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0 DATE: �w°F c PURCHASE <br /> IMPORTANT *' ORDER <br /> 1 <br /> The PO#and Line Item# * F "` * STATE OF COLORADO <br /> must appear on all *�8 <br /> Buyer: invoices, packing slips, <br /> Phone Number- cartons,and P.O. # Page# <br /> Agency Contact: correspondence. <br /> State Award# <br /> Phone Number: <br /> FEIN Phone- BID# <br /> Vendor Contact: <br /> Purchase Requisition#: Invoice in <br /> Triplicate <br /> To: <br /> V <br /> E <br /> N <br /> D <br /> O Payment will be made by this agency <br /> R Ship <br /> To: <br /> INSTRUCTIONS TO VENDOR: <br /> 1 If for any reason,delivery of this order is delayed beyond the delivery/Installation 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 /> 3 NOTE,Additional terms and conditions on reverse side Delivery/Installation Date. <br /> F.O.B. <br /> SPECIAL INSTRUCTIONS: <br /> LINE COMMODITYATEM UNIT OF QUANTITY UNIT COST TOTAL ITEM COST <br /> ITEM CODE MEASURE <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS. FOR THE STATE OF COLORADO <br /> FORM DP-01 (5/95) <br /> 395-30-55-0159 PURCHASING Authorized Signature <br />