HomeMy WebLinkAboutFY25 City of Bremerton WFP+W9 WA 6657APHIS SALES ORDER REQUEST FORM
Amendment:
FMMI
ƵƐƚŽŵĞƌη
^ƚĂƚĞKĨĨŝĐĞ͗
Agreement Number:
ŽŽƉĞƌĂƚŽƌEĂŵĞ:
ͬWDĂŝůŝŶŐĚĚƌĞƐƐ͗
;ŝůůŝŶŐĂĚĚƌĞƐƐͿ
ĂƚĞ͗
EƵŵďĞƌ
'PS8306TF0OMZK^ZĞƉŽƌU
ŐƌĞĞŵĞŶƚ
DŽĚ
^
tĂŝǀĞƌDZW
D/WZ
4DBO%BUF4FOUUP
t^WŽŽůĞĚ:ŽďŽƐƚƐ͗
K^ĂƚĞ͗
^,
DĂŝůŝƐƚƌŝďƵƚŝŽŶĂƚĞ
EŽ͘Θ^ƚĂƚĞ
K
ZĞĐĞŝǀĞĚŝŶtZK
&DD/WK;ŝĨĂh^ŐĞŶĐLJͿ͗
d^͗
6QEBUFE
ƚƚĂĐŚĞĚ
t&W
KǀĞƌŚĞĂĚĂůĐ͘
D^
Őƌ͘^ƉĞĐ͘
ϳϲϬϬtϵ
dŽƚĂůŵŽƵŶƚƚŽĂƚĞ͗
ĂƚĞŐŽƌLJ͗
ZŽƵƚŝŶŐEŽƚĞƐ͗
ŽŽƉĞƌĂƚŽƌ&ŝŶĂŶĐŝĂůWK͗
Sales Order Type:
&ƌĞƋƵĞŶĐLJŽĨŝůůŝŶŐ͗
^ƉĞĐŝĞƐDĂŶĂŐĞĚ͗
AmountŽĨdŚŝƐ^KZĞƋƵĞƐƚ:
KǀĞƌŚĞĂĚZĂƚĞ
WƌĞǀŝŽƵƐůLJŽŶK^
>ŽĐĂƚŝŽŶŽĨtŽƌŬ͗
ĚĚŝƚŝŽŶĂůŽŵŵĞŶƚƐ͗
ŽŽƉĞƌĂƚŽƌ
WKη͗
Budget Period:
WBS Element:
Agreement Performance Period:
Washington 9/25/2024
25-7353-6657-RA NO
City of Bremerton
345 6th Street, Suite 100
Bremerton, WA 98837
0006016755
ROWE - non federal reimbursable agreements, no advance, ie CSAs
25XX - No Year Funds
AP.RA.RX53.73.0456
10/1/2024 - 9/30/2025
$ 8,594.07 $ 8,594.07
16.15%11%Monthly
CSA through 9/30/2027
9/25/2024 9/30/2024
✔
✔
1-WA elec
Michelle, Sheryl
✔
Human Health/Safety
Raccoon
✔
Angela Hoover
Bremerton, WA
X X X
10/02/2024
X
MICHAEL
LINNELL
Digitally signed by
MICHAEL LINNELL
Date: 2024.09.25
16:49:11 -07'00'
WENDY ANDERSON Digitally signed by WENDY
ANDERSON
Date: 2024.10.02 10:09:24 -06'00'
05/25/2023