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`. <br /> <br />Check One <br />PURCHASE ORDER <br />E1 Paso <br />DEPARTMENT OF <br />3170 Century, Colo. <br />County <br />PUBLIC WORKS <br />Spgs., Colo. 80907 <br /> <br />~- <br />ress ~%1 3 C'~OX 60 Refer ~ the above number or <br />/' ~/ / / provide a copy of this order <br />[ ~.(%eg~,t~ ~f~s,-4 Ct~tj/ ~O~GG~ with any claim you may find <br />' necessary to file. <br />~clare that I am o•„mer of the real property wherein ~-~.e/ <br />:ts and is located in Township ~/ (s), Range ~ 7 W, <br />:ion ~ y Quarter il/D~'ny E ti The Department of <br />_ic works may purchase from me, in the quantity <br />.mated below, durin$~the period d°// 'U to include <br />/~-~~~~ subject to a following Sge~jial Pr visions: <br />none thig will so noted hereon) . ~s..~i~ it~aef ittc..~i~u-..-~•~~,Z`~ia,.,(.i2~+ <br />of <br />:ure <br />.~ <br />~.y«~ <br />~a~`~1~A <br />r7~y <br />Approx. No. <br />of Units <br />Cost <br />Per Unit <br />s~ ¢ <br />ents to be made monthly by Warrants issued by E1 Paso County based upon <br />number of unite aurchased during prior month. <br />~,.~.d7;, o ,~vlV.~ n.wia-C+ A <br />(Signature of Seller) <br />hase Order Acquired by ' C~ <br />Signature <br />Title <br />:s <br />(Purchasing Agent) <br />ease Order Approved <br />Director of Public Works/County Engineer <br />;~. <br />by r i • ~. <br />Max L. R6fh child, P.E. <br />Gravel. <br />Water <br />Soil [~ <br />Other <br />NUMBER <br />7/3 y/ <br />