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<br />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 />Seller W ,C/~.t~-/ <br />address /~`QI,,' <br />r <br />/~7v7- .lsy~ <br />Gravel <br />Water <br />Soil [] <br />Other Q <br />NUMBER i rU <br />/3aP3 <br />Dated / ~ ~ a 0 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 theti real property wherein / /n•t~~~ _ <br />>xists and is located in Township 13 (s), Range F/ W, <br />section ,~ Quarter S uJ The Department of <br />public Works may purchase from me, /'~ in the quantity <br />estimated below, during the period /C+- ~~ 7 Y to include <br />lo~ ~t~- ~ O subject to the follP'wing Special Provisions: <br />;If n ne this will be so noted hereon) . .~f~a •~+.-~.-~ cn.«~./ y'S C,.~....~ e,..~G <br />P.. t_ ~. , , _ ., _ , . . , _ -~--- <br />In it of <br />feasure _ <br />~/ <br />Approx. No. <br />of Unite <br /> <br />Cost <br />Per Unit_._.. <br />.'U <br />~,.-, c~,...~ <br />payments to be made monthly by warrants issued by E1 Paso County based upon <br />:he number of unite purchased during prior month. <br />(Signature of Seller) <br />urchase Order Acquired by <br />Signature <br />i <br />r - ' Title , <br />(Purchasing Aqent) <br />urchase Order Approved by ~ /ii'i r ~~ r ~ i-f <br />Max L.-Ro hschild, P.E. <br />Director of Public Worka/County Engineer <br />