HomeMy WebLinkAbout268613 COLORADO DEPARTMENT OF PUBLIC HEALTH - PURCHASE ORDER - 3303713Date: 06/26/03
City of Fort Collins
Page Number: 1 of 1
City of Fort Collins
Purchase Order Number: 3303713
Delivery Date: 06/26/03 Buyer: DICK,OPAL
Purchase Order number must appear on invoices, packing lists, labels, bills of lading, and all correspondence.
Note:
Line Qty/Units Description Extended Price
Annual Stormwater Discharge
Permit
Uiry or yori,oiijns Uirector of Purchasing and Risk Management
This o der s not valid over $2000 unless signed by James B. O'Neill 11, CPPO, FNIGP
City of Fort Collins Purchasing, PO Box 580, Fort Collins, CO 80522-0580
Phone: 970-221-6776 Fax: 970-221-6707 Email: info@ci.fort-collins.co.us
1,499.00
Total 1,499.00
City of Fort Collins
Accounting Department
PO Box 580
Fort Collins, CO 80522-0580
COLORADO DEPARTMENT OF PUBLIC•HEALTH AND ENVIRONMENT
WOCD 2000 700 COR090050 m149900 6%9/2003 700009884
COLORADO DISCHARGE PERMIT SYSTEM INVOICE: 700009884
ATTN: Jim Hibbard PLEASE MAKE ANY ADDRESS
Fort Collins, City of, Utilities Dept. CORRECTIONS ON REVERSE
700 Wood Street
Fort Collins CO 80522
.. _ - AMOUNT DUE: $1,499.00
DETACH AND RETURN TOP PORTION WITH PAYMENT
NOTE: FAILURE TO RETURN TOP PORTION OF INVOICE WITH EXACT PAYMENT MAY RESULT
INA POSTING DELAY OR IN THE IMPROPER CREDITING OFYOUR ACCOUNT.
STATEMENT OF ANNUAL FEES
COLORADO DISCHARGE PERMIT SYSTEM
BILLING DATE: 6/9/2003 INVOICE NUMBER: 700009884
BILLING PERIOD: March 14, 2003 to June 30, 2003 DUE DATE: 7/9/2003
FEES CHARGED
$1,499.00
PERMIT # COR090050
Type: Storm water municipal >100.000 population / General Permits (07/20)
County: Larimer
Name of Site:
Jim Hibbard
Fort Collins, City of Utilities Dept.
700 Wood Street
Fort Collins CO 80522
TOTAL CURRENT CHARGES: $1,499.00
COMMENTS:
To assure proper credit, please include the permit number on your check and return the top portion of this invoice with
your check
MAKE CHECK
COLORADO DEPARTMENT OF PUBLIC HEALTH &c ENVIRONMENT
PAYABLE and
4300 Cherry Creek Drive South
RETURN
Mail Code ASD-AR-B1
PAYMENT TO >
Denver, CO 80246-1530
INQUIRIES
(303)692-3616