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DR9301-CS 920129
© PURCHASING U~.E.~O N LY ~ Numb4 ) Nanl~ -~ ,. ,. Address Date Needed ~ Requzs~tzon Form Ordered By / Ship To: Name City ....... " C.,pp:' 1 1 . T? %.=1016 Telephone Number / Extension r E S T I M A T E D ACCOUNT NUMBER 10 DIGITS 'U.,T U.,T EXT~.DED C~. ~ ff oo~ o ~ o · ,., 3,516.42 3,516.42 For professional services rendered through ai/,J5,92 ~,~ Re: Sandy Knoll/Shadowcrest Stage I 5anUy Knoll/Woodhurst Pavement Invoice Date .pi/Z4/~Z ln~ic~ ~ 0~,.-If/?i' Total fee authorized $8,687.00 ~--~ ~ ~ Percent complete- as of 1/5/92 40.48% I I I I I I Fee Earned to Date $3,516.42 SEE ATTACHED TN~'OTC~ I f I I I I I I I I I I / I I I I I I Suggested Vendors: ' Signature~3f_nep~rtme_,n_t Director date Budget Review date ORIGINATOR'S Departmental Reference Number