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MINERALS & GEOLOGY DATE: 08-16-95 °F coto PURCHASE <br /> 1313 SHERMAN STREET, ROOM 215 Fe <br /> DENVER CO 80203 IMPORTANT * ORDER <br /> ' The PO#and Line Item * * STATE OF COLORADO <br /> must appear on all "�e�s• <br /> Direct Inquiries To: invoices,packing slips, P.O. # <br /> MAGGIE VAN CLEEF cartons, and PXA <br /> Phone Number: 303-866-3567 1 correspondence. Page# ; <br /> FEIN 820345783 303-356-7002 invoice in DIV OF MINERALS &GEOLOGY <br /> JIM MCARDLE Tripliate 1313 SHERMAN STREET, ROOM 215 <br /> Vendor Contact: Phone: To: <br /> Purchase Requisition#: <br /> DENVER, CO 80203 <br /> E GRASSLAND WEST COMPANY Terms: <br /> Payment will be made by this agency <br /> N <br /> D 923 D STREET Ship r IGNATED JOB SITE , PER SPECS <br /> O GREELEY CO 80632 To: ��CiG1 <br /> R 1 1995 <br /> INSTRUCTIONS TO VENDOR: pUG <br /> 1 On accepting verbal telephone order,purchase order number must be obtained before making delivery. F.O.B. W�7 1V� I ON <br /> 2 All discounts must be noted on invoice. Deli,vySglFpo <br /> 3.All chemicals,equipment and materials must conform to the standards required by OSHA. %1WIV Contact: 0 8—16—9 5 Phone: <br /> 4 NOTE:Additional terms and conditions on reverse side. VANCL <br /> SPECIAL INSTRUCTIONS: <br /> LINE COMMODITYRTEM UNIT OF QUANTITY UNIT COST TOTAL REM COST <br /> ITEM CODE MEASURE <br /> 001 79020000000 EACH 1 , 197 . 660 1 . 000000 $1 ,197 . 66 <br /> MID—CONTINENT/COAL BASIN-95 SUPPLEMENTAL -SEED <br /> SUTEY REFUSE AREA MIX & MINE SITE PER ATKCHED BID SCHEDULE <br /> DOCUMENT TOTAL = $1 ,197 . 66 <br /> THIS PO IS ISSUED IN ACCORDANCE WIDTH STATE AND FEDERAL REGULATIONS. R TH TE O O RADO <br /> Form DP-01 (2/94) <br /> 395-53-05-0194 VENDOR Authorized Signature <br />