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RECLAMATION, MINING & SAFETY <br />1313 SHERMAN STREET, ROOM 215 <br />DENVER, CO 80203 <br />Buyer MAGGIE VAN CLEEF <br />Phone Number. 303-866-3292 <br />Agency Contact ERICA CROSBY <br />Phone Number 3 0 3 8 6 6 3567 <br />DATE: 02-26-09 PURCHASE <br />IMPORTANT <br />ORDER <br />The PO# and Line # must * * STATE OF COLORADO <br />appear on all invoices, x ` <br />packing slips, cartons <br />and correspondence P.O. # OE PRA 09000000052 Page# 01 <br />ACC: 02-25-09 State Award # <br />FEIN 840841501 Phone: 970-275-0390 <br />Vendor Contact KEVIN PANKEY <br />Purchase Requisition #. <br />131D# PKA-9- <br />Invoice in Triplicate <br />To: DIV RECLAMATION,MINING &SAFETY <br />1313 SHERMAN STREET, ROOM 215 <br />DENVER, CO 80203 <br />V PROCK, ROGER S <br />N K&P PROPERTY DESIGN <br />D 236 SOUTH 3RD #219 <br />O MONTROSE CO 81401 <br />R <br />INSTRUCTIONS TO VENDOR: <br />1. If for any reason, delivery of this order is delayed beyond the delivery/installation date <br />shown, please notify the agency contact named at the 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 />S. NOTE Additional terms and conditions on reverse side. <br />SPECIAL INSTRUCTIONS: <br />Ship DESIGNATED JOB SITE, PER SPECS <br />To: <br />Delivery/Installation Date: 03-13-09 <br />F.O.B. DESTINATION STATE PAYS NO FREIGHT <br />LINE OOMMODI YATEM UNIT OF <br />ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST <br />001 96273000000 $23,560.00 <br />FRUITA MINE BOND FORFEITURE PROJECT DATED 2/25/09 PER BID <br />AND AS APPROVED BY ERICA CROSBY, PROJECT MANAGER <br />IHIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS <br />This PO is effective On the date signed by the authorized individual. <br />WO PM <br />3P-0 f ("2106) <br />Payment will be made by this agency <br />FOR THE MTE OF <br />?? <br />!