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_.3 S;iER?4AN STREET. Z00'•f 2i~ <br />-=PiVE?, CO 80203 <br />Buyer: <br />A7,;GGIc V,=.N CLEEF <br />PhoneNUmber: 703-866-3567 <br />Agency Contact: DEBB i E MULLOY <br />PhoneNUmber: 303 866-3567 <br />FEIN 840808831 Phone: <br />Vendor Contact E CROSBY <br />Purchase Requisition q: <br />DATE: n9-t 3-95 <br />IMPORTANT <br />The POA end Une Item q <br />must appear on ell <br />invoices, packing slips, <br />cartons, and <br />conespondence. <br />Op.C40 III III'lllllllll III <br />~0 ~ P ---- 999_~~ I <br />~e ~ ORDER <br />;'~"+ STATE OF COLORADO <br />• l076 <br />RO.#pD PKA 46000000007 Pagarbl <br />State Award # <br />BID q <br />303-443-3282 <br />v <br />E '~^1~.L:'H EN'JIRONMFNTAL SCIENTIST E ENG <br />N <br />D 1833 PEARL EAST CIRCLE STE 108 <br />D BOULDER CO 80301 <br />R <br />Imolce In <br />Triplleete DIV OF MINEF.ALS & GEOLOGY <br />To: 1313 SHERMAN STREET, ROOM 2i5 ~ <br />DEP7VER, CO 80203 <br />Payment will be made by this agency <br />To: <br />INSTRUCTIONS TO VENDOR: <br />II for any reason, delivery W this order Y delayed beyerttl the dellvery/traaliatbn date <br />stwwn, please noory the agerwY mrrcad rained et top IeR (ILgM of rartcellatbn Is <br />reserved in Instances In which tlmey delivery Y not made.) <br />All ~emicals, equipment and materials must conbrm to Ne SWldarde required by OSHA. <br />DeiiveryAnstallatlon Date: 0 9 -13 - 9 5 <br />NOTE: Addmorel lama end corMitlora on reverse aide. <br />F.O.B. DESTINATION POINT <br />PECIAL INSTRUCTIONS: <br />l1NE COYYODRyIREJI llraf OF OIYMRY UNm COST ~ TOfAL frEY COST <br />ITEY CODE YEASUnE <br />DO 96240000000 EAC 5,270.790 1.000000 $5,270.79 <br /> WESTERN SLOPE/HA KS N ST FFTCR ACCT <br /> HAZARDOUS WASTE EMOV L/PERMIT N0. C-8 -0710 <br /> DOCUMENT TOTAL $5,270.79 <br />IIS PO IS ISSUED IN ACCORDANCE WfTH STATE AND FEDERAL REGULATIONS. <br />ARM DP-0t (595) <br />53P53.07,q ~ VENDOR <br />DESIGNATED JOB SITE, ?ER SPECS <br />FOR THE STATE F COLORADO <br />AuNO ed Sidnature <br />'~ <br />W) <br />c <br />