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.. <br />Check One <br />PURCHASE ORDER <br />E1 Paso <br />DEPARTMENT OF <br />3170 Century, Colo. <br />Mlle <br />dre <br />Gravel <br />water <br />Soil [] <br />Other <br />NUMBER <br />OSo/~ <br />Dated f~~~ 197 <br />Refer to the above number or <br />provide a copy of this order <br />with any claim you may find <br />necessar to file. <br />declare that I am o'..mer of the real property wherein lL <br />fists and is located in Township_ ~J (s), Range W, <br />ction „~ Quarter The Department of <br />blic Works may purchase from me, in the quantity <br />timated below, during the period - - to include <br />~~~ subject to the followj.rlg Soecial~vi~~: <br />E node ,~thi~ will be so noted hereon) . .0Yf10 ~ ~/ rl~ ~ <br />_t of <br />isure <br />Approx. No. <br />of Unita <br />~~~~ ~ ~~~ <br />ex ~~~-T~ <br />~~~ <br />ments to be made monthly by warrants issued by E1 Paso County based upon <br />number of units purchased during prior month. <br />.hase Order Acquired <br />Ti <br />y ~ ~. ~ <br />(Purchasing Agent) <br />hase Order Approved <br />Max L,~RothsEhild, P.E. ~ <br />Director of Public Worka/County Engineer <br />County <br />PUBLIC WORKS <br />Spgs „ Colo. 80907 <br />Cost <br />Per Unit <br />