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_ Ill <br /> CONTRACT ROUTING FORM <br /> 6 <br /> 00-00403 ;.. <br /> Contract <br /> Amendment/Addendum # <br /> TO: Administrator > <br /> Contract Admstrator �Number/Log <br /> Division Manger {Initials <br /> 1r PW Director Initials Signature <br /> City Manager Signature,- RETURN To AT <br /> PW Admin. (Budget) _ /P.O. - RETURN TO eel' tue1 AT T W ''1 <br /> Contractor: Rod 11 ' 2 ) K Lsw p F � _ n <br /> Title: Robbie irK S '� €eE /`" /ice S 1 <br /> Type: IGR LEAS PI PS PW .TS Other: Contract Manager: SAUfb.4i <br /> Begin Date: J4.1• 9 End Date: eg■ . <br /> i2 0 e au n E. O <br /> Purpose of contract/ agreement: ,fi 1 AI eV' 40 the- 3 _ - 6 `C Sep <br /> ( Pall+ ) e / . . N / 1 cil 51 -7 .- 318 ci- i0,66, p <br /> • <br /> BUDGET INFORMATION: <br /> Amount: 2 1 U P.O. #: <br /> CEORDR Authorization Name: <br /> Account Code: 1 31 , 422 4 241 l Amount: si So`' <br /> Account Code:. 131 - 9'41122 - 4 6 7 g`T Amount: \S' q ) 75z - <br /> Account Code: 312- cr3 q 6 S5' Amount: '' /9 i 00E <br /> Total: 23 g /C) <br /> Notes: <br /> • <br /> PWM - Tammy Donahue Revised 02/97 C :luserlcontractfrm <br />