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~xarerr A • • <br />EicNr B tT 8 <br />6CNlBiT E Check One <br />E~CNtBIT ~ <br />.~x,vr$lT ~ <br />PURCHASE ORDER <br />E1 Paso <br />DEPARTMENT OF <br />3170 Century, Colo. <br />County <br />PUBLIC WORKS <br />Spgs., Colo. 80907 <br />/~ .•~~ <br />ddress ~~~'<< r -~ <br />i <br />~C: U <br />Gravel <br />Water <br />soil p <br />Other <br />!-• <br />NUMBER / ~' <br />l6~gy <br />Dated /"tea 4'. / •-' 19 "~.~- <br />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 real prooerty wherein _-C//~,'!~c/~ <br />xists and is located in Township ~C (s), Range .1'~ ~ W, <br />action ~.k Quarter ~,/` ~ The Department of <br />iblic Works may purchase from me, _,Utr1r^Y"~ in the quantity <br />stimated below, during the period :%~- / /~- %~S' to include <br />:Y- / ~- ~~~ subject to the following Special Provisions: , <br />[f nonce this will be so noted hereon),. "/ :~ /' •/~ <br />pit of <br />assure <br /> <br />Approx. No. <br />of Units <br />~fl . ~ f ~~ (zt 7~ <br />Cost <br />Per Unit <br /> <br />~~' P <br />~yments to be made monthly by Warrants issued by E1 Paso County based upon <br />ie number of units purchased during prior month. <br />~a'~t ~~I' ~~~ ~Lti~~~ <br />(Signature of Seller) <br />.rchase Order Acouired by llr'7~n „//, /l~/FI <br />Signatur~ <br />~; <br />Tit} <br />~G~ <br />(Purchasing Agent) <br />rchase Order Approved by <br />Max L, Rothschild, P,E. <br />Director of Public Works/County Engineer <br />