER <br />IMPORTANT + \ . <br />The PO# and Line Item R +y ~," STATE OF COLO1tAD0 <br />must appear on all raTs <br />invoices, packing slips, <br />cartons, and PQ,#pD PKF. 96000000007 ~ge'b1 <br />correspondence. <br />State Award # <br />Phone: 303-443-32821 BIUA <br />v <br />E WALSH ENVIRONMENTAL SCIENTIST & ENG <br />N <br />D 4888 PEARL EAST CIRCLE STE 108 <br />O BOULDER CO 80301 <br />R <br />INSTRUCTIONSTO VENDOR: <br />II for any reason, delivery of this order Is delayed beyond the deliveryMstallatlon date <br />slwvm, please rattly the agartcy contact named at top left. (RIgM of cancellation is <br />reserved in Instaraes in which dmey delvery b not nlatle.) <br />.All chemicals, equipment and materials must canlorrrl to the standards required by OSHA. <br />.NOTE: Additlonel terms and mrMitlons on reverse side. <br />PECIAL INSTRUCTIONS: <br />Invoice in <br />Tdplieete DZV OE MINERALS & GEOLOGY <br />TOC 1313 SHERMAN STREET, ROOM 215 <br />DENVER, CO 80203 <br />I To: <br />will be made by this agency <br />DESiGidAT~~ JOB SITE, <br />Deliverynnstallation Date: 0 9 -1 3- 9 5 <br />F.O.B. DESTINATION POINT <br />I^ <br />~~ <br />~~ <br />LDlE COInAODRYATEY I1Nm OF OIUNRfY UNR COST TOTAL R61 COST ' <br />REM CODE YFJISUIIE <br /> <br />00 96240000000 ~' EAC 5,270.790 1.000000 $5,270.79 <br /> WESTERN SLOPE/HA KS N ST FFTCR CCT <br /> HAZARDOUS WASTE <br />\\ EMOV <br />~_ I,/PERMIT NO. C-8 -010 <br /> DOCUMENT TOTAL $5,270.79 <br />~ IIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS. <br />ARM DP,-01 (5/95) <br />5.90.55.0237. . <br />p I <br />cl <br />A~ <br />~: i <br />~) <br />it <br />VENDOR <br />/FJQOR~THE STATE F COLORADO <br />--.~~~/^~~Autho zed~SlGnaNre- <br />PER SPECS <br />