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CONTRACT ROUTING FORM <br /> Contract # Q <br /> Amendment/Addendum # <br /> RECEIVED <br /> TO: FOR: hA~~ ~ 1 2001 <br /> Contract Administrator Number/Log CITY RECORDER <br /> Division Manager Initials <br /> J PW Director ? Initials ? Signature <br /> City Manager Signature - ~~ruxx To AT <br /> PW Admin. (Budget) P.O. - ~xrrTO AT <br /> Contractor: '~!1 ~~T~~ <br /> Title: ~ ~1'~' ~G~ ~1ti, E?:~? <br /> Type: IGR LEAS PI PS PW TS Other: Contract Manager: f <br /> ~ ~ N <br /> Begin Date: ~ ~ ~ End Date: I y~ 3 ~ 0 ~ <br /> review Date: <br /> 1 <br /> Purpose of contractlagreement: 'V`t, <br /> S ~v~ <br /> <br /> BUDGET INFORMATION: ` 2o~zp~ a00 ~ ps' p~c~(~ - 4. <br /> <br /> Amount: ~ 1,2, P.o. :aoo1 ~ 0~5~ <br /> CEORDR Authorization Name: <br /> <br /> Account Code: _ ~ Amount: ~ <br /> Account Code: ~ 3 ~ ~ q 3 35 ' ~l ~ 3 9 ~ ql S3 3 a Amount: ~ ~ a ~5~0 <br /> Account Code: Amount: <br /> Total: <br /> <br /> Notes: ~ -ti- ~ r t ` c~- ~r <br /> ~ ~'t ~.S 5 tr ~ ~.J JLD C%~~ <br /> il~4y~- Revised 02/97 C:luserlcontract <br /> frm <br /> ~ mug :.1~ ~ 0 ~ ~a~ --ice s ~ ~ b v m ~ <br /> ~ ~ ~ o--E- <br /> ~J g rL <br /> <br />