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CONTRACT ROUTING FORM <br /> PUBLIC WORKS MAINTENANCE <br /> Contract # a o 0 3 0 5 3a <br /> Amendment/Addendum # <br /> TO: FOR: <br /> r <br /> R Contract Administrator v Number/Log <br /> Division Manager Initials <br /> • r <br /> ✓ PW Director Initials Signature <br /> City Manager Signature - RETURN TO AT <br /> PW Admin. (Budget) J y ✓03 P.O. - RETURN To AT <br /> kcLw ,v\ 4" <br /> Contractor: '74 a Oro91rn j � nn, u.n, rc+��/t ovr <br /> Title: Etterru (Iv 7 .nrc/a /vb'»?rrr./;7 / taa,ek <br /> Type: IGR 4 LEAS PI PS PW TS le : 60241 Contract Manager: 6,r4,f,c,v Pl i,r4 crn <br /> Begin Date: J, / , ,7603 End Date: let 1 , 2 o y <br /> Review Date: (‘ film try ) 2 a o C( <br /> Purpose of contract/agreement: ();4141./44 ) �/ ,.ern � /r t i a ,/ /r1p 4-6 1.-y)/ /26r <br /> 5 A r4 p �Ltc U.e.fP„t 1/ mOOYYe v/„A..1 SC��irr,7? ti> et. <br /> 11 P - `' <br /> BUDGET INFORMATION: <br /> Amount: , 56 Atenzt-e-- <br /> O ER Authorization Name: <br /> A��coun o e: /2 7 9,335 93301 A Amount: $ ) <br /> Ake e: / i 93 3 5 G/ 735 9315.":1 / Amount: <br /> Account Code: Amount: <br /> Total: <br /> Notes: cs Jn- d2n rYl (2 /,-77A c plot <br /> Cela Weiss Revised 10 /01 <br /> PWM ��i ' C6e C: Iuser1 ContractsIContract Routing Form MasterPWM <br /> Cap e, tv <br /> C.1). <br /> L .12 <br />