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/'t . <br /> PUBLIC WORKS. DEPARTMENT CONTRACT ROUTING FORM <br /> ~ Date: <br /> Contract No: app - OO3 S <br /> Amendment/Addendum # a, <br /> ~ GJN: <br /> Assessable? <br /> ' To:~_Division Manager. For: X Initials <br /> X PW Director X Initials Signature <br /> .__z_c Gity Manager ~_Signature -return to at <br /> ~_PW Admin. (Budget) ~_P O - return to ~~¢,~,at 1?Lt1~ : x S83~- <br /> i <br /> ~ - <br /> Contractor: Gee~~ ~ ~i.,lir /~a~ ~il,~a ~ ea v .v~iorL3 o r t2kC, <br /> ContractTitle/Deseription:~~~,y,~ ~K„~- C~ ~y cb 3 ~ <br /> ,I <br /> Type ~G~i4 Contract Manager ~ <br /> Begin Date aU01 End Date a.UC~d2 <br /> . - <br /> i <br /> .ry ~t <br /> Budget Information: G' <br /> <br /> i <br /> Amount: ~ I ~i~'200 P.O: No_ ~ O4~ I ~a~S`-~ ~ ?~7~(Z ~ ~ r <br /> / <br /> *CEORDR Authorization Name: ~~~~c2~c~ <br /> Acct. Code: ~~~5 ~~l ~J (e i 73 q Amount: <br /> Acct. Code: Amount: <br /> Acct. Code: Amount: <br /> Total: ~ 10, DOO.Od <br /> .Notes: <br /> RECEI! 3- <br /> QEC 17 20 01 <br /> CITY RECt~~ ~R <br /> _ _ _ _ _ <br /> <br />