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i <br />i <br />i <br />CONTRACT CLOSEOUT FORM <br />Central Services <br />Facility Management <br />City of Eugene <br />210 Cheshire Avenue <br />Eugene, Oregon 97401 <br />(541)682-2690 <br />(541) 682-6222 FAX <br />www.ci.eugene.or.us <br />~~, '. Project Name: ~Y\IZ ~ uk <br />Contractor: 0 S M ~R1~G[ ~ S'(/-~ <br />Good Job No: 3~S <br />,Contract No: `~ 6 .- '~ S ~' <br />o .--~ <br />Proiect Mar: 1M e ~ _.-, ~ <br />Date: <br />t5/ t) <br />Final payment of the attached Invoice/Application for Payment represents payment in <br />full on this contract. Please close out contract after processing for final payment. <br />ROUTE TO: <br />Barbara Gurney Indicate P.O. No: <br />` -OR- <br />I <br />~~ Men-chu H b <br />erd <br />w <br />Indicate P. <br />O. No: <br />;Then to: <br />Mary Hamilton Prepare letter <br />03-19-07 A06 ~ 34 I I`d <br />\1Cesrv820\designlForms\Contract Closeout 1.docPage 1 of 1 <br />