Laserfiche WebLink
PURCHASE <br /> f --,-_,� CO� <br /> 1 ,a;`:",i i�i-�, TD � - ,�4% <br /> a = nANI STR T ROOM15 F` ORDER <br /> I_ H / <br /> RTANT <br /> - ` O#and Line Item# * * STATE OF COLORADO <br /> ppear on all 1876 <br /> - <br /> A,i P. G I J A N C'F F F invoices,packing slips, - <br /> Buyer: P 9 P P k:.4 0 0 u _C;C,0 Page'# <br /> 303-866,-d.1 88 cartons,and P.O. #'_ <br /> Phone Number: correspondence. <br /> Agency Contact: '3 A U i_ K R.4 B,4 C H E R _ p <br /> Phone Number: <br /> C�3 8 h 5 :;0 c 7 .y C,� : J 8-,%?-9 7 State Award# <br /> FEW <br /> :i. Phone: y -_; -4 i_i i BID# <br /> Vendor Contact: - - linvoice in i O ! ;J C r A• S !_=G t 'Purchase Requisition#: iplicate 1 ; 3 c ;cRMAN 8TF=_ .o: +,EN'VER . CO 80�03 <br /> V I'yJ I RT-N- RON INC <br /> E <br /> N ! 6 185 7 ROAD <br /> D r p,4 C 0 8 1 5 2 4 Payment will be made by this agency _ _ _` <br /> O � Ship <br /> R To: <br /> INSTRUCTIONS TO VENDOR: <br /> 1.If for any reason,delivery of this order is delayed beyond the deliveryMstallation 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.) <br /> 2.All chemicals,equipment and materials must conform to the standards required by OSHA. Delive nst 0 8-2 2-97 <br /> GHT <br /> r� te: ; PAYS <br /> NO FREI <br /> 3.NOTE:Additional terms and conditions on reverse side. F.O.B. <br /> SPECIAL INSTRUCTIONS: <br /> UNIT OF UNIT COST TOTAL ITEM COST <br /> LINE COMMODITY/ITEM MEASURE QUANTITY <br /> ITEM CODE <br /> : HE STATE CONTRO' ER Y WITHHOLD DEBT TO STATE AGENCI UNDER THE <br /> 'iENDOR OFFSET IN RCE SYSTEM FOP,: (.A NP,4ID CHILD SUP RT DEBT OR <br /> HILD SUPPORT AR ARA' S ; ( B )UNPAID BAL CE OF TAX , ACCR D INTEREST ,OR <br /> THER CHARGES ; ( C ) NPAI LOANS DUE TO T, E STUDE`JT LOAN DI 'ISION OF THE <br /> DEPARTiv1ENT OF HI ER UCATION ; ( D)OWED MOUNTS RE RED 0 BE PAID TO <br /> T: HE UNEMPLOYMENT OMP SATTON THEREOF , THEAAt UNTOOFEWHICH UNPAID <br /> ISS OUND TO OWING <br /> BE TO <br /> , HE STATE OR ANY GENC � F E !NATION OR REDU D TO JUDGMENT <br /> DWING AS A RESUL OF � NAL AGENCY D-T_ <br /> S CERTIFIED BY E CC TROLLER . <br /> $6 , 915 .0 <br /> - 1 96273000000 <br /> OCKCASTLE COMPA /GR SY GAP FORFEITU E <br /> "HANGE ORDER i#1 - DITI NAL RIPRAP , INC EASE $938 . 00 <br /> TOT <br /> �,�DCU1;tEN; ; AL <br /> FOR THE STATE OF COCORA00, <br /> 77,THS PO IS ISSUED IM�I �O DANCE Wi11�i S`fi4fE 4ND F [ORAL REGtJLA tbNS. !� <br /> FORM DP-01 (5/95) /�`�C�R Authorized Signature <br />