Laserfiche WebLink
Check One <br />PURCHASE ORDER <br />E1 Paso <br />DEPARTMENT OF <br />3170 Century, Colo. <br />County <br />PUBLIC WORKS <br />Spgs., Colo. 80907 <br />Eller (,Gfivr._.-, (~Cnn. ~o <br />]dress ~2~ l>;rr<yice <br />~d ~~~ <br />Gravel <br />Water (~ <br />Soil [] <br />Other <br />NUMBER <br />pia ~ ~ <br />Dated_~ ~~ 19~ <br />Refer to the above number or <br />provide a cony of this order <br />with any claim you may find <br />necessar to file. <br />declare that I am o•„+ner of the real property wherein J ~~ <br />:fists and is located in Township // (s), Range ~D W, <br />action ~7 Quarter sE The Department of <br />~.blic Works may purchase from me, in the quantity <br />timated below, during the period `-]~_~,) /971 to include <br />~.~,~ 9£S'/ subject to the following Sogvial Provisions: _ <br />f none this will be so noted hereon) . ~~i~„~' c,,,/~ i ~G. ~F <br />it of <br />asure <br />~~ <br />Approx. No. <br />of Units <br />'ZA/~,~j~,b qtr <br />Coat <br />Per Unit <br />~(/ 'I- <br />/~` <br />yments to be made monthly by Warrants issued by E1 Paso County based upon <br />e number of units purchased during prior month. <br />(~i~.C~(J'7~1 ~~ /a~M~ <br />(Signature of Sel r) <br />rchase Order Acquired by (/ <br />Signature <br />G?0c~ . <br />Title <br />(Purchasing Agent) , <br />-chase Order Approved <br />~. <br />`~J ~' <br />Max L,-Rothschild, P.E, <br />Director of Public Works/County <br />Engineer <br />