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—_——s af Zero Dollar Purchase Requisition Form Use only for Administrative Changes that do not have a monetary impact, ENERGYSOLUTIONS caeacae Original PR Number: PR.c001632 Zero Dollar PR Number: PRAE-O002T | — ~ = “Original Approval Process Code: rua! “Requestor: Gordon Gravford *TargetPlace Date: 99/10 ‘Appr Proc Description: ws Proferred Vendor: ABW TECHNOLOGIES, INC. Vendor Contact Name: Josh Kakala ‘Vendor Sontact Number: 360-618-4407 “Delivery Information Ship To (ip OH Deliver To (BTR) :| Ship Vie] Requested reed) Dato] “Project & WBS Number (init to one ee “Account | org -pessiption Fis Prarie RSD wih conte EON SOT El-003 wi Teed aig rd Maat Se sulcoiLead? ast wang chang ct pane sep wing Tis EN depen R-1E087,O% on 108 (210 !205627.05.90.02.02.00 sevesr_| 1908 i Internal!) or Line (L) Note Type Note Text —_—_T Zero Dollar Purchase Requisition Form Use only for Administrative Changes that do not have a monetary impact “Hems are Required ENERGYSOLUTIONS Requirements “Attachments (Check all that apply & provide Doc ID & Location for approver access) | Quality Leva: sow det: Gs Ow Consult Da Sst Sole Source Jsticaton 1D otter: Capel Action Request f Other: | [Yes T No Limon] Lisa acai of Conon : oorved Sumper Roquted Reset specter : INSOS Regored a oe | Sou epecon ter ea a Required Required Yeo Ne Yes No x] [] Engineering Sho [1 rmanager oO 7 Tar (J (7 cualty assurance ~Bl B. SeFrG 2000 [4 Facilities Manager ae oa S&H C1 security = os [J 1 Proectcontots Ral Vo 98 cuPrasident 9 ae Finance oro Oo : oe Dae [ZO Prot tans Gan Ann/ 1b ctr ere : om =

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