HomeMy WebLinkAbout172216 PINNACOL ASSURANCE - PURCHASE ORDER - 2200402 (2)I&
CityofF_ City of Fort Collins
Page Number: 1 Of 1
Date: 01 /11 /02
PURCHASE ORDER NUMBER: 2200402
Delivery Date: 12/31/02 Buyer: O'NEILL,JAMES
Purchase Order number must appear on invoices, packing lists, labels, bills of lading and all correspondence
NOTE:
Line: aty/Units: Description: Extended Price:
1 1 lot premium installments 154,617.00
POLICY NUMBER: 51045
WORKERS COMPENSATION INSURANCE
Total:
154,617.00
City of For C Ilins Director of Purchasing and Risk Management Mail Invoices in duplicate to:
This order of 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-collins.co.us