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Q DATE: �� PURCHASE <br /> IMPORTANT * lR <br /> The PO#and U.ne.ltem#' * * <br /> Buyer: I Yl o j` a �b v1 C�e C f must appear'on all 1976 STATE OF COLO1tAD0 <br /> Invoices;packing slips, <br /> Phone Number: cartons,and, P Q.# f k r1 �(r� <br /> correspondence. <br /> -- Page# j <br /> Agency Contact: ,Janet �'Av)5 po <br /> Phone Number: State Award# <br /> FEIN LY 5.Soy Phone: BID# <br /> Vendor Contact: 5(U t f <br /> Purchase Requisition M Invoice in <br /> Triplicate <br /> V To: <br /> E <br /> N <br /> D <br /> O Payment will be made by this agency <br /> R Ship <br /> INSTRUCTIONS TO VENDOR: To: "V��,• <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.(Bight of cancellation Is <br /> reserved in instances In which timely delivery is not made.) <br /> 2.AN chemicals,equipment and materials must conform to the standards required by OSHA. <br /> Delivery/Installation Date: �/ <br /> 3.NOTE:Additional tents and conditions on reverse side. � ' 7 5 <br /> F.O.B. <br /> SPECIAL INSTRUCTIONS: <br /> CAP( <br /> LINE COMMODfTYATEM UNrr of" UNfr COST TOTAL REM COST <br /> REM 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 /> 395-30-55-0233 VENDOR Authorized Signature <br />