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PERMFILE114116
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PERMFILE114116
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Entry Properties
Last modified
8/24/2016 10:10:16 PM
Creation date
11/24/2007 11:19:02 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980193
IBM Index Class Name
Permit File
Doc Name
LIMITED IMPACT 110 & SPECIAL TEN DAY 111 PERMIT APPLICATION FORM
Media Type
D
Archive
No
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Check One <br />PURCHASE ORDER <br />El PasoC-county <br />DEPARTMENT OF PUB`I;IC WORKS <br />3170 Century, Colo. Spgs., Colo. 80907 <br />'=_ller Eac,~,e ~ Po~oE,es <br />9dress ~ T ~ <br />Ci~~K~~ i~ CoL~, go~o£~ <br />Gravel <br />Water <br />Soil (] <br />Other <br />NUMBER ~~ <br />da33~ <br />Dated YJ _ 9- 19 79 <br />Refer to the above number or <br />provide a cony of this order <br />with any claim you may find <br />necessary to file. <br />declare that I am o'~rner of the real property wherein ~r~/pAVEL <br />:fists and is located in Township fa„ (s), Range ~i U W, <br />action ~ 3 Quarter_ /)/, tit/ The Department of <br />iblic Works may purchase from me, ~ f'A /cc in the quantity <br />;timated below, during the period F-9-7 9 to include <br />1~' 9 - ~~ subject to the following Special Provisions: <br />f none this will be so noted hereon) . .S~J~FS ?a Nt Cf FT i./ <br />SAC~SFAcTopr MAN.y£i2 O~/.f/ER !~/ JEStlU <br />it of <br />asure <br />~~ c Yio2n <br />Approx. No. <br />of Unita <br />UNC~ru~~ <br />Cost <br />Per Unit <br />Tp., ~/ <br />/o ~ <br />~ments to be made monthly by warrants issued by E1 Paso County based upon <br />s number of units purchased during prior month. <br />C~/~~'~rt~t .l/ l/1~l-C~ <br />(Signs ure of Seller) <br />chase Order Acauized by, <br />Signature <br />.G <br />Titl <br />~~. ~ ~- <br />(Purchasing Agent) <br />chase Order Approved <br />-7 ~ -~ <br />Max L. Ro hschild, P.E. <br />Director of Public Works/County Engineer <br />~H ~ <br />S ~ Ja,f' 7 <br />
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