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GENERAL55115
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GENERAL55115
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Entry Properties
Last modified
8/24/2016 8:40:11 PM
Creation date
11/23/2007 10:04:07 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981053
IBM Index Class Name
General Documents
Doc Date
9/8/1993
Doc Name
Purchase Requistion PKA-4-0016
Permit Index Doc Type
Reclamation Project
Media Type
D
Archive
No
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STATE OF COLORADO <br />PURCHASE REQUISITION <br />SUGGESTED VENDOR ANO ADDRESS PURCHASE <br />ORDER NUMBER SUGGESTED VENDOR aND ADDRES8 PURCHASE <br />ORDER NUMBEfl <br /> <br />an n uction <br />'13 / O , <br />~(- VENDOR NUMBER VENDOR NUMBER i <br />ZIP ZIP <br />TERMS <br />rax ID 1184-0593938 FOB TERMS ppg <br />ry <br />~,m .~.y <br />~'' ~' <br />far ~, <br /> <br />~ <br />., <br />~ <br /> T 9 4 ~ ~ YPE <br />9 3 <br />UND <br />AGENCY <br />2 7 0 P K A ORO SUB-DRG APPR CO <br /> <br />C C C 8 1 0 <br />m ~ DE <br />BS ACCT OBJECT REV BRC <br />~ ~ BUB-OBJ <br />8 2 3 1 1 <br />SU <br />P <br />M GB <br />FUNCTI REPOR <br />PROD/JOB NO OFFOFF RE <br />M N <br />R ~.• <br />m ~ <br />~ ~ <br />~.JJ <br />BILL TO -Name arq Address SNIP TO - Name antl Adtlress <br />ivision of Minerals and Geology Paul Krabacher, c/o Alpine Construction <br />1313 Sherman St., Rm. 215 8181 CR 203 <br />enver, CO 80203 Durango, CO 81301 <br />REQUESTING AGENCY -Name and Address TELEPHONE PEgSON(S) TO CONTACT <br />ame as bill to 866-3567 Maggie Van Cleef <br /> FAx <br /> 2-8106 <br />Ihereoy cavity that the supplies or servi listed a ece ryfor the ccessful ratb of he agency and Vle <br />quantity requestetl is the minimum anroun and nd esi a i s rticient to enver s e. <br />~'C <br />AUrHORRE GNATU E <br />ITEM <br />NO. pUANTITY UNIT ( COMMODITY U ER AND <br />COMPLETE DESCRIPTIO ITEM OR SERVICE UNIT <br />COST <br />AMOUNT <br /> REFERENCE PRICE AGREEMENT k <br />3 <br /> L 6 L Energy/Blue Flame Forfeiture Project <br /> Permit 11C-81-053 <br />1 2 I Rolls Land Lock 1060 Erosion Mat, 6.5' x 138.5' 550.00 1100.00 <br /> 's roll size <br />1 <br /> ~ Price includes 1 box of 1000 staples <br /> I ( F.O.B. DurAego, CO. <br />I j <br />3 i <br />3 <br />i <br />I i <br /> I E <br />f I <br />t I <br />i <br />~ i <br />f REQUESTED DELIVERY DATE <br />i <br />aeS53-0a-21tl <br />WHfTE - Pwchasirg Copy YELLOW -Accounts 8 Control Copy PINK - Agency Copy GOLDENROD - Deparfinenl Copy <br />
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