HomeMy WebLinkAboutCORRESPONDENCE - BID - 5841 POUDRE TRAIL FENCE WEST OF TAFT HILL ROAD (4)CITY OF FORT COLLINS
REQUEST FOR PAYMENT AUTHORIZATION
FROM: PURCHASING
PAY TO:�
E _T
PREPARED BYW PURCHASING
DATE PREPARED:
DISTRIBUTION AMOUNT
FUND CENTER 1 ACCOUNT NUMBER CENTER 2 DEBIT CREDiT
TOTAL
APPROVED BY:
4Dertment Head
9l0y
'ROJCT NAME
epresentative
('f� ��--
ontractor
tree�t/F.O. Box
IY.A'r,G"
ity btate 2i
)lephone #
1X #
Mail Address
-� Receipt No.
eposit NOT refundable if plans not returned
Ithin 10 calendar days after bid opening.
Contractor's Ck. No.
/ Date
Z/3013 Dollars
Cash ($� Date
Date Deposited Acct. #
Date REFUNDED / RETURN
(Circle one)
Signature of Contractor's Representative Date
Date Mailed
City of FoffCollins
P.O. Box 580, 215 North Mason Street
Fort Collins, CO 80522 Telephone (970) 221-6775