HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - 4401169State Bid 2004 MY
-w
_ !AN EQUIPMENT REQUEST
^ITY OF FON 1 WLLINS .DATE: /o7�Bd�03'
-- FUNDING YEAR:' dyay
DEPARTMENT%G.f`>'Q'owEi� . DIVISIOfl_ 4,
FUNDED AS: CAPITAL PURCHASE ACCOUNT #
LEASE PURCHASE BUDGET IN ACCOUNT #
QUANTITY / Is this Equipment Request related to additional personnel?
YES NO c�
BRIEF DESCRIPTIO/1N
OF USE:
U�Y•/
G�*—w� •
k�{"'t s/�'"'k�``-
,��-
�jON/%= /'E/yyC
�K I�ir`
�I►i ��iiJ
�i c! !JL
S��
ANTICIPATED USAGE: MILES 3o HOURS
If replacement unit, which unit is requested to be replaced?
JUSTIFICATION FOR NEW EQUIPMENT:
LIST POSSIBLE ALTERNATIVES IF EQUIPMENT IS NOT PURCHASED:
L`y✓�•ir,r r�se o� a s ao
DESCRIPTION OF EQUUI M/ENT /BEING REQUESTED: 4de&40 !�6 3/ 7>�✓ ��
u.I R�:�s . (c�7���7� 104y 1 14LP� t '
_ r
RA37' W{{ iAft
PLUS OPTION (S):
ENGINE "V8 ✓ 6 Cyl FUEL TYPE: Gasoline Diesel
Propane
TRANSMISSION: Standard 3 speed 4 speed 5 speed
10 speed
Automatic .. 3 speed 4 speed
SEATING CAPACITY 3 WEIGHT OF LOAD TO BE CARRIED 1,f'b0 LBS.
ESTIMATED COST
UNIT
PURCHASE PRICE:
ACCESSORIES:
A)
B)
C)
D)
E)
F)
n
_�G(�e�rldc- ✓ TOTAL
TOTAL
NAME OF CONTACT PERSON IN USER DEPARTMENT:
EXTENSION:
t