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r 4:1tYcn. -t <br /> , ' ' VV-Abay, ( .._..0 'PC) <br /> -.1 — r(S73e5 -e. <br /> 0 co---Ote -C -Y\(\ N <br /> "Zi::::G- T ROUTING FORM <br /> Contract 45 <br /> --Sk . Amendment /Addendum # <br /> GJN <br /> Assessable? Yes No <br /> To: Division Manager For: '/Initials In Laserfiche <br /> Contract Administrator Number /Log <br /> ✓W Director Initials Signature <br /> City Manager Signature - Return to at <br /> PW Admin. (Budget) P.O. - Return to at <br /> Contractor: K € ■ A - 1 y ∎ 3 14 ` <br /> Title: 0 u €---{ <br /> t.J nn <br /> Type: PS AIA IGR OT R: Contract Manager: Z)L c_k- bil.4 Cd <br /> L�.JJ <br /> ea..? <br /> Begin date: k s c,1��� End date: I. ��.. <br /> _ � ► A o 1/A000 <br /> Purpose of contract /agreement : ems. i• ✓v ,k c O A■ C> t.J \ i-1. `. 0.__\- <br /> (1\-eAkaikicKs � Zivir -VOcP C M d <br /> Budget Information: <br /> Amount: _ P.O. tt: <br /> *CEORDR Authorization Name: <br /> Account Code: _ _ _ Amount: <br /> Account Code: Amount: <br /> Account Code: _ Amount: <br /> TOTAL: <br /> / C 1 �� <br /> Notes: / r !!Y70f4_57`�c -A' rc. 5 2 <br /> e L t° 1 4 (-ode} de } —�! _r . - Yyl_ i-2 . �°ci — � Af'I.'1 (,ra- / <br /> TY.7A (� pOS �� / <br /> hr._ de O )4d 14 0tt - <br /> , , I L. U 1 r . ,,, . , ...l .,, 5- --- <br />