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0 <br /> CONTRACT ROUTING FORM <br /> Contract # 9 8 -00 q Oy <br /> Amendment/Addendum # <br /> In Laserfiche <br /> TO: FOR: <br /> V Contract Administrator ✓ Number/Log <br /> ✓ Division Manger fr" Initials <br /> 1� PW Director Initials ✓ Signature <br /> City Manager Signature - RETURN TO AT <br /> PW Admin. (Budget) P.O. - RETURN TO AT <br /> Contractor: � COnnnr Paj4 IA noL yo sr <br /> Title: t-�fq DrL%cL S 1)i4c 7?*/ ' o,-/'• <br /> Type: I G R L E A S P I (J PW T S Other: Contract Manager: Jo L H v y M eat.; ec <br /> Begin Date: Z z - 9 S End Date: 3 - / - 9' 7 <br /> Purpose of contract/agreement: M r,Q r 1 1 c.S - x- -Lk <br /> ‘■\•2.MAA r1 XS ?c X to /9- <br /> BUDGET INFORMATION: <br /> Amount: NOT TO 46-X66 1) 4' 457 DDO P.O. #: - S 7? <br /> CEORDR Authorization Name: <br /> Account Code: a // `74' Z z l/ 7 3 7 Amount: <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Total: <br /> Notes: _E • = - <br /> - t v_ <br /> • �• • � , — / S/ p gy— G <br /> n/77#7€0116:1) / i♦ <br /> PWM- Tammy Donahue . --/O �e Revised 02/97 C:luserlcontracl.frm <br />