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D <br /> THE CITY OF PURCHASE ORDER AGREEMENT Agreement Number <br /> CITY OF PLEASANTON No. 6 0(06 <br /> PLEASANTON. PLEnS_«,:�,::: 1 ,S r:.:r,EcR <br /> 123 MAIN STREET/PO.BOX 520 on:,!_!_I\0,(ES.P:,c;Ir/c <br /> PLEASANTON CALIFORNIA 94566-0802 Su.s.P:.-e^c,LS.^,r:o <br /> .... C�RRGSP(�?1 f7 i;r:;'FS <br /> DEPARTMENT,\ oC� tV,� PP�HONE NUMBER C `• 5`�-'ec- <br /> DATE \4. � ) \ ACCOUNT CODE (31--%` WO- S <br /> Contra 11%' N \a , ate . <br /> Name <br /> Ad ressd `"----.\-■ A.c.ACa-0 . `y -\`:"-'l- tiC. <br /> SEND INVOICES TO DELIVER ITEMS TO <br /> CITY OF PLEASANTON Name �� � ` This is an order tor: <br /> P.O.BOX 520 <br /> PLEASANTON,CA 94566.0802 Address A-NO\ SW- ❑ goods <br /> CARE OF: 0°_�u� ��.0\` \ goods a services <br /> Name <br /> Department W ll' \'�7� CtyStet&ZIp 4 PC"t-C- \. V tin 3!P ❑ <br /> sevchck one) <br /> ITEM NO. IITTEM OR SERVICE DESCRIPTION QUANTITY UNIT PRICE/FEES SUBTOTAL <br /> Ste . Cc \m eaN,if S210 <br /> e`!„�" TOTAL ��� <br /> • Supplemental material regarding goods and services attached: Yes_ No <br /> • Proof of Insurance required prior to start of work: Yes_ No <br /> Autt orized Contractor Signature Date <br /> Terms and Conditions on Reverse Incorporated Into this Agre nt <br /> Taxpayers iden1ifcation Number <br /> d°I 1111 <br /> Auti,orized Si A\\\\\:■\d'\\'''' ( Data \ <br /> CONTROL NUMBER: White-Vendor/Contiactor Yellow-Finance Pink-Department Gold-Receiving <br />