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C L JOLUU <br /> PUBLIC WORKS DEPARTMENT <br /> CONTRACT ROUTING FORM <br /> Date C¢ f 2-2 1°( <br /> To For <br /> Division Manager Initials <br /> Office Manager 144Mber/Log <br /> /' PW Director Initials Signature <br /> 1 City Manager Signature <br /> PURPOSE OF CONTRACT /AGREEMENT: <br /> °� nmr r� c,Q 4 to t,4- !,Ur R, ' Road at (K <br /> � � <br /> ux\d. .orea -„afif O,vi1iAeSc - ioy) +Y' on ( ;'10 - y) <br /> BUDGET INFORMATION: <br /> Amount:A5,000 Account Code: fat 1 -- gip 19 3`7 <br /> OTHER PERTINENT INFORMATION: <br /> AFTER CITY MANAGER SIGNS: <br /> Return to: lf�YhmU1 brO1a1Vid. <br /> PUBLIC WORKS Div: O1J <br /> Location: 1V.) )41 li <br /> wajdd039 <br />