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I MINERALS & 'GEOLOGY DATE: 11-01-96 PURCHASE - <br /> _ 03 e 13 SHERMAN- STREET, ROOM 2151� <br /> DENVER, CO 80 y ORDER <br /> IMPORTANT * * ORDER <br /> -The PO#and Line Item# <br /> must appear on all ts76 STATE OF COLORADO: I <br /> Buyer: MAGG I E VAN CI,EE F invoices,packing slips, <br /> Phone Number: 3 0 3—S 6 6—41 S S cartons,and P O, # PD P k A 97000000016 Page# 0 <br /> Agency Contact: DEBB I E MULLOY correspondence. <br /> Phone Number: 303 S 6 6—3 5 6 7 State Award# <br /> FEIN 524589914 Phone: 970-385-413 ' BID# <br /> Vendor Contact: Y BRANNON/P KRABACHER <br /> Purchase Requisition#: Invoice <br /> Triplicate D I V OF MINERALS & GEOLOGY <br /> V SIMON, WILLIAM <br /> To: 1313 SHERMAN STREET, ROOM 215 <br /> E DENVER, CO 80203 <br /> N ALPINE MINE CONSTRUCTION <br /> D 8181 CR 203 <br /> O DURANGO CO 81301 Payment will be made by this agency <br /> R Sh'P DESIGNATED JOB SITE, PER SPECS <br /> INSTRUCTIONS TO VENDOR: To: <br /> 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.(Right of cancellation is <br /> reserved in instances in which timely delivery is not made.) <br /> All chemicals,equipment and materials must conform to the standards required by OSHA. <br /> NOTE:Additional terms and conditions on reverse side. DeliveryAnstallation Date: 1 1—0 1—9 6 <br /> F.O.B. DESTINATTO\ <br />;PECIAL INSTRUCTIONS: <br /> LINE COMMODn'Y/rTEM UNIT OF REM CODE MEASURE OUANTITY UNIT COST TOTAL ITEM COST <br /> 001 96273000000 EACI 2 , 000 . 000 1 1 . 000000 `. $2 , 000 . 00 <br /> SUNBELT MINING/PEACOCK MINE MAINT FORUITURE <br /> C-81-042 , PER DOCUMENTED QUOTE <br /> 3 <br /> i <br /> $ ( <br /> A It f F <br /> i et W Lug, <br /> DOCUMENT :TOTAL r.000`"00 <br /> CIS PCS I$�IS�SiIEC3'IN ACCORDANCE WITH S'TkMA/ ID FEDERAL REWLATIONS`" "p "S 'sere" B3TATt:OF COLORAD , <br /> '#r f auiftgp a,41•,>- a ,p'S' <br /> ....... <br /> ARM DP-f7� 1441 <br /> Nxs> L rjt <br /> 1-I�`' -r I!� s.r s,r� r`''� " <br /> w�7 r t;5�VENDOR "Authoifzijd }UPe <br />