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MINERALS & GEOLOGY DATE06-21-00 AS°V.co PURCHASE`O� <br /> 1313 SHERMAN STREET, ROOM 215 ye <br /> UNY.ER, CO 80203 ,• ORDER <br /> IMPORTANT `1876' STATE OF COLORADO <br /> Phone Number: YVONNE BRANNON The PO#and Line#must <br /> A 303/866-3567 appear on all invoices, P.O. # PKA 00000000017 Pag01 <br /> Agency Contact: packing slips,cartons, PD <br /> YVONNE BRANNON and correspondence. State Award # <br /> Phone Number 303 866 3815 CC : 06-20-00 <br /> FEIN Phone: BID# <br /> Vendor&rjc?6772221 970-963-9723 <br /> Purchase Requigt�iTn#yE RENNER Invoice in Triplicate <br /> To: DIV OF MINERALS & GEOLOGY <br /> V 1313 SHERMAN STREET, ROOM 215 <br /> EROARING FORK VEGETATION MANAGEMENT DENVER, CO 80203 <br /> N <br /> D PO BOX 2525 <br /> RBASALT CO 81621 —2525 Payment will be made by this agency <br /> Ship DESIGNATED JOB SITE, PER SPECS <br /> To: <br /> INSTRUCTIONS TO VENDOR: <br /> 1. If for any reason,delivery of this order is delayed beyond the delivery/installation date shown, <br /> ---pkkme notify the agency contact named at the top left.(Right of cancellation is reserved in <br /> instances in which timely delivery is not made.) <br /> 2.All chemicals,equipment and materials must conform to the standards required by OSHA. Delivery/Installation Date:0 6—2 1—00 <br /> 3. NOTE. Additional terms and conditions on reverse side. FO.BDESTINATION STATE PAYS NO FREIGHT <br /> SPECIAL INSTRUCTIONS: <br /> LINE COMMODITY/ITEM UNIT <br /> ITEM CODE MEASURE QUANTITY UNIT COST TOTAL ITEM COST <br /> 001 96273000000 JOB 9 ,800.000 1 .000000 $9, 800.00 <br /> ROARING FORK VEGETATION MGT. 841267221 <br /> COAL BASIN WEED CONTROL PER DOCUMENTED QUOTE AND ATTACHED BI <br /> D SCHEDULE. <br /> THIS RO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS jr t V i L = FOR THE STATE G' D7' ti <br /> FORM DR-01 (R 6•/99; <br /> 395-30-55-0159 <br /> Au;n, izrid S 1 •tur. <br />