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• ,�0 a. r <br /> PA <br /> ;'E"0 .�7)OZI jVA Mg3T"g3fi} , ."'t(}�ranci F103,T2:3UO: <br /> •-n.r,. vw c rri ba+r ti f v,-i .vn::m bP,E bi6iL PAi IL Ie9t0inl kt>.3r7i ,>r,�%••-••r D4P;1. I•• ~ 73Mtit�to ityl�AlS! s <br /> e, IIYI RTAIVT, ,a,,,1c .WCH <br /> ..:) ,' •..:li:)J F - - ::^. Fri ll'Yr11 .l: r '1•1.' a iTMe P#(�rtd I L1 E :�! . 1.A'•1r1 �.,/R1 �,/�p . <br /> Buyer. {�CiC 1�. � (�� T' `-,..,,Ir �I:,,, 1A76 ".un` ;Aftllrr.>• 1 S ty`if4 <br /> A, 1 �T.e- "C:!ll'hl: 37/. S 1 <br /> irivdces,paddng slips '� °"Ewn ' <br /> Phone Number. ( ,oy;v�Me <br /> •`;v3)��� "7 `^,+�"^'.�=. _ P.O.# eJ� —QKV�- °� <�- -Page# <br /> correspondence. <J �'` <br /> Agency Contact: <br /> Phone Number: 0 Wj <br /> State Award# <br /> FEIN `� _1304q U Z Phone: BID# — �-- ( Q 2 �. <br /> Vendor Contact j'}'\i ke , im►oicei.ari , <br /> Purchase Requisition#: Invoicate <br /> To: <br /> V f t - '(CJ <br /> E <br /> N <br /> D jil+ , co '. <br /> O payntent%yOk be,•made by this agency <br /> R Ship <br /> To: <br /> INSTRUCTIONSTO VENDOR: _ <br /> 1.It for any reason,delivery of this order Is delayed beyond the AellveryAnstallatIon date shown,please notify"the contact named at top.left.(flight of cancellation is <br /> reserved h frutar>ces in a timely de.Ywy 4 rot made.) <br /> 2.AN chemicals,equipment and materlals-nrut conbrm to the standards rewhad by OSHA <br /> 3.NOTE Additional terms and con1dons on reverse side. Delivery/installation Date: <br /> F.O.B. <br /> SPECIAL INSTRUCTIONS: <br /> Lim CUAKRTY UP"COST TOTAL rrEM CAST <br /> REM CODE MEASURE <br /> -0a-73 <br /> /9 00 <br /> 0 Ll50 <br /> 1_33 <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS. FOR THE STATE OF COLORADO <br /> FORM DP-01(5195) _- <br />