HomeMy WebLinkAbout103150 COLORADO SELF INSURERS ASSN - PURCHASE ORDER - 8853613I&
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Page Number 1
Vendor 103150
City of Fort Collins
COLORADO SELF INSURERS ASSN
COUNTY T'E0HNiCAkL $E"CS$ ]NO
C10 PATTI RRONIKOWSKI
1700 BROADWAY SUITE 1512
DENVER CO MOO
Date 06/18/08
Purchase Order Number 8853613
Ship To
RISK MANAGEMENT DIVISION
CITY OF FORT COLLINS
215 N MASON, 2NO FLOOR
FORT COLLINS tO $0%4-44%
uenvery uace 1.101-laiva Buyer O NEILL,JAMES
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 LT —
35000
Membership
Total $350 00
City of Fort Collins Director of Purchasing and Risk Management
This order is not valid over $5000 unless signed by James B O Neill II CPPO City of Fort Collins
Accounting Department
City of Fort Collins Purchasing PO Box 580 Fort Collins CO 80522 0580 PO Box 580
Fort Collins CO 80522 0580