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STATE OF COLORADO <br />PURCHASE REQUISITION <br />SUGGESTED VENDO NDA ES$ PURCHASE <br />ORD <br />ER NUMBER SUGGESTED VENDOR AND ADDRESS PURCHASE <br />ORDER NUMBER <br />Dirt-N-Iron ^ <br />~~ N <br />1417 326 Rd '~ VENDOR NUMBER VENDOR NUMBER <br />Sllt, CO ZIP ZIP i <br />rERMSTax ID: 522-31-6989 FOB rERMS FoB <br />DOC iD CODE NO. <br />:p A T P D <br />ppT PV <br />TYPE <br /> 9 <br />^ <br />4 <br />UND AGENCY ORG SUB-ORG APPR CODE 85 ACCT OBJECT BUB-OBJ REY SRC <br />2 0 P K A 2 2 0 5 m 5 6 4 ~ 2 3 1 1 m <br />SUB-REV PROGRAM GBL FUNCTION REPORTING CAT ppOJIJ08 NO OFF REC ACCT <br />m M N R C 2 0 5 E <br />BILL TO -Name aM Atldress SHIP TO -Name and Address <br />Division of Minerals and Geology Designated Job Site <br />1313 Sherman St., Rm. 215 <br />Denver, CO 80203 <br />REQUESTING AGENCY -Name and Atltlress TELEPHONE PERSON(S) TO CONTACT <br />Same as bill to 866-3567 Maggie Van Cl eef <br /> FAX <br /> 832-8106 <br />I hereby cedily Thal iha supplies or se ce isletl are nec s to ccessiul operation o11ne agency and Ne <br />quantity requested is Ne minimum am nl and designate is su cover same. <br /> <br /> AUT RIZE SIGNAT <br />ITEM ~ <br />N0. ~ QUANTITY UNIT OMMODI UMBER AND ~ <br />COMPLETE TIO OF ITEM OR SERVICE I UNIT i <br />COST ~ AMOUNT <br />1 <br />j <br />~ REFERENCEPRICEAGREEMENT n I <br />I <br /> 93 Maintenance-Coal Basin Maintenance- <br />f( Revegetation ' <br />i <br />1 Job Perform revegetation work per the attached ; N/A $7,900.00 <br /> <br /> <br />i I bid schedule <br />1 <br /> <br />l <br /> <br /> <br />i Per telephone bid to Paul Krabacher [ <br /> <br />i, <br />i <br />i <br /> <br />1 <br />s <br /> <br />~ <br />i <br />{ <br /> <br /> <br /> <br /> <br />EQUESTED DELIVERY DATE I <br />i <br />i <br /> <br /> <br />I <br />t <br />I <br /> <br /> <br />i <br />395-53-OS-Rld1 <br />WHITE - Purchasing Copy YELLOW - Accounts 8 ConVOI Gopy PINK ~ Agency Copy GOLDENROD ~ Department Copy <br />