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1250 Graphics Cave <br /> Modesto,CA x5351-1502 <br /> phone: (49)�r9 X221 , <br /> Sax (209)579-2=5 PURCHASE REQUISITION <br /> PR9 <br /> vtndor Iz 4 0�) S-� <br /> Address: ji.�. PR Date: <br /> 4"j) PIR Requested By: <br /> Conmc-- cA gAS-Z-3 Date P,Q. Required: <br /> Phone: I Ta T C <br /> Fax: 'tft&6 _Ksa 5 9 3.7 o-zz� <br /> ....... ------------------ <br /> ;5 <br /> 14 <br /> Zq <br /> 19 <br /> Grand Totals: <br /> Notes: o., <br /> Do you have in place an ATC standard contract? _YES [ No <br /> Do Yon have in place a valid Certificate of Imurlace from this Sub-Contractor? S [Z,-q0 <br /> AreGoods/Services Re-Billable?.............................................................................................YES �,N o <br /> Client <br /> job NL =bcr: 01-1 o I Task Order Numbe.- q57 C) <br /> Re-Billable Plus: 10 - % Total Project Value: -2a -L2L`4 <br /> A <br /> Total Billable to Client: j <br /> Estimated Reorder Date: Ot <br /> BR,'LNL (7.I'Lvik'qAGFR APPROVAL: 9Z44nA_14_::Z��� <br /> U <br /> REGIONAL VICE PRESIDENT APPROVAL, DATE <br /> A.( po <br /> PURCMkSEORDER <br /> go TO: ATC Associates Inc. BILL TO' ACCOUNTS PAYABLE <br /> IZEO Graphics Drive ATC Associates Inc. <br /> Modesto,CA 95351-1502 1260 Graphics Drive <br /> Modesto,CA 95351-1502 <br /> CORP. AUTHORIZED SIGNATURE.' ' DATE: <br /> CORP. AUTHORIZED SIGNATURE. DATE: <br />