HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9190178Requisition Form
Vendor: Today's Date: Requisition No.:
Ship To: Date Entered:
Date Required: Date Approved:
Special Instructions: Date Denied:
Item # Quantity Unit Description Total Charge Number
Requested By: Authorized By:
Authorized By:
Name, title typed here under the line
Name, title typed here under the line Name, title typed here under the line
Unit Price
I\ENG\FORMS\Blank Requisition.xls
Heather Hagar
Membership Dues Municipal Inv.#1351 $22,536.32 12300000.549210.9210.12300000.c
Colorado Association of Municipal Utilities
Colorado Association of Municipal Utilities
CAMU - 119842
DocuSign Envelope ID: 94F24EFA-EF40-4960-BD6A-6AAC1001F8B3
61987
1/10/19 - hh
Colorado Association of Municipal Utilities
PO Box 549
Colorado Springs, CO 80901
(719) 323-4976
camu@coloradopublicpower.org
DUES
BILL TO
Fort Collins Utilities
700 Wood Street
Fort Collins, CO 80522
DUES # 1351
DATE 01/06/2019
DUE DATE 02/05/2019
TERMS Net 30
ACTIVITY QTY RATE AMOUNT
Membership Dues:Municpal Member Dues
2019 CAMU Membership Dues
1 22,536.32 22,536.32
BALANCE DUE $22,536.32
DocuSign Envelope ID: 94F24EFA-EF40-4960-BD6A-6AAC1001F8B3
CAMU Representative Designation
Please return completed form to CAMU: dhodges@coloradopublicpower.org;
or mail to: CAMU, PO Box 549, Colorado Springs, CO 80901
Pursuant to the requirements of Article 1 Section 2 (a) of Bylaws of the Colorado Association of
Municipalities (CAMU), each member of the Association shall designate a representative and an
alternate representative who is authorized to act on behalf of the member in connection with the
activities of the Association.
While all officials and employees of all members in good standing may attend Association meetings and
participate in the activities of the Association, including the annual conference and workshops, and may
participate in committees of the Association, only the designated representatives of member
municipalities and associate members have voting privileges.
Accordingly, CAMU is requesting that the appropriate authority in your city, town, or power authority
designate a representative and alternate to represent your interests in the Association.
CAMU Member (Utility) Name: ___________________________________
(type /print)
Designated CAMU Representative Name: ____________________________________
(type /print)
Phone: _____________________________
Email: ______________________________
Designated CAMU Alternate: ____________________________________
(type /print)
Phone: _____________________________
Email: ______________________________
Authorized By:
Name: ________________________
(sign)
Name: ________________________
(type /print)
Title: _________________________
Date: _________________________
DocuSign Envelope ID: 94F24EFA-EF40-4960-BD6A-6AAC1001F8B3
DocuSign Envelope ID: 94F24EFA-EF40-4960-BD6A-6AAC1001F8B3