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[MINERALS & GEOLOGY DATE: 08-25-97 oe CO <br /> 1313 SHERMAN STREET, ROOM 215 PURCHASE <br /> DENVER, CO 80203 �e �g <br />` ( IMPORTANT . ORDER <br /> The PO#and Line Item# * *} STATE OF COLORADO <br /> Buyer: YVONNE BRANNON must appear on all 1876 <br /> 8 6 6—3 5 6 7 invoices,packing slips, <br /> Phone Number: cartons,and P O OE P KA 98000000004 <br /> Agency Contact: PAUL KRABACHER correspondence. • # Page# <br /> Phone Number: 303 866 3567 ACC: 08-22-97 State Award# <br /> FEIN 841304442 Phone: 970-858-4009 �ln <br /> BID# <br /> Vendor Contact: <br /> Purchase Requisition#: RX P KA 98000000004 Invoice <br /> Triplicate DIV OF MINERALS & GEOLOGY <br /> E DIRT—N—IRON INC To: 1313 SHERMAN STREET, ROOM 215 <br /> DENVER, CO 80203 <br />� ( D 1685 17 ROAD <br /> o LOMA CO '815 2 4 Payment will be made by this agency <br /> R Ship <br /> INSTRUCTIONS TO VENDOR: <br /> Ship <br /> DESIGNATED JOB SITE, PER SPEC <br /> 1.If for any reason,delivery of this order is delayed beyond the deliveryrnstallation date <br /> shown,please notify the agency contact named at top left.(Right of cancellation is <br /> reserved in instances in which timely delivery is not made.) j <br /> 2.All chemicals,equipment and materials must conform to the standards required by OSHA. <br /> 3.NOTE:Additional terms and conditions on reverse side. Delivery/Installation Date: 0 8—2 2—9 7 <br /> FO.B. DESTINATION STATE PAYS NO FREIGHT <br /> SPECIAL INSTRUCTIONS: <br /> LINE COMMODITY/ITEM UNIT OF <br /> ITEM CODE MEASURE QUANTITY UNIT COST TOTAL ITEM COST <br /> i <br /> Y <br /> THE STATE CONTROLLER MAY WITHHOLD DEBTS TO STATE AGENCIES UNDER THE <br /> VENDOR OFFSET INTERCEPT SYSTEM FOR: (A)'UNPAID CHILD SUPPORT DEBT OR <br /> CHILD SUPPORT ARREARAGES; (B)UNPAID BALANCE OF TAX, ACCRUED INTEREST,OR <br /> cOTHER CHARGES; (C)UNPAID LOANS DUE TO THE STUDENT LOAN DIVISION OF THE <br /> DEPARTMENT OF HIGHER EDUCATION; (D)OWED `AMOUNTS REQUIRED TO BE PAID TO <br /> THE UNEMPLOYMENT COMPENSATION FUND; AND (E)OTHER UNPAID DEBTS OWING TO <br /> THE STATE OR ANY :AGENCY THEREOF, THE AMOUNT OF WHICH IS 'FOUND TO BE <br /> , OWING AS A RESULT OF FINAL AGENCY DETERMINATION OR REDUCED TO JUDGMENT <br /> AS CERTIFIED BY THE CONTROLLER. <br /> 001 96273000000 <br /> ROCKCASTLE COMPANY/GRASSY GAP FORFEITURE $5 ,977 . 0( <br /> PER DOCUMENTED QUOTE AND ATTACHED BID SCHEDULE <br /> DOCUMENT TOTAL $5 , 977 . 00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS. FOR THE STATE OF COLORADO <br /> FORM DP-01 (5/95) <br /> 395-30-55-0159 VENDOR <br /> �� Au orized Signature <br />