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• 0 Gravel <br /> Check One Water <br /> Soil [] <br /> Other Q <br /> PURCHASE ORDER NUMBER L! <br /> El Paso County dd337, <br /> DEPARTMENT OF PUBLIC WORKS <br /> 3170 Century, Colo. Spgs. , Colo. 80907 <br /> eller F / `-,4IQ G �OLDE� S Dated 6 - 19 �9 <br /> 1dress T Refer to the above number or <br /> CA(.WIIU CoLU, oo6e Provide a cony of this order <br /> with any claim you may find <br /> necessary to file. <br /> declare that I am owner of the real property wherein �r�PAV,6 L <br /> :fists and is located in Township fa. (s) , Range 0 0 W, <br /> !ction 3 3 , Quarter N, rat/ The Department of <br /> iblic Works may purchase from me, lf'A✓cc in the quantity <br /> timated below, during the period F-9- 7 9 to include <br /> t�-- 9— rL/ , subject to the following Special Provisions: <br /> f none this will be so noted hereon) . SS40�fP3 7V Pt;' CE F T IAI <br /> JAr/SFAc Tor_ r MA.yyete. 041"41 Fit 1. 111t pEstcu <br /> it of Approx. No. Cost <br /> asure of Units Per Unit <br /> 1NCC y/02p UNC�✓u�..�e/ <br /> rments to be made monthly by Warrants issued by E1 Paso County based upon <br /> number of units purchased during prior month, <br /> (Signs ure of Seller) <br /> -chase Order Acquired by <br /> Signature <br /> G <br /> Titl <br /> (Purchasing Agent) <br /> chase Order Approved by 2)9 <br /> Max L. Ro hschild, P.E. <br /> Director of Public Works/County Engineer <br /> �N •C+ <br /> 5. J.4 7 <br />