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• . JGravel <br /> Check One Water13 <br /> Soil <br /> Other <br /> PURCHASE ORDER NUMBER <br /> E1 Paso County <br /> DEPARTMENT OF PUBLIC WORKS <br /> 3170 Century, Colo. Spgs. , Colo. 80907 <br /> teller ORVIUU- 7'14/En1,a Dated JArJ d X 19 80 <br /> ,ddress Refer to the above number or <br /> provide a copy of this order <br /> J(' US Lc ,Q/g0o .. �0— �33 — with any claim you may find <br /> necessary to file. <br /> declare that I am owner of the real property wherein G/°A(/EL <br /> xists and is located in Township I L/ (s) , Range 60 W, <br /> ection 0 , Quarter S W The Department of <br /> ublic Works may purchase from me, Gn,vC! in the quantity <br /> stimated below, during the period J,o,v a1 /q`D to include <br /> Jn H d 1 io ri , subject to the following Special Provisions: <br /> If none this will be so noted hereon) . r' Sri nv 1. rct Ste C /1AtiK,S <br /> Tb �/ I Stogy rn ni7�/ /,err 'ny/�7c- DGcrA/6lt wiTh fE E�� �'v <br /> (2t si Ec <br /> nit of Approx. No. Cost <br /> easure of Units Per Unit <br /> c <br /> �yments to be made monthly by Warrants issued by E1 Paso County based uoon <br /> ie number of units purchased during prior month. <br /> (Signature of Seller) <br /> irchase Order Acauired by yr <br /> ignature <br /> U, rd 61� <br /> Title <br /> (Purchasing Agent) <br /> :rchase Order Approved by �� <br /> Max _,Rot schild, P.E. <br /> Director of Public Works/County Enginee �� <br />