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Appendix C
Vehicle Purchase Authorization Form
1: Vehicle To Be Purchased
55DD
't)od�e__ ea.rt'\ S50C> (c\ C('>S' ea_u,vc,..\e.n+ 4'°' frl.Ac}_ b.1,-,.a 'n.f>\"(t>d) 1o,� i�'( C:iosbn lo1,, l,f+- �u1eM..QI\+- C>\.1..\-h-\-kJ o"' d,.�,?·,7 3: Fleet Recommendations:
1. Does current vehicle meet Policy guidelines for replacement? 0 No ON/A
2. Does vehicle evaluation justify replacement? 0 No ON/A
3. Replacing with same class of vehicle? (If "no" attach memo) 0 No ON/A
4. Requested Vehicle Specifications Approved? 0 No
s. Alternative Fuel/Hybrid/Low-emission vehicle available for these �No 0 Yes GJ"No
7. Is a used Enterprise department vehicle available for this use? D Yes @' No Appendix D
Vehicle Evaluation Form
Vehicle Description:
venIcIe 11-: Make: Model:
2'5'?'1ob f'."'012-y �S5c
rear: MIieage: 1.,ompIe1ea tsy: wrint name & inmaIJ
2003 1':J,�2-\ S _gl/.-45
Rating Guide: (1-10) 1 =Excellent to 1 0=Unserviceable; (1-5) 1=Excellent to 5=Unserviceable Rating Component: (Comments)1-10
Engine:
/D IJ 111,.11- �w,._ I J.,11,J- W\j lA.U14- � C.c.J'.J � I � - Transmission/Differential:
/D �A (i) 19..U-��
Power Take off:
/D s�\� (i}� �ut'Lu .,__
Chassis Outside: (including tires, brakes & windows)
/D <{)' cJ. (J l'.1.Ut � c,--
Rating Component: (Comments)1-5
Suspension System:
�
Si>I� fa, �L}d--<-1.,,A,---
Cooling System:
s 5'� to (£_ (}v,k v--
Steering System:
,,;' 1 f D CL 111 v4-<J "'--
Vehicle Interior:
_5:,lb €..�o-
Total Scoring Key:
Heavy Equipment: 0-15= Excellent, 16-30=Good, 31-45=Fair, 46-60=Poor Light Equipment: 0-11=Excellent, 12-25=Good, 26-37=Fair, 38-50=Poor .. C •
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Appendix C
Vehicle Purchase Authorization Form
1: Vehicle To Be Purchased
a e:
5500
ni Ia
� I O'f 000
ew e Ic e pecI Ica ions: 1 more space nee e - a ac pages Dtx\5e_ UM. t'°::6Ct:> ( dMs eqv.,vcMU\t 1'b -\-(uc.� k,lj f"c.p\�u J) w,� {?,._�Gasb"i k,r, IJ'\.- e 'iv.,,men-4-- 01.1.+h¼c\ or'\ ��i5 (see.cx-H,.�� fire\.
1 eage:
2oos
OS s:
3: Fleet Recommendations:
1. Does current vehicle meet Policy guidelines for replacement? @Yes D No 0 NIA
2. Does vehicle evaluation justify replacement? �Yes D No D N/A
3. Replacing with same class of vehicle? (If "no" attach memo) lit'Yes D No D N/A
4. Requested Vehicle Specifications Approved? E'.r'Yes 0 No
5. Alternative Fuel/Hybrid/Low-emission vehicle available for these @No 0 Yes s ecifications? 0 Yes No
le for this use? 0 Yes li No
a e:
Vehicle Evaluation Form
Vehicle Description:
f"S'50
n11a
Zoof'> S�LLLLS
Rating Guide: (1-10) 1=Excellent to 10=Unservlceable; (1-5) 1=Excellent to 5=Unservlceable Rating Component: (Comments) 1-10
(,
Power Take off:
5 7
Rating Component: (Comments) 1-5
Suspension System:
:3 ....__ Ol�,
Cooling System:
} ��
Steering System:
3 Vehicle Interior:
Total Scoring Key:
Heavy Equipment: 0-15= Excellent, 16-30=Good, 31-45=Fair, 46-60=Poor Light Equipment: 0-11=Excellent, 12-25=Good, 26-37=Fair, 38-50=Poor Appendix D