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°F ` PURCHASE <br /> MINERALS & GEOLOGY DATE: 04-14-00 F'`� R <br /> 1313 SHERMAN STREET, ROOM 215 ORDER <br /> BtNVER, CO 80203 IMPORTANT *J876 STATE OF COLORADO <br /> Phone Number: YVONNE BRANNON The PO#and Line#must <br /> appear on all invoices, P.O. # Page# <br /> Agency Contact: 303/866-3567 packing slips,cartons, PD PKA 00000000013 01 <br /> DEBORAH M.iLLOY and correspondence. State Award# <br /> Phone Number <br /> 3Q3 Arr. <br /> FEIN Phone: BID# <br /> Vendor Cont&4 13 0 4 4 4 2 970-858-400 <br /> Purchase RequisitioWKE FRICK Invoice in Triplicate <br /> To: DIV OF MINERALS & GEOLOGY <br /> V 1313 SHERMAN STREET, ROOM 215 <br /> E DIRT—N—IRON INC DENVER, CO 80203 <br /> N <br /> D . 1685 17 ROAD <br /> O LOMA CO 81524 Payment will be made by this agency <br /> R <br /> ShiTop <br /> INSTRUCTIONS TO VENDOR: DESIGNATED JOB SITE, PER SPECS <br /> 1. If for any reason,delivery of this order is delayed beyond the delivery/installation date shown, <br /> --please notify the agency contact named at the top left(Right of cancellation is reserved in <br /> instances in which timely delivery is not made.) <br /> 2.All chemicals,equipment and materials must conform to the standards required by OSHA. Delivery/Installation Date: <br /> 3. NOTE: Additional terms and conditions on reverse side. 04-18-00 <br /> F.O.B. DESTINATION STATE PATS NO FREIGHT <br /> SPECIAL INSTRUCTIONS: <br /> LINE COMMODITYRrEM UNIT OF ;ITEM CODE MEASURE QUANTITY UNIT COST-. TOTAL ITEM COST-. <br /> - '` ' �' ic:•r. <br /> 001 96273000000 EACH ' 10 000. 0001. , 1: 000000 f10, 000, 00 <br /> COAL ERP2/HAWKS NEST PROJECT/ITEM1 ONLY., PER DOCUMENTED QUO <br /> TE AND ATTACHED BID SCHEDULE <br /> THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS. LUCUMENTTOTAI — FOR THE STATE O dCP-OFaW' • 0 0 <br /> FORM DP-01 (R 6/99) <br /> 395-30-55-0159 ER apP, 1 <br /> or e{f Syyature - t <br /> �� qi$Moot <br />