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HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9191070WORK REQUEST L & P Representative: Date: . Description and location of work to be performed: Comments: The individual signing below (or the company represented by the individual) agrees to pay the cost of the construction described on this work request, based on actual labor, equipment, materials, contractual, and overhead costs incurred by the utility. Any estimates given are based on the best information available at the time of the request. Actual costs may vary from the estimate due to unspecified field conditions encountered during construction. Bill To: Company Name: Attention: Mail Address: City & Zip: Telephone: Authorized signature Print name Telephone Title Customer purchase order No. (if available) Terms: Payment in full due 30 days from invoice date. Dm:wkreq-T&M.doc revised January 27, 2014 Light and Power Utility 700 Wood St. - P.O. Box 580 Ft. Collins, CO 80522-0580 (970) 221-6700 (970) 221-6619 (fax)