5-Attachment 2 Car Wash form.pdf

This document is a Car Wash Authorization Form issued by the Rockland County Department of General Services, Purchasing Division, located at the Dr. Robert L. Yeager Health Center in Pomona, New York. The form is designed to track and authorize vehicle washing services, including regular car washes and hand-held vacuuming for county vehicles. The form provides space for multiple entries, allowing departments to record details such as date, vehicle number, license plate number, and require the printed name and signature of the individual authorizing or receiving the car wash service.

The form is Attachment 2 of what appears to be a larger procurement document, with contact information for Paul Brennan, the Director of Purchasing, listed at the top. The form has blank fields for the specific department and vendor, suggesting it will be used to document and authorize car wash services for county vehicles across different departments. The form is standardized to provide a consistent method of tracking and approving vehicle cleaning services, with columns for capturing essential information about each vehicle wash event.