New Search
rks Contract Request Form- <br /> ager's Name: Heidi Lakics Today's Date: 4/12/21 Est.Start Date 202 <br /> Bill to Information: <br /> Yes 8 Customer Legal Name: West Coast Home Solutions,LLC Customer Address: 25°3°swPa way Ave.suite„ <br /> Vame: Eugene Labunsky Phone Number: (503)509-5916 Email Address:eugenel.wcl <br /> rk to be done: <br /> 05314 will involve the development of a 31-lot residential subdivision. Developer will enter into a street <br /> he City and pay us to plant street trees. <br /> ion Line Distribution(s):This information will be used to create billing invoices,if not needed please proceec <br /> to Required Items below <br /> Account Code Work Unit Fund Program *Location *Project *Activity *Resourcc <br /> 12345 9123 011 308 980 317017 1000 1082 <br /> 459510-985804-10036 (20%) <br /> -459510-985804-10036(80%) <br /> of$438.28 (*)if applicable Total Estimated Value of Contract <br /> 'O INCLUDE WITH SUBMISSION <br /> Documents Billing Type <br /> ❑ Upon Request[notification required] <br /> ructions for contract Program ❑ Scheduled <br /> ❑ Frequency <br /> eement ❑ Amount Set <br /> ❑ Amount Variable <br /> ur executed contract within 3 weeks if all correct information is delivered to the Contract Coordinator. <br /> ist be filled out completely before submitting your request.Any missing information will result in a delay in processing your request. <br />