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='°. . . . - _ <br />_, _ . . ,. . <br />- . , - .. , . - : , . . . - , <br />- , <br />~ " -- .. . <br />. . - . <br />~' >' . <br />PUBLIC WORKS DEPARTMENT CONTRACT ROUTING FORM .~ "-- <br />-~ Date: = . <br />~ .- . ~ ~, . _ . ` - <br /> <br />Contract No: ~ ` , ~r~ <br />. %7~ j ~ <br />' :. ,. . . . ~ . . _ ~ <br />~ ~Amendment/Addend'um # / . . <br />` <br />„ _ . <br />_ , <br />. . <br />~ GJN _ . . _ - _ ~ . <br />. <br />, , <br />~ : ., . _ . . . . _ <br />- Assessable? <br /> <br />~ . u ~ .., . : -~ _ , - <br />To ' ~ivision Manager ~ . . . <br />For / Initials ~ -_ : " = _ . . . <br />. <br />~ ` ~ . ~ ~%PW Director _ : ~' Initials .~ .~Signature - . ~ <br />, -:. <br />. .. . <br />~ . City Manager ~ - : , ~ ` ; <br />. <br />: ` ` ; Signature - retum to=. at - <br />~ <br />~ - . ~ ~PW Adinin. (Budget) . <br />:~P:O: :- return to ~ ` - at . . . <br />. , , ~ . , _. . . . <br />. . . , , .: Contracfor: .. ~ ~ . ,. ~ ; .. <br />: ContractTitle/Description: - ` <br />. Type - ~ ~ ~.Contracf 1Vlanager ; <br />• <br />f : ~ - . . <br />.. <br />Begin Date . ~ _ ~ En Date '~ _,_X ~„ ,lLr i . ..~ /°99B . .: `, ~ <br />Budget~Informatiori: . . . - . ,. ~ " . <br />- <br />' <br />- ~.n c~.c.~e.:nc. ~ . _ , <br />~ . <br />- <br />Amount: _ 9/;~13t_ ~o <br />. ~ . .. . ~ ~ J-,.-T . .. , . <br />P:O: No. . y7~a~~~a~~ _ <br />. -~ _ <br />. . . . ~ ~ . . . <br />r <br />; *CEORDR Authorization Name_ Il~. / . <br />. .. <br />~~ z ~i u~w-. - . . . ~ . <br />, :..Acct. Code:-/.~/-:~9l~ - ~~/~~ q .~. , <br />. . Amount: ~~ 5. ~iO.U ~=~~.,~~~~~ <br />, . <br />~. -: . - <br />Acct. Code: ~ ~ ~ - b'. 9iv -. ~ r .7~ > - -, . . ; - . <br />; . Amount. ~ ~c, ~~cf o . ~-,~-~--e-~-~- . <br />. - :: Acct. Code: ~ ~ S .~ ;Q j ~~~. '. ~ i~7~ 5' . ~ .Amount: ~ . ~~, 5!~ 5 ~~ ~~~ <br />_ - . -" Total:' ~~ ~iI ~~S ~ ~.ti~;~~.--Q-~ _ ~ ~ <br />' <br />_-_ _ <br />L.. . , ~ <br />,_ -. 7~~ ~~~-~-~~ /~U ~;y.i'7 °I :~~,J~- ~ : <br />. - - ~' - <br />~ <br />, Notes: ' - - _ - <br />. .._ _ ~ - -- `_ , _„ ~.. <br />