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.k'. <br />STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION <br />ENCUMBRANCE INPUT FORM <br />To Be Completed by Originating Office <br />----------------------- <br />t Vendor Name: indian river county <br />Vendor ID No.:vf 596 000 674 001 Minority Vendor Code <br />Project Description:traffic circulation planning study <br />Method of Procurement: g <br />Contract Type:330 (new) <br />Execution Date: <br />Beginning Date: 7/1/89 <br />Ending Date:6/30/89 <br />Contract #: <br />New x or Supplement _ or Renewal _ Time Extension: <br />Fixed or Operating <br />better of Authorization: <br />_ _ <br />(NOTE: If operating, amount by FY must be completed.) <br />Total Contract Amount $25,000.00 (Total of all Projects) <br />----------------------------------------------------------------- <br />COST DISTRIBUTION <br />----------------------------------------------------------------- <br />WPA No:4595350 Phase:50 Fund Code:119 Job No: 88000-3516 <br />Org. Code: 55042010430 EO:ll Object:730015 Function:769 <br />Total Project Amount:$25,000.00 Program No: 8010 <br />Tk <br />$ Amount by FY: 19 / - 19 <br />19 / . 19 <br />Ji R <br />FORM COMPLETED BY:j Scully/ d O'hara PHONE:sc 423-8510 wrA <br />RETURN FORM TO• scull d o"hara <br />•j Y/ PHONE:sc 423-8510 7+ ^t/ <br />TO BE COMPLETED BY OFFICE OF COMPTROLLER 60____x! <br />20 [� <br />CONTRACT NUMBER:('�� / `- <br />Budget Entity:;__ wC) a <br />Category: C_.`SI"Z►L• E1 <br />Work Order Balance: +- # <br />Alltmt. Dal. of Apprtn.: r �/ - FUNDS AVAILABLE <br />Authorization: (o/L /A- JUN 20 1989 <br />SEE NEXT PAGE IF ADDITIONAL PROJECT COST DISTRIBUTION IS REQUIRED OH(CO Of the Co Mptro!I&I <br />