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DATE: _, PURCHASE <br /> . I , -�•s'•!ai::!�;`!,1^( �'►.'hI':i�,'!' . i;{�iaf '� ) -� '"!i ORDER <br /> W ;'I': ' IMPORTANT <br /> (: ,{l t I <br /> The PO#and Line Item# *1876• STATE OF COLORADO <br /> Buyer: must appear on all <br /> Y t i iN N 1; i:1L\N N 0 N invoices,packing slips, <br /> Phone Number: ,�}•j �_-,: cartons,and <br /> /86 >_,h7 correspondence. P•Q• # Ph PKA 0000C,00000I Page# O1 <br /> Agency Contact: L,I. LC) <br /> 'I:G1cAll MU L Y <br /> Phone Number: ,r >I _. r State Award# <br /> J'i 8 > i }6 i ACC : 07-07—')� <br /> FEIN Phone: _ BID# <br /> Vendor Contact: l <br /> !�.)1lV�.r�N Invoice in <br /> Purchase Requisition Invoice Triplicate D I v OF MINERALS Yr GEOLOGY <br /> v To: 1313 SHERMAN STREET, RO()M 21 <br /> E ROARI I NN4� FORE VEGETAT I.N MANA(� LMENT DEINVER , CO 80203 <br /> N <br /> D 90 \i:LIAN For, <br /> O Payment will be made by this agency <br /> To:p DESIGNATED JOB SITE, PER SPECS <br /> INSTRUCTIONS TO VENDOR: <br /> 1.If for any reason,delivery of this order Is delayed beyond the deiiverylnstallatlon date <br /> shown,please notify the agency contact named at 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 /> Delivery/Installation Date: <br /> 3.NOTE:Additional terms and conditions on reverse side. 0 7—0 5—9 9 <br /> F.O.B. DESTINATION STATE PAY'S NO -FREIGHT <br /> SPECIAL INSTRUCTIONS: <br /> LINE COMMODITYATEM UNIT OF TOTAL ITEM COST -ITEM CODE MEASURE QUANTITY UNIT COST ' <br /> 00,1 '96273000000 : EACIi 1 ,100 'OQO. ` ' :%'oo0000 <br /> � 100. 00 <br /> L1)EI1° CNARIC'yY+ � (� ) MEIED,. ,4j4"A , 1�ASlN WFFD C014 'R 1 <br /> AND ATTACHE.1) NEGOTIATED EID SCHEDULE : . <br /> 002- 9h27 3000000 EACH 22,400.000 1 .U00000 $ ? ,400.U0 <br /> COAL SASIN WEED CONTROL—MID CONT FFTCR/PER;DOCUMI.'NTED,QUOTE <br /> AND ATTACHED NEGOTIATED BID SCHEDULE <br /> 003 96-273000000' . EACH 1 ,50().000 1 .000000 $1 , 500.00 <br /> f:UAL BASIN WEED CONTROL—PITKIN COUNTY/PEP. DOCUMENTED QUOTE <br /> AND ATTACHED NEGOTIATED BIT; SCHEDULE <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS. 1 FOR THE STATE OF COLD ADO <br /> AGENCY COPY - 1 t <br /> FORM DP-01 (5/98) Jy '•;�� ,, �,• Y <br /> 395-30-55-0159 - JAuthorized Signature 622W10-1 <br />