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G U <br /> ziCkt8 rr f� <br /> 6cNI9IT $ ! JGraveln <br /> EX111BiT E Check One Water <br /> ,E49/81T { Soil p <br /> ,Ej-y,$,T y Other 13 <br /> PURCHASE ORDER NUMBER / E' <br /> El Paso County <br /> DEPARTMENT OF PUBLIC WORKS <br /> 3170 Century, Colo. Spgs. , Colo. 80907 <br /> alley % i ;'Z � ( /a (ter � Dated (/r r. i 19 <br /> 9dress Refer to the above number or <br /> _ / provide a copy of this order <br /> S l l �� with any claim you may find <br /> / necessary to file. <br /> declare that I am owner of the real property wherein <br /> :fists and is located in Township � (s) , Range . mod W, <br /> action Quarter % / / The Deoartment of <br /> iblic Works may purchase from me, . .-rlt<1s c in the quantity <br /> ctimated below, during the period ./ 1 / /2 - % 5' to include <br /> Y- //- Y61 , subject to the following Soecial Provisions: <br /> v <br /> :f none this will be so noted hereon)) . c'�< <br /> At of Approx. No. Cost <br /> asure of Units Per Unit <br /> elil: _lee <br /> ILI P <br /> yments to be made monthly by Warrants issued by El Paso County based upon <br /> e number of units purchased during prior month. <br /> (Signature of Seller) <br /> rchase Order Acquired by�//t/"7 1% � <br /> Signature/7 <br /> /c, <br /> Tit <br /> (Purchasing Agent) <br /> -chase Order Approved by �— <br /> Max L. Rotliis hild, P.E. <br /> Director of Public Works/County Engineer <br />