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Auditing\Forms\Deputy Auditor\Capital Outlay Request Last Revised: 01/02/04 To: MAYOR From: Expense Line To : 20003-5860 - Equipment Amount: $ Expense Line To : 20003-5846 - Renovations & Repairs Amount: $ For Finance Dept and Mayor’s Use Only: City Council Approval Recommendation: Approved Denied Finance Director Mayor Processed: Date: By: CO # JE# Trans # CITY OF SALEM Capital Outlay Expenditure Request Form