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//// STATE OF COLORADO <br />/7`U~.v /d~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 Z1P 81652 zIP <br />TERMS FOB TERMS FOB <br />DOC tD CODE NO. <br />oaoo ®5~ <br />PV DATE ACCT PRD BUD FY ACT PV TYPE <br />®r zm®a^ <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 PROJlJOB NO OFF REC ACCT <br />m MN RC ~ ~ ~ ~ <br />BILL TO -Name and Atltlress' SNIP TO - Namn antl Atltlrass <br />Division of Mineral s and Geology Designated Job Site <br />1313 Sherman St., Rm. 215 <br />Denver, CO 80203 <br />I <br />REUUf STING AGENCY -Name arp Appress TELEPHONE pERSGN(S) 70 CGNTACT I <br />I <br />~Ssme as Bill To (303) ! <br /> 866-3567 itaggie Van Cieei <br />I hereby ceniiy that t s o ervices listetl are nece ry I~r the uccessful operation FAX <br />pt the agency antl Ih uantM ques ea is Ine minimum mp I an('~fu Ml esignatetl i5 <br />- <br />rcemrocp~er <br />/~y0` <br />/ <br />I,u~' - (303) <br />x <br />/ 832-8106 <br />1 / ` AUTHORI ED SIGNATURE <br />ITFM ( <br />NO L ""^t '-' ! _ COMMODITY NtIMgER AND <br />""" COMPLETE DESCRIPTION OF ITEM OR SFRVICF. UNIT <br />COST %:~.~OUdT , <br /> REP'cRENCE PRICE AGREEMENT a <br />I <br /> ! & ! Ener;y/ Blue Flame Forfeiture Proj. ; <br /> Permit 4kC-81-053 <br /> ~g~1tXX'gg3614X~~MYX~'143E~1k~E343F1fXgic14J14tEl:XX j <br /> Shrub Planting, 1993 i <br />1 1 Job Plant 500 shrubs at the Blue Flame Coal N/A $2200.00 i <br /> Revocation Site as specified in telephone ' <br /> bid by Paul Krabacher <br />i r <br /> REOUES7ED DELIVERY DATE <br />395.53-05.4161 <br />WHITE ~ Purchasing Cppy YELLOW - Acccums 8 Cpmml Copy PINK -Agency Copy GOLDENROD - Deparimem Copy <br />