HomeMy WebLinkAbout172216 PINNACOL ASSURANCE - PURCHASE ORDER - 9923528inDate
1216100
PURCHASE ORDER NUMBER 9923528
CttyofFortColhns City of Fort Collins
Page Number 1 Of 1
Vendor 172216 Ship To•
PINNACOL ASSURANCE POUDRE FIRE AUTHORITY - ADMIN
DEPT 500 102 REMINGTON
DENVER CO 80281-0500 FORT COLLINS CO 80524
Delivery Date 12/6/00 Buyer TENSLEY, RICK
Purchase Order number must appear on invoices, packing lists, labels, bills of lading and all correspondence
NOTE
Line Qty/Units- Description Extended Price
1 1lot renewal for workmens comp 50,101 00
Total 50,101 00
City of For C llins Director of Purchasing and Risk Management Mail Invoices in duplicate to
This order i not valid over $2000 unless signed by James B O'Neill II, CPPO City of Fort Collins
Accounting Department
PO Box 580
City of Fort Collins Purchasing, PO Box 580, Fort Collins, CO 80522-0580 Fort Collins, CO 80522-0580
Phone 970-221-6775 Fax 970-221-6707 Email info@ci fort -collets co us