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FORM B-2 2021 CAPITAL OUTLAY REQUEST <br />DEPARTMENT #:430 BUSINESS UNIT:101 <br />NAME:STREETS <br />TOTAL REQUESTS =$17,500 <br />1 <br />Account #:5000 In Capital Improvement Plan (Y or N):N <br />CAPITAL OUTLAY Replacement (R) or New (N):N <br />Est'd disposal proceeds (if "R") <br />Description (include unit # if applicable): <br />Purchase Trailer Mounted Message Board (See Additional Information Sheet) <br />Justification and affect on productivity: <br />Additional expenses if purchased: <br />Item(s), if any, replaced (if applicable, include unit #, year, mileage, and LTD maint costs): <br />Cost (do not deduct disposal proceeds): <br />Unit Cost Vehicle Tax*Total Unit Cost Quantity Total Cost <br />$17,500 $0 $17,500 1 $17,500 <br />*Enter 6.5% of the unit cost for equipment to be licensed (e.g., vehicles, trailers; <br /> does not include marked public safety vehicles). <br />80