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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 2 <br /> THE CITY OF PURCHASE ORDER AGREEMENT Agreement Number <br /> CITY OF PLEASANTON No. <br /> PLEASANTON. PLEASE SHOW THIS NurdeER` <br /> 123 MAIN STREET/P.O.BOX 520 ON'ALL INVOICES PACKING <br /> PLEASANTON,CALIFORNIA 94566-0802 i SLIPS.PACKAGES AND- <br /> ` /� CORRESPONDENCES. <br /> DEPARTMENT CJC PHONE NUMBER Q?� 506 <br /> DATE (0-9--P, ACCOUNT CODE 53&- 45-3 3 <br /> Contractor DS LS O <br /> Name 705 41 11416/ c6hat" <br /> Address <br /> I 06,,,,,4uvr, CAt' filstoe-3oie <br /> 'SEND'INVOICES TO -DELIVER ITEMS TO <br /> CITY OF PLEASANTON hapu This is an ordor for: <br /> P.O.BOX 520 Name { <br /> PLEASANTON,CA 94566-0802 Address <br /> 3333 litdr.GI id... ❑ goods <br /> CARE OF: N e al £ iC — PO Aux n goods&services <br /> Name /J ,// r�,�! /�v <br /> /� /n��n /�/tea//�,�/ ❑ services <br /> Department ©5C City/State/Zip 79.ds?J'tnini/e -- /55o6 (check one) <br /> -- . -- _ . ./._EE . .____ <br /> ITEM;NO: ITEM ORSERVICE DESCRIPTION QUANTITY • UNIT PRICEt/FEES SUBTOTAL <br /> I ,brou,5hr AaYe1lisIIhs t a2� s�o.� ig� o,� <br /> • <br /> 'TOTAL / 1.1 <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 into this Agreement <br /> Taxpayers Identification Number: <br /> Authorized City Signature Date <br /> CONTROL NUMBER: 2 239 White-Vendor/Contractor Yellow-Finance Pink-Department Gold-Receiving <br />
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