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<br />Check One <br />Gravel <br />Water <br />Soil [] <br />Other Q <br />PURCHASE ORDER <br />E1 Paso County <br />DEPARTMENT OF PUBLIC WORKS <br />3170 Century, Colo. Spgs., Colo. 80907 <br />NUMBER <br />a5oi3 <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 2 am o-er-er of the real~prooerty wherein tL <br />fists and is located in Township_ /J (s), Range W, <br />ction / Quarter The Department of <br />blic Works may purchase from me, in the quantity <br />timated below, during the period - - to include <br />~- 7~ ~'~ subiect to the fnllnwi_na Snarial _P,rnviainrae <br />it of <br />3sure <br />Approx. No. <br />of Units <br /> <br />Coat <br />Per Unit <br />~o~ <br />ments to be made monthly by Warrants issued by E1 Paso County based upon <br />number of units purchased during prior month. <br />chase Order Accuired by <br />, <br />!/zt't ~ <br />Ti <br />-~ <br />_1~ i <br />i u /" J <br />(Purchasing Agent) <br />:hare Order Approved by //~-f ~-' <br />Max L.fRothe6hild, P.E. ~ <br />Director of Public Works/County Engineer <br />