HomeMy WebLinkAbout172216 PINNACOL ASSURANCE - PURCHASE ORDER - 7708713Date 12/10/07
Ll,°: r
City of Fort Collins
Page Number 1
Vendor 172216
PINNACOL ASSURANCE
DEPT 500
DENVER CO 80281.0500
City of Fort Collins
Purchase Order Number 7708713
Ship To
POUDRE FIRE AUTHORITY - ADMIN
102 REMINGTON
FORT COLLINS CO 80524
Delivery Date 12/10/07 Buyer BONNETTE, ED
Purchase Order number must appear on invoices, packing lists, labels, bills of lading, and all correspondence
Note
Line Qty/Units Description Extended Price
1 1 lot 2,23932
Worker's Comp
Total $2,239 32
\J O U-4
City of Fort CqWiny Director of Purchasing and Risk Management City of Fort Collins
This order is and 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