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GENERAL41708
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GENERAL41708
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Entry Properties
Last modified
8/24/2016 8:10:02 PM
Creation date
11/23/2007 11:21:13 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981053
IBM Index Class Name
General Documents
Doc Date
4/28/1993
Doc Name
Purchase Requisition PKA-3-0051
Permit Index Doc Type
Reclamation Project
Media Type
D
Archive
No
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STATE OF COLORADO <br />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 Z1P 81652 zIP <br />TERMS FOR TERMS FOB <br />DOC ID CODE NO. <br />PV DATE ACCT PRD BUD FY ACT PV TYPE <br />m <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 ~ 2 3 1 1 m <br /> <br />SUB-REV PROGRAM GBL FUNCTION REPORTING CA7 PROD/JOB NO OFf REC ACCT <br />~m M N R C <br />dlll TO -Name arw Atldress SHIP TO - Name anp Address <br />(Division of Minerals and Geology Designated Job Site <br />X1313 Sherman St., Rm. 215 <br />Denver, CO 80203 <br />I <br />' REOUEBTING AGENCY ~ Name and Address <br />i TELEPHONE I PERSON(S) TO CONTACT I <br />I 1 <br />~3amc as Eill T_c (303? <br />I 866-3567 Maggie Van Cleef <br />I here0y ceriity chat the supplies or services listetl are necessary for the successful operation FAx <br />! vi the agency and the puanh!y reaues!ed is the minimum amount and funtl designated is <br />suQicinm to cover same. 03 <br />AUTHORIZED SIGNATURE 8106 <br />83 <br />I <br />I ITEM CCM,MODIT.' NU.'.?v ER AND T r <br />NO. Vunrviiir uN1T - OOMP!ETE DESCRIPTION OP ITEM OR SERVICE neT AMVUrvI I <br />HEFEHENCE PRICE AGREEMIENI <br />Permi* IIC-81-053 <br />Blue Flame Coal Forfeiture Project <br />Shrub Planting, 1993 <br />1 1 Job Plant 500 shrubs at the Blue Flame Coal <br />- Revocation Site as specified in telephone <br />bid by Paul Krabacher <br />REQUESTED DE!IVE RV DATE <br />N/A $2200.00 <br />WHITE - Purcnasing Copy VELLOw ~ Accounts 8 Cpnvpl Copy PINK -Agency Copy GOLDENROD - Departmem Copy <br />
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