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T <br /> PURCHASE <br /> MINERALS & GEOLOGY DATE: 04-13-00 1313 SHERMAN STREET, ROOM 215 ORDER <br /> B�NVER, CO 80203 IMPORTANT STATE OF COLORADO <br /> Phone Number: TVONNE BRANNON The PO#and Line#must <br /> 303/866-3567 appear on all invoices, P.O. # Page# <br /> Agency Contact: packing slips,cartons, PD PKA 00000000012 01 <br /> DEBORAH MILLOT and correspondence. State Award# <br /> Phone Number 303 866-3567 ACC: 04-12-00 <br /> FEIN Phone: BID# <br /> Vendor Cont44 14 8 5 7 5 9 970-872-622 <br /> Purchase RequisitiojWCKY RUNDLE Invoice in Triplicate <br /> To: DIV OF MINERALS & GEOLOGY <br /> V 1313 SHERMAN STREET, ROOM 215 <br /> E RUNDLE, BECKT M DENVER, CO 80203 <br /> N RUNDLE CONSTRUCTION <br /> D 1216 3100 ROAD <br /> O Payment will be made by this agency <br /> R HOTCHKISS CO 81419 <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 /> --please 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: <br /> 04-17-00 <br /> 3. NOTE: Additional terms and conditions on reverse side. FOR DESTINATION STATE PATS NO FREIGHT <br /> SPECIAL INSTRUCTIONS: <br /> LINE COMMODITY/ITEM UNIT OF QUANTITY UNIT COST TOTAL ITEM COST <br /> ITEM CODE MEASURE <br /> 001 96273000000 EACH 8, 101 . 000 1 . 000000 $8,101 .00 <br /> MID—CONTINENT/COAL BSN FTCR — 2000 SPRING MAINTENANCE PER DO <br /> CUW,NTED QUOTE AND ATTACHED BID SCHEDULE <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS. DOCLRAENT TOTAL — FOR THE STATE OF OR� •� <br /> FORM D (R 6/99) <br /> 395-30-55-55-0159 V E Iv D;;R <br /> AuhOn29d S19nB1urB <br /> "T$w0pt <br />