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• <br /> NAR 091999 <br /> CONTRACT ROUTING FORM <br /> Z <br /> 601V6 5 _ O 0 4 O 3 <br /> Pa-NY- <br /> Amendment/Addendum # <br /> TO: FOR: In LaSertiChe <br /> 1/ Contract Administrator Number/Log <br /> Division Manager ✓ Initials <br /> PW Director Initials Signature <br /> City Manager Signature - RETURN TO AT <br /> �l PW Admin. (Budget) P.O. - RETURN TO AT <br /> Contractor: �n y) <br /> Title: ` 3 d yt LI;.A-sC /-G ME4JJi. p f <br /> Type: IGR LE(4)PI PS PW TS Other: Contract Manager: I ►. iE1? <br /> Begin Date: '31(c" As End Date: 3 It/?) I <br /> Review Date: VI S /� <br /> Purpose of contract /agreement: L.45 E. Lttlllb I, )O1' QED fh R PArtk <br /> BUDGET INFORMATION: <br /> Amount: P.O. #: <br /> CEORDR Authorization Name: x <br /> Account Code: 7a ` %c 3 35 — 2 / � C� Amount: l '7j 16 <br /> Account Code: Amount: <br /> Account Code: Amount: <br /> Total: <br /> Notes: (,l/t .lii1 ya al),CP <br /> PWM - Cela Weiss Revised 02/97 C. l user)contract frm <br />