HomeMy WebLinkAbout172216 PINNACOL ASSURANCE - PURCHASE ORDER - 9953371Date: 6/3/2009
Fort Collins
Page Number: 1
Purchase Order Number: 9953371
Delivery Date: 6/2/2009 Buyer: BONNETTE, ED
Purchase Order number must appear on invoices, packing lists, labels, bills of lading, and all correspondence.
Note: PER INVOICE #14892978 DATED 5/4/09; POLICY PERIOD 5/1/09-5/1/10.
Line Qty/Units Description Extended Price
1 1 lot
Workers' Comp Insurance
Total
39,418.95
$39,418.95
_.-, _.. _.- _ .... _.. _. _.._.....y ......................�_..._... City of Fort Collins
This order is n alid over $5000 unless signed by James B. O'Neill II, CPPO 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: purchasing@fcgov.com Fort Collins, CO 80522-0580