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tIPlER~~ 5 GE'J! OG', <br />t ;; I ' S~ER'AA"! STREET. ROGM 21 5 <br />G.^JVtF. ~..G &J2i_ <br />Buyer: ".1P._:GIE VAN CLEEF <br />Phone Number: 303-865-~11 SS <br />AgencyContact:PAUL h:RABACHER <br />Phone Number: 3 0 3 8 6 c 3 5 b 7 <br />FEIN ~1 ~~ 0z41~ <br />Vendor Contact: <br />Purchase Requisition M: <br />DATE: 1 ! -25-97 <br />IMPOATANT <br />7Te POA~ antl Line Item M <br />must appear on all <br />invoices, paddng slips, <br />cartons, and <br />cortespondence. <br />ACC: 03-22-97 <br />-~ III IIIIIIIIIIIIIIII ~cxASE <br />~, <br />`~' 999 JRDER <br />',. r~'` STpTE OF COLORADO <br />P~ ~E PKA 93000000004 Pege~~ <br />State Awarcl N <br />Phone: S~~i-'=5U-400° ~ BIDN <br />R ;i. PK?. o8~, r100t~1300.1. <br />In <br />To: <br />V DIRT-N-;RCN T_NC <br />E <br />N 1685 17 BOAC <br />p LOtdA CC 81524 Payment will be <br />R hlo <br />D;V OF ~dINERALS & ~cOLv~'r <br />1313 SHERMAN STREET. ROOM 215 <br />GEN'VER. CO 80203 <br />To: <br />INSTRUCTIONSTO VENDOR: <br />1.11 br enY reason, deEvery of drys order La delayed beyond Me delNeryArrsteltatbn date <br />stgwn, please rgtdy the agency cwdau named at top IeR (FVgM of cancellatbn rs <br />reserved m iMterlCe9 m which amey delNary h not made.} <br />2. AG dremlcals, equipment and materials must cor~mt to fhe standards raqulred by OSHA. G 8 - 2 2 - 9 7 <br />9 NOTE: Add"NOrW terms and oondNOna on rauerse side Detiverv/lnst~ti~t~ite:0 N STATE PAYS N 0 F R E I G H T <br />F.O.B. L <br />SPECIAL INSTRUCTIONS; <br />LHIE COYYOOI7TRfEY Oldf OF OIMNiT1Y IIIIR COST ltygl ITFJI COST <br />REY CODE 11&19dRE <br /> HE STATE CONTRG ER Y WITHHOLD DEBT TO STATE P.GENCI UNDER THE <br /> JENDOR OFFSET IN RCE SYSTEM FOP,: (A NPAID CHILD SUP AT DEBT OR <br /> HILD SUPPORT AR ARA S;(B)UNPAID 8AL CE OF TAX, ACCR D INTEREST, OR <br /> THER CHARGES;(C) NPAI LOANS DUE TO T E STUDENT LOAN DI 'ISION OF THE <br /> EPARTMENT OF HI ER UCATION;(D)OWED MOUNTS REQUIRED O BE PAID TO <br /> THE UNEMPLOYMENT OMP SATION FUND; AN (E)OTHER UNPAID EBTS OWING TO <br /> HE STATE OR AN'f GEN THEREOF, THE A UNT OF WHICH IS OUND TO BE <br /> !WING .4S .4 RESUL OF NAL AGENCY DETE INA7ION OR AEDU D TO JUDGMENT <br /> 5 CERTIFIED BY E C TROLLER. <br />~)Oi .36273000000 $6.915.C <br /> OCKC.4STLE COMPA /GR SY GAP FORFEITU <br /> "HA;•!GE ORGER tf1- DITI NAL RIPAAP, iNC EASE $938.00 <br /> DOCU6dENT TOTAL $6.915. <br />TFIYS P@ IS ISJUED~ IN.A~t:9l4bANG~'WPPk~3YATE-yCNO F'EtYERAL REO@1LA~fiYONS. <br />I FORM OP-07(5195) _ ___ VcNDOR <br />/~~~~/F~UN IFIE STgTE Oh (: <br />U <br />Aumonzad SignaNre <br />