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0 Gravels <br /> Check One Water 13 <br /> Soil C3 <br /> Other <br /> PURCHASE ORDER NUMBER <br /> E1 Paso County O5O/3 <br /> DEPARTMENT OF PUBLIC WORKS <br /> 3170 Century, Colo. Spgs. , Colo. 8�09-07 f <br /> !ller Dated /� n2/ 197� <br /> ldre a 40 � Refer to the above number or <br /> provide a copy of this order <br /> with any claim you may find <br /> necessary to file. <br /> declare that I am o-.mer of the realeprooerty wherein tL <br /> ists and is located in Township (s) , Range 14,111 W, <br /> ction / , Quarter The Deoartment of <br /> blic Works may purchase from me, in the quantity <br /> timated below, during the period — - to include <br /> -2 subject to the follow' Special r vi <br /> f no a hi will be so noted hereon) . <br /> it of Approx. No. Cost <br /> isure ofl'Units Per Unit <br /> ments to be made monthly by Warrants issued by El Paso County based upon <br /> number of units purchased during prior month. <br /> ignature o eller) <br /> =hase Order Acquired byfzm <br /> Signatu <br /> \ V Tito <br /> �y <br /> (Purchasing Agent) <br /> •hase Order Approved by f <br /> Max L, i Rottis hild, P.E. <br /> Director of Public Works/County Engineer <br />