HomeMy WebLinkAbout172216 PINNACOL ASSURANCE - PURCHASE ORDER - 4408319Date: 12/20/04
City of Fort Collins
Page Number: 1
City of Fort Collins
Purchase Order Number: 4408319
uenvery ua[e: 141&wlw' 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
29,734.00
Workers Comp Premium
PER INVOICE #7230448, DATED 12/10/04.
Total $29,734.00
City of Fort Colfinj Director of Purchasing and Risk Management City of Fort Collins
This order is ft1halld 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
Phone: 970-221-6775 Fax: 970-221-6707 Email: info@ci.fortcollins.co.us Fort Collins, CO 80522-0580