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- - DATE: '°� C. PURCHASE <br /> _^ T IMPORTANT ORDER <br /> The PO#and Line Item4 * * STATE OF COLORADO <br /> must appear on all 1976 <br /> Buyer -4 V L - invoices,packing slips, <br /> Phone Number: _o - _2- cartons,and a u p 9 6 000 000012 Pagf <br /> . ' � 3 `''� ` - ^ correspondence. P�' #--D - -- <br /> Agency contact: D,:R 3 I E M U L'-0'_ <br /> 3 3 J 6 6-� State Award# <br /> Phone Number: 1 5 6? <br /> FEIN _ Phone: - BID# <br /> Vendor Contact: SCOTT CA.RSC:Y <br /> Invoice in <br /> Purchase Requisition#: Triplicate DIV Or `".INERALS & GEOLOGY <br /> To: STREET , ROOM <br /> 00203 <br /> N _ _ <br /> O B R O O�M I E D C, ?^ '? Payment will be made by this agency <br /> R ToIP D-7 C7 ORALS & GEOLOGY <br /> I I INSTRUCTIONS TO VENDOR: STREET, ROOM <br /> 1.If for any reason,delivery of this order is delayed beyond the deltveryfinstallafion date D E N'! R C 0 30203 <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.Ali chemicals,equipment and materials must conform to the standards required by OSHA. <br /> 3.NOTE:Additional terms and conditions on reverse side. DeliveryAnstallation Date: 1 1—3 0—9 5 <br /> F.O.B. y�TTIVATTC `: ?OT, Tyr" <br /> SPECIAL INSTRUCTIONS: <br /> LINE COMMODRYATEM UNrT OF <br /> ` REM CODE MEASURE OUANiRY UNR RE COST TOTAL M COST <br /> 001 96243000000 EAC 1 . 000000 $4, 35F <br /> MI^-CONTTLNENT"CO T E} C-3 - <br /> LABORATORY TESTI G OF WATER SAMPLE: 77 , ATTACHED PRICE UOTE <br /> .a� <br /> a <br /> DOCUMENT TOTAL .1:� .-- $4, 3U <br /> ` THIS PQ IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS. FORTHE'STA E OF COLORADO' <br /> FOPtM DP'-01(5J95) C <br /> 0ee_etirem" VENDOR „}hnrisnil Cinneh,re <br />