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<br />PHL FORrA l!p : 5�: �.:. SI77 �
<br />0. S W ��RLHFYI Of NOIKiNf, Ap0 UP9RH ULVU OP�dt'i: Imbec�iom �o Fiald 011ioe�: fn, � i,� � m<inr COIAPiROIIEP'S
<br />1�0lNl,l IIOII;�ryG �I1�AlIluIHlliln!i ���Y��� USE ONIY
<br />y i�Y i,��,.��y Jn�d Iniw�nd Puri. i. t,„d i �„ ��,in<� ..i -- —, �–, ----
<br />n�� co�„ i��u�,. i„� � i„���� �.�,i,�i �� ., r.�,���. i, ii�„� � � v,� „i���-, ri,,.
<br />PURCHASE ORDER AND �� �^�w"'�'" ' " "'
<br />PAYMENT AUTHORIZATION °�p1"o�i nq�„i will t�om��u P��i I.�i�� o�i��:���1 nuw��i- ,
<br />ing ,upori and rnri� 7 und 7 w��6 J�pfccn� a�i,l trpllcai� — –"---
<br />/ll�rtnmeng Tu F.�pi�rino�� On.Irquo��J ITi,prrli�.� report copies.5ac Vul. V, Seo 6. fHA 1.bnonl. lor 7. 9weav SchoJu'n �Jo.
<br />' Srr N.11 J'lln. �. �.1I5. i. nnd �:+7n.71 Jcinilad Instroaions.
<br />to:7. co�i,�i�w, a�d n„�,.•�•
<br />Hall Construction Co.
<br />A. Svue� AJdrex
<br />Route 1, Hox 655
<br />5. Ci1y b. Si„m
<br />Everett Washington
<br />$abjeU lo mndler,nt ���rinleJ un Ih¢ r e.te vAv Ler�nl. Yoo r 1
<br />bulow �ur on minchc,.l� ncm�Jlnq lu ienm ol yow yooleban. ihc �
<br />11! v�po�denw, •dc.. rrloilnq iu �hlt Irnnsn���on.
<br />OrJered �v I'IIUU' or 1h,.G,r's ,Vurnr und A�l,lr,�...)
<br />DANARD & ASSOCIA'P�S� Inc.
<br />k3z2 Rucker Avenue
<br />Everett� l�lashi�gton 98203
<br />le. 4UiMOAl2ED
<br />/F'or rample(i
<br />�rur�ov,�n,�a
<br />l7.
<br />liem
<br />No,
<br />5
<br />roy���. n«�o„i r���.
<br />91-089�177
<br />odo
<br />�. ri�id oir�a ro����„dri a. o,��, ��., v u,�o
<br />Seattle 7404 8-3-73
<br />Z��y Code 10, Dncouni 1..•�rns I1. llnic lar L`c��+.•�r
<br />98205 Net 15 days
<br />�Ly ieV�eLed und uulhortred lo pc�lonn the servl.us ond�or ,I,�L.er Ihe a�lides
<br />iinuM1an inJfcaled In nun�5 7. P. aml a�nutl nppen ..n all �.�a:1��gu5. Fnners.
<br />17. Co�.s�9ncc IdJdres. n( pr��prrh' nr pr�qrn �;,p..l
<br />1902 Rainier — LWerett
<br />ia. �y�ow,o � � is. raia
<br />18. A�ride5 anJ,�o� Sen�ces
<br />pl Ih�s Inlorn�n�mn Is deml:ed en L�J spe:l!rtauons. allach a
<br />copv und Npc bolo�'IN hCCORU4NCE �'/IiH AIIACHED"
<br />In accordance with broker's specifications
<br />Sor MASONAY, Items 1 thru 6� labor and material,
<br />all far the sum oS..........
<br />��Y��'perty Manager
<br />. ua���
<br />� e s �
<br />I9. ' 7 .
<br />U�u 1'�Iw
<br />C���m 0. �I. Amounl
<br />Coi1 �cr
<br />s i
<br />3g9. �
<br />L2� -o , -��� 3� _l-1
<br />.��co inso!Lu��i��su P��d�o.e O�d�. und Puymem AWho�boliomCon�inmliun ShceL Tr,�p�_iNCIUDING
<br />m 25d7A. I �ONIINUAl101J SH
<br />27.h1ANAGEI'ENI9ROI([H'SCERIIFIUfIpN�IF AFPLICnOIE:�
<br />vaie �ompir�+a
<br />Dele Complcled
<br />Slgnatvre
<br />Persoanl la ooih
<br />Purthosu OrJar
<br />OnE O�Opl� IO! �
<br />I �ortily Ihat I(or my representall.e� pcnonally inspe<lod ihn pwperly anJ lo Ihe Si9�niwe
<br />6esl el my AnowleJgrt and beiiel all spealHcallons ha�o boon mel ond all rep�ln
<br />hovc been madv and paymenl therelor hns nol huw�olore Lccn modo.
<br />7d, CHIEF PROPLRIY OFFICIk'S �U2 DESIGN6@'S1 CER/IFICAfION
<br />Poyment Appro.ed Fo� ❑ �i�ep�uncu olBraAcr't Intpe<lion
<br />S on botn d� ❑ Forni 9519 Inspectlan Nenorl
<br />Ii11e
<br />_ Realtv Snecialist
<br />75. AUiMOR2E� CEHIIPVING OFHCER'S GF.kIIFIC;J�Of:
<br />veited In mc, I �e�l'ily ihol Ihit SignoWro Ao�hvucA Carn
<br />Poymem Av�horlautlo� u mnecl
<br />f11�.
<br />Amoanl SvtOended
<br />/Sre Ava��hedl S
<br />ticcovn�ing Ums���rcuron
<br />VARI I . 1. � iL �..,� ��
<br />:• �•
<br />011�ccr'4 Slamy
<br />DO NOi USE SPACES BELOW THIS IINE
<br />Amovni Ver�J�eJ CorrcU br PuymeN
<br />ISi�;nnlivr nr lnitinl+) S
<br />WAfiNING. S� ction 1010, Tiila 18, U.S.C.. "Depanmen� ol Housinp and Urhan Devel-
<br />opment anr I�:,Icral Housin9 AdministraliunTr.u�sactinns."I�ruvides�...Whucver.lor
<br />Ihc putposn cl .. inlluencin9 in nny w.iy Ihc actiou ul euch DC�t:1�b1�C1�i ... IIIJItL`5.
<br />p�issus. uuer. , or publishes anv sv��enicnt. knu�vinp �hc ::une �u bc L�L�c ... sl�all
<br />oA JPV 00 0� impnsoned nat mun! Ihan two yn.ic:. ar Loth..�
<br />.UIVf�$•flt�PnvG'.`'NiSiifCJN�11���rcIh0115�.0....1....��o..;�'... . ' .
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