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° <br /> DATE- � PURCHASE <br /> Q� �-� <br /> IMPORTANT * ORDER <br /> The PO#and Line Item * * STATE OF COLORADO <br /> must appear on all *1876 <br /> Direct Inquiries To: invoices, packing slips, P.O. # <br /> cartons, and <br /> Phone Number correspondence. Page# <br /> FEIN Invoice in <br /> Tripliate <br /> Vendor Contact Phone To: <br /> Purchase Requisition# <br /> V Terms: <br /> E Payment will be made by this agency <br /> N <br /> D Ship <br /> O To: <br /> R <br /> INSTRUCTIONS TO VENDOR: <br /> 1 On accepting verbal telephone order,purchase order number must be obtained before <br /> making delivery F O.B <br /> 2 All discounts must be noted on invoice Delivery/Installation Date- <br /> 3 All chemicals,equipment and materials must conform to the standards required by OSHA Agency Contact' Phone <br /> 4 NOTE Additional terms and conditions on reverse side <br /> SPECIAL INSTRUCTIONS. <br /> LINE COMMODITY/ITEM UNIT OF QUANTITY UNIT COST TOTAL ITEM COST <br /> ITEM CODE MEASURE <br /> s <br /> THIS PO IS ISSUED IN ACCORDANCE WIDTH STATE AND FEDERAL REGULATIONS FOR THE STATE OF COLORADO <br /> Form DP-01 (2/94) <br /> 395-53-05-0194 AGENCY Cf—)P'v 2 Authorized Signature <br />