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DocuSign Envelope ID:07BFB95E-8BDF-4FA6-BB33-1D1B1EEA787C <br /> P.O. REQUISITION REQUEST FORM <br /> DATE: 1 10/09/151 1 Facility Services <br /> REQUESTED BY: IFreddy Brooks <br /> VENDOR NUMBER: 61702 <br /> VENDOR NAME: ITile Restoration Inc. <br /> Account Number: <br /> Supplies 10240520-620000 <br /> Contract Services 10240520-630000 <br /> Capital Equip. 10240520-800000 <br /> DESCRIPTION ACCOUNT# QUANT$/UNIT $ TOTAL <br /> Justice Facility Stairwell and 2nd Floor 630000 1 $3,285.00 <br /> $0.00 <br /> New Courthouse Drug Screening Restroom 630000 $850.00 <br /> $0.00 <br /> WCOB 1st floor men's restroom wall 630000 $950.00 <br /> $0.00 <br /> Historic Courthouse 630000 $2,675.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $TOTAL VJ60.00 <br /> NOTES: <br /> There is some maintenance work that needs to be done before this work can be scheduled. <br /> I <br /> TRI_Mu1tiple_Dec2015.x1s <br />