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(0 <br /> 1260 Graphics Drive ATC ASSOCIATES INQ <br /> Modesto,CA 95351-1502 <br /> phone: (209)579-2221 <br /> fa)t (209)579-=5 <br /> PURCHASE REQUISITION <br /> Vendor. PRS AZb <br /> Address: PR Date: L 5 9-� <br /> 4: l MR.Requested By: Ifs MA/ <br /> Contact: Date P.O.Required. Y?- <br /> Phone: 1,a 10 <br /> Fax: -Z5 <br /> --------------------- <br /> �73M; <br /> ........... ..... <br /> -34 <br /> Grand Totals: -Z' I <br /> Notes: <br /> ' <br /> Do you have in place an ATC standard contract? "L,TS pej 1 N <br /> 0 ( <br /> Do You have in place a YnEd Certificate of Insur=cc from this Sub-Contractor?................................».._»...YES ti-j NO [ <br /> AreGoods/Services Re-BWable?..................................................................................... .......—YES ;i--j NO ( <br /> Client Name- <br /> Job Number: � Z5�I Task.Order N=ber. <br /> Re-Billable Plus: 00 % Total Project Value: <br /> Total Billable to Client: <br /> Estimated Reorder Date: <br /> BF_kNLCH,�vLNAGERAPFRCVAL. �2e-4AAk6-L—:22� DATE. <br /> REGIONAL VrC'—g PRESIDENT APPROVAL: DATE: <br /> -LRi-, <br /> Hyl ( PO 9 7 0 SG <br /> sH[p TO: ATC Associates Inc. BILL TO: ACCOUNTS PAYABLE <br /> 1260 Graphics Orive ATC Associates Inc. <br /> Modesto,CA 95351-1502 1260 Graphics Ortve <br /> Modesto,CA 95351-1502 <br /> CORP. AUTHORIZED SIGNATURE DATE: <br /> CORP. AUTHORIZED SIGNATURE: DATE: <br /> =>A2 V- <br />