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Equipment Specification Approval Sheet

2. Department of Public Works
   Equipment Specification Approval Sheet

4. Equipment Description

6. Equipment Reason/Purpose:

8. Specification Number

9. Approved:

   1. Yes
   2. No

11. As Written:

    1. Yes
    2. No

12. As Amended:

    1. Yes
    2. No

13. As per new specification:

    1. Yes
    2. No

15. Please attach specification to this approval sheet.

17. Quantity to be ordered:

18. Price per unit ordered:

20. Suggested vendor(s) if not on contact

22. Quantity ordered replaces equipment:

24. Unit#

25. Year/Make/Desription

26. CPI Adj. Pur. Price

27. Mileage/Hrs.

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    6

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    7

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    8

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    9

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    11

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99. Approved by:

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     Division Representative

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     Date:

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     Department Director or Designee

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     Date:

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     Director of Fleet Management or Designee

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     Date:

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     A-CAO or Designee (if applicable)

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     Date:

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     Assistant Public Works Director of Management & Finance

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     Date:

116. 504.7902000.653 00.

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118. 1. Receive an email copy of this form.
119. Email address

     This field is not part of the form submission.

120. Submit

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