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09
City of Pleasanton
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CITY CLERK
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AGENDA PACKETS
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2014
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061714
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09
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Last modified
8/25/2015 4:26:23 PM
Creation date
6/10/2014 3:17:06 PM
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CITY CLERK
CITY CLERK - TYPE
AGENDA REPORT
DOCUMENT DATE
6/17/2014
DESTRUCT DATE
15Y
DOCUMENT NO
9
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Attachment 1 <br /> THE CITY OF PURCHASE ORDER AGREEMENT Agreement Number <br /> in I-ii CITY OF PLEASANTON ' <br /> PLE�IS�4NTONo PLEASE'SHON!THIS CKI-ER <br /> 123 MAIN STREET/P.O.BOX 520 ON ALS INVOICE$ PACKING- <br /> PLEASANTON,CALIFORNIA 94566-0802 SLIPS.PACKAGES AND <br /> CSC /� CORRESPONDENCES <br /> DEPARTMENT CSC PHONE NUMBER 9?7'55-00 <br /> DATE 5--6-1y ACCOUNT CODE 53(-y53- g3 air <br /> Contractor) Can //7� <br /> Address I 67 ' - rro yo hia y <br /> 1 h)a/A&L.)f Creek) zA. `IMS? <br /> SENDINVOICESTO: DELIVER ITEMS TO <br /> CITY OF PLEASANTON Name 3 nfL' cY . This is an order for: <br /> P.O.BOX 520 /� ❑ goods <br /> PLEASANTON,CA 94566-0802 Address 3 ?33 e aopm if <br /> t, <br /> OF:law 9 , // i,, �0�6� ��� A. goods&services <br /> Name c/71fcVl,(,� <br /> ,�r} n /?/` / ❑ services <br /> Department (/a V City/State/Vp 9��' ��in,,e1.-- y7�lp� (check one) <br /> ITEM,NO:. ITEM OR SERVICE-.DESCRIPTIONi QUANTITY- UNIT PRICE/FEES- SUBTOTAL <br /> I brousAf Tel'ef13-;M-7 Ad r/.a7ts�7x 4,i sooin 11/C,56?0 <br /> • <br /> ;TOTAL 0 7i a 10 <br /> • Supplemental material regarding goods and services attached: Yes_ No <br /> • Proof of Insurance required prior to start of work: Yes No <br /> Authorized Contractor Signature Date <br /> Terms and Conditions on Reverse are Incorporated in •this Agreeme Taxpayers Identification Number: ' <br /> O'Lk V" I� ��r'�tT� <br /> Authorized City Signature A 4V 1 {e. �/` ` Date <br /> CONTROL NUMBER: 222 F White-Vendor/Contractor Yellow-Finance Pink-Department Gold-Receiving <br />
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