HomeMy WebLinkAbout172216 PINNACOL ASSURANCE - PURCHASE ORDER - 5500993Date: 02/10/05
City of Fort Collins
Page Number: 1
City of Fort Collins
Purchase Order Number: 5500993
ueilvery it U41 IUtua 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 133,835.00
Workers Comp Premium
PER INVOICE #7300911, DATED 2/2/05.
Total $133,835.00
VILy vi rort m uireccor oT vurcnasing and Risk Management City of Fort Collins
This order is rtqlhalid 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.fort-collins.co.us Fort Collins, CO 80522-0580