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<br />FACILITY MANAGEMENT CONTRACT ROUTING FORM <br />~„„- <br />Date: October 31, 2003 <br />Contract No.: 2004-03841 <br />Amendment No.: <br />GJN: 3825 <br />Assessable? No <br />To• / ~ Mike Penwell I For: X Initials <br />• X Glen Svendsen '~2~~2 Initials Signature <br />X Mark Schoening, City Engineer ~ Initials ~ Signature <br />Kurt. Corey, Public Works Dir. Initials ~ Signature <br />Dennis M. Taylor, City Manager For: Signature <br />Please return to Hamilton at Facility Mgt X Send PO to Clark at PWA <br />Contractor: Chris Schoap Building Movers <br />~" Title: Relocate ¢unkhouse at Euaene Depot site <br />Type: PI _ Project Manager: R~! s M r (iy <br />Begin Date: Review Date: 12/1 /03 Termination Date: 1 /31 /04 <br />Purpose of Agreement: Relocate small wood-framed historic shed called "Bunkhouse" located at 433 <br />Willamette Street. <br />II L <br />Budget Information: REQ. No. 2'LX~`ll~'~C~ ~ ~ ~ Date 3N By ~~bt9 <br />Amount: $6,200.00 fixed sum P.O. No.: <br />Authorization by: Debbie Clark / Peggy Hamlin <br />Line 1 <br />Line 2 <br />Line 3 <br />Acct. Code: ~~~ Q331o (JQ,('?~ GUGJ1~3 Amount: $6,200.00 ~~ <br />Acct. Code: Amount: $ <br />Acct. Code: <br />Line 4 Acct. Code: <br />Amount: $ <br />Amount: $ <br />~rr' (} TOTAL CONTRACT $6.200.00 <br />Note: Purchasing -- Please forward contract to CRO <br />Route form (Revised April 2003) 1 1-13 - 0 3 P 01 : 3 O R C V D <br />