HomeMy WebLinkAbout282969 GREATWEST LIFE - PURCHASE ORDER - 7700270tl I Date 12/19/07
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City of Fort Collins Purchase Order Number 7700270
Ctty of Fort Collins
Page Number 1
Vendor-, 282969 Ship To
GREAT -WEST LIFE & ANNUITY INSURANCE CO HUMAN RESOURCES
PO BOX 1700 CITY OF FORT COLLINS
DENVER CO 80201 215 N MASON, 2ND FLOOR
FORT COLLINS CO 80524 08
Delivery Date 01/10/07 Buyer CA Y, DAVID
Purchase Order number must appear on invoices, packing lists, labels, bills of I ing, and all correspondence
Note
Line Qty/Units Description Extended
Price
3 1 Lot 70,082
08
Addendum to PO# 7700270
for additional 2007 Stop Loss Protection Fe
Per Requisition# 32100
Total $70,082
08
City of Fort ConinY Director of Purchasing and Risk Management City of Fort Collins
This order is alid over $2000 unless signed by James B O'Neill II, CPPO, FNIGP Accounting Department
City of Fort Collins Purchasing, PO Box 580, Fort Collins, CO 80522-0580 PO Box 580
Fort Collins, CO 80522-0580