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~~`~ ~; _r, -~~' ~o . o c~ zo ~/ <br />- PUBLIC WORKS DEPARTMENT <br />' CONTRACT ROUTING FORM <br />. . .. y Date ! ~. j f~ ~ <br />~ <br />• To . ~ ,, For <br />. T ' - . , w " ~ . <br />" Division Manager _Init.i<als~ ~ .. <br />Office Manager =Number/Log , <br />. . . ~1 . . . . . ~ ~ .. . j . . : . . r • , ' • <br />~_PW Director 1C.Initials _Signature <br />_~City Manager ~G Signature <br />_____________________________ =__-____ <br />PURPOSE OF CONTRACT/AGREEMENT: ` <br />/~c K~.O ' ~ ~'j {~~C„ <br />•• ~ ~OI~t <br />~G!/GG'41 `~ ~bJ/~ fill~ts~ . ~ bl.C/ Ul~l.a. /l~.~.ss'~.a_ l ~~~t~.~' <br />~ <br />~~C~ ll~~`'~, se~.~e~t..~ c~.. ,~~ . <br />, _ . , .. <br />~... s:~ c.:..s ~ ~~~~. ~:~. ~,~,~..~, ~~~~ ~ ~~ <br />_ . ::;i1 ~` . _ _ . . _ ~ <br />BUDGET INFORMATION:'~ ` ' ,'`' ' <br />Amount: O~'D~ Account Code: 3-l S~`- ~QZ3~ <br />OTHER PERTINENT INFORMATION: <br />~ <br />h z~- C-~. - • ,~ .z. , o ! / <br />. . , , •. <br />AFTER CITY MANAGER SIGNS: <br />_~// <br />Return 'to: ~(/ K l~G~ ,DiGlP~ <br />~1.~ ~,~~ C <br />PUBLIC WORKS Div: vf.Ls~y <br />Loeation: ~"~ ~ , ~ <br />wajdd039 <br />