TC 12-211E

Rev. 11/2008

Office of Human Resource Management

Organizational Management Branch

200 Mero Street, 6th Floor West

Frankfort, KY 40622

Ph. (502) 564-4610 - Fax (502) 564-6683

Email: KYTC.GuidanceManuals@ky.gov

MANUAL ORDER FORM

Customer

Name/Attn

Address 1

Address 2

City

State

ZIP

Phone

TOTAL

QTY

PRICE

AMOUNT

MANUAL

QTY

PRICE

AMOUNT

MANUAL

Accounts

Audits

Contract Procurement

Drainage

Geotechnical

Gen. Admin. & Personnel  (GAP)

Highway Design

Kentucky Methods

Permits

Precast/Prestressed concrete

Traffic Operations

Materials

Materials Field Sampling

Standard Drawings

Standard Specifications

State Highway Engineer

Employee Safety & Health

Field Operations Guide (FOG)

Email

CREDIT CARD PAYMENT

MasterCard

VISA

American Express

Card Number

Expiration

Discover

Kentucky Transportation Cabinet

Equipment

Name on Card

Make checks payable to "Kentucky State Treasurer" and mail your

check, as well as this completed form, to our postal address, above.

Billing Address if different from Shipping Address:

CABINET INFORMATION

CHECK PAYMENT

Note: We must receive payment before we ship the order.

We do not offer direct billing service.

Professional Services

Relocation Assistance

Right of Way

You may mail this form to our postal address, fax it to our fax

number (ATTN: John Roberts), or save it first to your C or D

drive and then attach the file in an email message to

KYTC.GuidanceManuals@ky.gov