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HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9201026Fill out form template then SAVE AS a .doc file using a file name of your choice, such as Example.doc
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Form last updated:11-2013 Submit form to Operations Services.
EQUIPMENT REQUEST FORM Date: 03/26/2020
Light & Medium Duty VehiclesTAB to the next field. SHIFT-TAB to return to a previous field.
Dept Parks Division Forestry
Domicile/
Dept Code M1550
Funding year 2020
Budgeted
Amount $150,000.0
Business Unit Acct #
Funded as: Capital purchase Lease Purchase
Touch the spacebar or
enter "X" to select the
Quantity requested: correct check boxes
New
unit Used unit
Describe intended use and reason for purchase: Forestry is responsible for maintainace of over 55,000
trees. This truck is one of three that is used to prune trees to meet our management objectives.
Anticipated usage: Miles per year: Hours per year: 1,500
If this is a replacement unit, which unit(s) will be replaced? Unit # 25312
Model year of unit to be replaced: 2009 Current meter reading: 7,336
Reason for replacement: Age and hours
Description of vehicle requested:
Item: Make selection using drop-down boxes:
Vehicle Type Cab/chassis
Body Style Full size
Cab Type Extended cab
Drivetrain Two wheel drive
Engine Standard equipment
Transmission Standard equipment
Fuel Type Gasoline
Added Vehicle Information:
Requested options: (power windows/locks, cruise/tilt, towing package, opt. axle ratio)
Enter your requests: power windows/locks/air conditioning/towing package
Other accessories: (Snow plows, winches, tool boxes, utility body, crane, etc.)
Enter your requests:
Name of contact person in your department:
Name: Del Bernhardt Phone/email: Ext: 6306