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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 />r- /~ <br />yeller /r r \~ ~//~~i. <br />~ ;! <br />.- <br />~ ~ ", <br />- ',~~ <br />3 y/r~ <br />Dated ~ ~ -) ' 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 owner of the real property wherein ~~~~ <br />exists and is located in Township /f (s), Rangel ~~ W, <br />~ection // Quarter / The Department of <br />~ublic Works may purchase from me, /:~:•... in the quantity <br />estimated below, during the period _~- a~ - to include <br />.-.` --7 7 / subject to the following Special Provisions: <br />if none this'will be so noted herePn). ,~~% ' - ~ ? <br />'nit of <br />leasure <br />moo./.. ;.. ., ~ .! <br />~' <br />Approx. No. <br />of Units <br /> <br />Cost <br />Per Unit <br />/o d <br />;; <br />-~.,. ~.. <br />ayments to be made monthly by Warrants issued by E1 Paso County based upon <br />he number of units aurchased during prior~~nonth. <br />(Signature 9fjSeller <br />urchase Ordez Acquired by /r../ /- <br />Signature <br />-~7f~./ Fr~.rl~,rar <br />T i~.l " <br />~. <br />(PUrchaslnq Agent) <br />Y. <br />Gravel Q <br />Water <br />Soil [) <br />Other <br />NUMBER <br />urchase Order Approved by `/t-ly~l _,%~ ~~~ ~~{~ ~f- <br />Max L. )totTischild, P.E. <br />Director of Publie Works/County Engineer <br />