NYC 9/11 Public Portal Document
July 21,1595 - (v-2)
z
attachment A
CONTRACT REGISTRATION COVER SHEET
AGENCY CODE: (Submitting Agency) o GC" /• DATE
CONTRACT NUMBER: jx C2L cy (Not required if Line G is checked)
CONTACT PERSON:
BATCH NUMBER: 73 7 (Not required if Line E or G is checked)
ADDRESS; C <^7 ■ /00 O
7
TELEPHONE: 1^)!(} 4
CHECK ONLY ONE ITEM SUBMISSION TYPE
A. _ BATCH LOCKED SUBMISSION FOR CONTRACT ENTRIES, INCREASES, DECREASES AND
CANCELLATIONS Cheek one of the foUowing:
CTCE Z CTCN CTN CTCD CTD CTCX CDC
Is this a resubmission of an item which has been previously rejected or withdrawn? Yes No
B- ADDITIONAL ITEM FOR A CONTRACT PACKAGE STILL UNDER REVIEW BY
COMPTROLLER
Was item requested by Comptroller? Yes No
If yes, indicate requestor’s name
C. CORRECnON OR UPDATE TO ICCIS DATA FOR A REGISTERED CONTRACT
D.UPDATE TO A REGISTERED CONTRACT NOT REQUIRING ICCIS CHANGES
E. ADDITIONAL CHANGES TO A CONTRACT WITH NO TRANSACTIONS IN ICCIS
Specily vendor name_________________
F-SPLIT-FUNDED CONTRACT
Original Contract number Batch number
G. DOCUMENT SUPPORTING THE REGISTRATION OF MULTIPLE CONTRACTS
FOR COMTIROLLER’S USE ONLY;
E-SIZE;
MEMOS/CONREGJREV
NYC-WTC_000167681
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