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P-21-129 Amend 1 CIS.pdf
CONTRACT INFORMATION SHEET DATE: Contract No.: Vendor Number: Contract Title: Name/Address: Contract Period: Contact: Using Agencies: Email: Terms: Total Contract Amt.: $ Buyer Name: Requisition No: Org: Supersedes: NEW RENEWAL AMENDMENT TICK DATE REFERENCE (RFQ# / RFP#) DESCRIPTION: SPECIAL INSTRUCTIONS: DISTRIBUTION: Completed By: Date: Completed By: Date DEPARTMENT: REQUISITIONER: Rev 1/3/2017