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~~ <br />.. ~ <br />~, <br />~~r-~ <br />~~~I ~I~~I~~I~~~~~ ~I~ _- <br />STATE OF COLORADO 999 <br />PURCHASE REQUISITION <br /> RURCNASE <br />JPOER NVMBfP AGENCY NAME RR NUMBER <br />SUGGESTED VENDOR AND ADDPE55 Mined Land Reclamation Div. E <br /> F/Y DATE FUND ACT LD AGENCY NUMBER <br /> VENDOP NUYOEP 90 0 31 89 4008 +~= 34-13-00 <br /> <br /> ZIP COMMODITY CG <br />TERMS Foe Coal Mine Final Reclamation <br /> PV RCNASE <br />R <br />P <br />FP <br />G/L ABL <br />OBJ <br />ENCUMBRANCE <br />SUGGEST ED VENDOR AND ADD RESS OE <br />NUUe <br />O LL <br /> ACCT NO ORG UNIT ACCT NO CODE AMOUNT <br /> 50917 0-00-091 10910 6301 $245 <br />900.00 ei <br /> VE NOOn NUMBER , <br /> I nereoy cerllry Inal Ine suDDlles or serves IlsteO are necessary for the succeulul <br /> ODeralion OI Ine agency antl ma Ouanllty reouestatl is Ine minlmum amount antl luntl <br /> oeslpnaieo Is sufbnenl cover same. <br /> ZIP <br />TERMS FOB <br />BILL TO - Neme antl Atltlress ~ <br /> ~ <br />~ G Y MEAD <br /> <br />Same ae requesting agenc y pE0UE5TING AGENCY -Name antl Atloreu <br /> Mined Land Reclamation Division 'V <br /> 1313 Sherman Street, Room,215 <br />, <br /> ~ <br />;,NIP TO -Name antl Atltlress Denver, Colorado 80203 <br /> PERSON TO CONTACT IOnglnalor of ReouesD TELEPHONE <br />Same as requesting agency <br /> Tom Gillis 866-3567 <br />ITEM UNIT <br />NO. QUANTITY UNIT COMPLETE DESCRIPTION OF ITEM OR SERVICE COST AMOUNT <br /> HA4lK'S NEST WEST PROJECT - RN-COAL-MINES-2 <br /> Western Slone Carbon, Inc. Permit 1tC-81-016 <br />1. 1 JOB Mobilization and Demobilization N/A S13,600 <br />2. 1 JOB Structural demolition, removal and disposal N/A 57,9.00 <br />3. 1 JOB Move equipment to East mine area, if necessary N/A 6,800 <br />4. 1 JOB Backfill 6 mine openings N/A 2,300 <br />5. 1 JOB Regrade disturbed areas N/A 43,700 <br />6. .1 JOB Rip regraded areas N/A 2,200 <br />7. 1 JOB Reconstruct drainage control structures N/A 17,200 <br />8. 40 HOURS Additional backhoe work, if necessary $55.00 2,200 <br /> This project is subject to advertising before <br /> final payment (C.R.S. 38-26-107), In addition, <br /> retainage will be held at 10%. <br /> All in accordance with specifications, <br /> drawings, terms and conditions of the above bi <br /> which is made a part hereof by reference. <br /> Delivery <br /> Req./Req'd: <br />