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pF COS <br /> MINERALS & GEOLOGY DATE: 08-16-95 PURCHASE <br /> 1313 SHERMAN STREET, ROOM 215 y� p ORDER <br /> DENVER, CO 80203 IMPORTANT # * STATE OFCOLORADO <br /> The PO#and Line Item <br /> 1876 <br /> Direct Inquiries To: must appear on all <br /> � �` <br /> invoices,packing slips, P.O. # <br /> MAGGIE VAN CLEEF cartons,and 12KA 96QQZZ�:1 <br /> Phone Number: 303-866-3567 correspondence. Page# 01 <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 /> GREEDEYTREET CO 80632 snip�rCr1`�IGNATED JOB SITE , PER SPECS <br /> O <br /> To: G G V►—'� <br /> R 1 1995 <br /> INSTRUCTIONS TO VENDOR: AV G <br /> 1.On accepting verbal telephone order,purchase order number must be obtained before pp����making delivery. F.O.B. qq <br /> �i*A ION <br /> 2 All discounts must be noted on invoice. Deli�vSer [I�t�j�t <br /> 3.All chemicals,equipment and materials must conform to the standards required by OSHA. �1Tcy Contact: V N0 8—16—9 5 phone: <br /> 4.NOTE:Additional terms and conditions on reverse side. <br /> SPECIAL INSTRUCTIONS: <br /> LINE COMMODITY/ITEM 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 AT4ACHED 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 />