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INERALS & GEOLOGY <br />1313 SHERMAN STREET, ROOM 215 <br />DENVER, CO 80203 <br />Buyer: YVONNE BRANNON <br />Phone Number: 8 6 6- 3 5 6 7 <br />Agency Contact: PAUL KRABACHER <br />Phase Number: 303 86b 3567 <br />DATE: OS-25-97 <br />IMPORTANT <br />The POR and Line Item R <br />must appear on all <br />invoices, packing slips, <br />cartons, and <br />correspondence. <br />ACC: 08-22-97 <br />I III IIIIIIIIIIIII III <br />N~~ ,, _ ~RCHASE <br />~B ORDER <br />+'`~'' STATE OF COLORADO <br />rBTe ~ <br />P.O.# OE PKA 98000000004 pagan ~ <br />State Award ft <br />FEIN 841304442 Phone: 970-858-4009 B)D# <br />Vendor Contact: <br />purchase Requisition k: RX PKA 98000000004 I"°O10e I" DIV OF MINERALS & GEOLOGY <br /> Triplicate <br /> To: 1313 SHERMAN STREET, ROOM 215 <br />e DIRT-N-IRON INC DENVER, CO 80203 <br /> <br />a~ n 1685 17 ROAD <br />O LOMA CO $15 2 4 Payment will be made by this agency <br />R Ship DESIGNATED JOB SITE, PER SPEC <br /> To: <br />INSTRUCTIONSTO VENDOR: <br />1. II for any reason, tlelivery of Ihis osier is tlelayatl beyond the deliverylnstellation tlate <br />Shown, please rtotiy (he agency contact nametl a11oD Ian. (Flight of cancellation ~s <br />reservetl in instances in which timely delivery is not matle.) <br />2. All Uemicals, equipment antl materials must conform to the stantlartls required by OSHA. <br />3. NOTE: AtltliGOnal terms antl corWitions on reverse side. Oeliveryllnstallation Date: D 8-2 2- 9 7 <br /> Fo.B. DESTINATION STATE PAYS NO FREIGHT <br />SPECIAL INSTRUCTIONS: <br />UNE COMMODnYrTTEM UNR OF pUANfRY UNR COST TOTAL REM COST <br />rfEM CODE MEASURE <br />THE STATE CONTROLLER MAY WITHHOLD DEBTS TO STATE AGENCIES UNDER THE <br />VENDOR OFFSET INTERCEPT SYSTEM FOR: (A)UNPAID CHILD SUPPORT DEBT OR <br />CHILD SUPPORT ARREARAGES;(B)UNPAID BALANCE OF TAX, ACCRUED INTEREST,OR <br />OTHER CHARGES;(C)UNPAID LOANS DUE TO THE STUDENT LOAN DIVISION OF THE <br />DEPARTMENT OF HIGHER EDUCATION;(D)OWED AMOUNTS REQUIRED TO BE PAID TO <br />THE UNEMPLOYMENT COMPENSATION FUND; AND (E)OTHER UNPAID DEBTS OWING TO <br />THE STATE OR ANY AGENCY THEREOF, THE AMOUNT OF WHICH IS FOUND TO BE <br />OWING AS A RESULT OF FINAL AGENCY DETERMINATION OR REDUCED TO JUDGMENT <br />AS CERTIFIED BY THE CONTROLLER. <br />001 96273000000 <br />ROCKCASTLE COMPANY/GRASSY GAP FORFEITURE <br />PER DOCUMENTED QUOTE AND ATTACHED BID SCHEDULE <br />$5,977.0C- <br />DOCUMENT TOTAL = $5 977 00 <br />THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS. FOR THE STATE OF COLORADO <br />~~ ~i~Yi~s~s2i9-r~ <br />Au orized Signature <br />