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Equipment Specification Approval Sheet

  1. Department of Public Works
    Equipment Specification Approval Sheet

  2. Approved:

  3. As Written:

  4. As Amended:

  5. As per new specification:

  6. Please attach specification to this approval sheet.

  7. Quantity ordered replaces equipment:

  8. Unit#

  9. Year/Make/Desription

  10. CPI Adj. Pur. Price

  11. Mileage/Hrs.

  12. 1

  13. 2

  14. 3

  15. 4

  16. 5

  17. 6

  18. 7

  19. 8

  20. 9

  21. 10

  22. 11

  23. 12

  24. 13

  25. 14

  26. Approved by:

  27. Division Representative

  28. Date:

  29. Department Director or Designee

  30. Date:

  31. Director of Fleet Management or Designee

  32. Date:

  33. A-CAO or Designee (if applicable)

  34. Date:

  35. Assistant Public Works Director of Management & Finance

  36. Date:

  37. 504.7902000.653 00.

  38. Leave This Blank:

  39. This field is not part of the form submission.