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Form last updated:11-2013 Submit form to Operations Services.
EQUIPMENT REQUEST FORM Date: 9-1-2020
Light & Medium Duty VehiclesTAB to the next field. SHIFT-TAB to return to a previous field.
Dept Parks Division Parks
Domicile/
Dept Code M1533
Funding year 2020
Budgeted
Amount $11,748.08
Business Unit Acct # 703020.565050.6197.1030.A
Funded as: Capital purchase Lease Purchase
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enter "X" to select the
Quantity requested: 2 correct check boxes
New
unit Used unit
Describe intended use and reason for purchase: MB mechanical broom attachments (2) to replace
mechanical broom attachements for John Deere 1575's.
Anticipated usage: Miles per year: Hours per year: <100 hrs
If this is a replacement unit, which unit(s) will be replaced? Unit #
Model year of unit to be replaced: Current meter reading:
Reason for replacement:
Description of vehicle requested:
Item: Make selection using drop-down boxes:
Vehicle Type Other
Body Style Select
Cab Type Select
Drivetrain Select
Engine Select
Transmission Select
Fuel Type Select
Added Vehicle Information: MB-CO MCT-CT -- Mechanical broom attachement for
John Deere 1575
Requested options: (power windows/locks, cruise/tilt, towing package, opt. axle ratio)
Enter your requests:
Other accessories: (Snow plows, winches, tool boxes, utility body, crane, etc.)
Enter your requests:
Name of contact person in your department:
Name: Mike Brunkhardt Phone/email: x 2349 Mike Brunkhardt