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STATE OF COLORADO f: <br /> /i PURCHASE REQUISITION PURCHASE <br /> PURCHASE SUGGESTED VENDOR AND ADDRESS ORDER NUMBER <br /> SUGGESTED VENDOR AND ADDRESS ORDER NUMBER <br /> VENDOR NUMBER <br /> ` VENDOR NUMBER (' <br /> Uri ZIP <br /> f. <br /> r <br /> FOB <br /> OB <br /> 31-0TERMS <br />;Ms -- CODE Nth• f <br /> i: <br /> ac � ► k; <br /> O Q V O O BUD FY ACT PV TYPE <br /> V D TE ACCT PRD <br /> 3 OBJECT SUB-OBJ REV SRC <br /> 9 4 P BS ACCT <br /> ORG SUB-ORG 3 1 1 m <br /> AGENCY � AUOFF REC <br /> K A C C C $ lEE0R1PORTINCAT PR NO <br /> 2 7 0 �� FUNCTION <br /> GBL <br /> SUB REV PROGRAM .,. <br /> CT <br /> M N R C z <br /> SHIP TO-Name and Address per specs <br /> IILL TO-Name and Address Designated Job Sites, p <br /> Division of Minerals and Geology <br /> 1313 Sherman St. , Rm. 215 <br /> Denver, CO 80203 <br /> TELEPHONE <br /> PERSON(S)TO CONTACT <br /> REQUESTING AGENCY-Name and Address 866-3567 Maggie Van Cleef <br /> Same as bill to <br /> ies r servieestisted are neces ry for a successful operation FAX <br /> 1 hereby certify that the sup 832_g106 <br /> of the agency and the quanti equ sted is the minimum amours and f designated is <br /> sufficient to cover sam . <br /> AUTHORIZED S NAT RE UNIT AMOUNT <br /> COMMODITY NUMBER AND <br /> COST <br /> ITEM QUANTITY <br /> UNIT COMPLETE DESCRIPTION OF ITEM OR SERVICE <br /> NO. <br /> REFERENCE PRICE AGREEMENT # <br /> REF. BID NUMBER RN <br /> _ <br /> 320 <br /> ��C-84-067 <br /> Peerless Resources, Inc. Permit <br /> 1 ;project ` Peerless/Coal Gulch Bond Forfeiture Projec <br /> t N/A 3�� t <br /> 1 <br /> subject to advertising before <br /> This project is subj 38-26-107) . In addition; <br /> final payment (C.R.S. <br /> retainage will be held at 10%. <br /> All in accordance with specifications, drawings <br /> terms and conditions of the iremeprice)nd the <br /> sheet <br /> attached BID SCHEDULE (line <br /> which are made a part hereof by reference. <br /> REQUESTED DELIVERY DATE <br /> rni DENROD-Department Copy <br />