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Form last updated:11-2013 Submit form to Operations Services.
EQUIPMENT REQUEST FORM #2 Date: 4/1/2020
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Dept Streets Division
Domicile/
Dept Code M
Funding year 2020 Budgeted Amount $175,000.00
Business Unit Acct #
Funded as: Capital purchase Lease Purchase
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enter "X" to select the
Quantity correct check boxes
requested: 1 New unit
Used unit
Describe intended use and reason for purchase below:
For use to load truck with salt for streets snow removal. Also to unload salt orders from rail car.
Anticipated
usage: Miles per year:
Hours per year:
If this is a replacement unit, which unit(s) will be replaced? Unit #
Model year of unit to be replaced: Current meter reading:
Describe reason for replacement below:
Current unit very old and inefficient.
Description of vehicle requested:
Item: Enter description below, including options, attachments, accessories, etc:
RBT Model 4255 Mobile Salt Conveyor
Name of contact person in your department:
Name: Jeff Johnston Phone/email: 970-221-6764