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`= °� ` PURCHASE <br /> DATE: e� � <br /> o� <br /> F ORDER <br /> IMPORTANT * <br /> The PO#and Line Item * * STATE OF COLORADO <br /> must appear on all "ia�s <br /> Direct Inquiries To: invoices, packing slips, P.O. # <br /> cartons,and <br /> Phone IJumber: ' correspondence. Page# <br /> Invoice in <br /> FEIN 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 /> 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 COPY t Nuthorized Signature <br /> _ s � <br />