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O <br /> MINERALS & GEOLOGY DATE' 02-15-96 ��p1''C' `° PURCHASE <br /> 1313 SHERMAN STREET, ROOM 215 <br /> DENVER CO 80203 IMPORTANT *�!* ORDER <br /> � The PO#and Line Item# # * STATE OF COLOI+.ADO <br /> must appear on all *1a7s <br /> Buyer: MAGG I E VAN C L E E F invoices,packing slips, <br /> Phone Number: 303-866-3567 cartons,and P.O. # PD PKA 96000000023 Page#01 <br /> correspondence. <br /> Agency Contact: DEBBI E MULLOY State Award# <br /> Phone Number: 303 8 6 6—3 5 6 7 <br /> FEIN 841304442 Phone: 970-876-5794 BID# <br /> Vendor Contact PAUL KRABACHER/M VANCLEEF Invoice In <br /> Purchase Requisition#: Triplicate DIV OF MINERALS & GEOLOGY <br /> To: 1313 SHERMAN STREET, ROOM 215 <br /> V <br /> E DIRT—N—IRON INC DENVE�R, CO 80203 <br /> N <br /> D 1417 326 ROAD <br /> O SILT CO 81652 Payment will be made by this agency <br /> R Ship DESIGNATED JOB SITE, PER SPECS <br /> To: <br /> INSTRUCTIONS TO VENDOR: <br /> 1.If for any reason,delivery of this order is delayed beyond the deliveryAnstallation 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. <br /> 3.NOTE:Additional terms and conditions on reverse side. Delivery/Installation Date: 0 2—16—9 6 <br /> rm <br /> F.O.B. DESTINATION POINT <br /> SPECIAL INSTRUCTIONS: <br /> LINE COMMODRYRTEM t1NIT OF REM CODE MEASURE OtL1NTTTY UNITCOST TOTAL REM COST <br /> 001 96273000000 EACH 7 ,400.000 1 . 000000 $7 ,400 . 00 <br /> AMERICAN SHIELD OAL/ RUITA MINE FFTC PROJECT <br /> MAINTENANCE PER TTAC ED BID SCHEDULE KRABACHER <br /> DOCUMENT TOTAL $7 ,400 . 00 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS. FOR THE STAT OF COLORADO <br /> M DP-01 (5195) w� <br /> 30-55-0233 VENDOR Authorized Signature <br />