~ / <br /> M <br /> <br /> • <br /> CONTRACT ROUTING FORM <br /> PUBLIC WORKS MAINTENANCE n t <br /> Contract # 3" ~ 5 ~ 3 V~ <br /> Amendment/Addendum # <br /> TO: FOR: AUG 1 9 2002 <br /> Contract Administrator ,_,~'~Number/I,og _ <br /> Division Manager Y itials <br /> L <br /> PW Director Initials Signatu~re~~ l ' ` <br /> Ci Mana er ~ Signature - x~zvxN To (.~!•~C G~1.C~!Y~'/ AT <br /> ~ g , <br /> PW Admin. (Budget) ~ ~'AV~ P.O. - tee- <br /> ~/.~s•~ l~J.~c~ AT <br /> _ P <br /> Contractor: ~ f 1`1 <br /> Title: P~-oS V <br /> Type: IGR LEAS PI PS PW TS Other: Contract Manager: R-i ?J.L-~2/---~ <br /> Begin Date: End Date: ~lO <br /> ,.Review Date: ~ CEO ~3 <br /> purpose of contract/ Bement: t CA <br /> t~~ <br /> r <br /> #3UDGET INFORMATION: ~O~ dd'3 D 5~ ~ S 9 <br /> ;Amount: ~ 1 loC~ pC _ P.O. <br /> ~E~d~ ~ <br /> ORDER Authorization Name: <br /> Account Code: ~ ~ ~ - 933 ~ ~ ~ 0 90? 50 5~ O" Amount: ~ ~ ~i ~ <br /> Account Code: ,~3la 9 335 !o I Gov q,2 SO d Amount: ~ ~ ~RD DO <br /> ;Account Code: S31 93.35 !ot 9asos~c~ Amount: 3 ~ ~a ~'o, ~0O. ~o <br /> r- _ Total: ~!v (~~~'1dO• ~ <br /> Notes <br /> Cela Weis Revised 10/23 <br /> y'WM C:luserlContractslContract Routing Form MasterPWM <br /> a~~ <br /> <br />