PUBLIC WORKS - ENGINEERING <br />CONTRACT COMPLETION FORM <br />Contract#: 240`k - o c)Z2 Vendor: <br />GJN: 1 't5 -�o ` <br />Subject: T CciA l07 0 9A L-- A 5 f�S S lid T�`C 6 AZ C�� <br />The terms of this contract or agreement (other than financial) have been fulfilled. <br />cvm""� A IT 0Q, 02+101 <br />C91 t act an er Date <br />Public Works Engineering <br />Division <br />The financial terms of this contract or agreement have been reviewed. <br />Billings complete <br />Payments complete <br />Payment and billings do not apply <br />Contrac Administrator <br />Date <br />Attach correspondence or other documentation regarding completion of contract, if available. <br />Original: City Recorder Photocopy. ac i e <br />PWA (if Capital Funds) <br />Scan to Contract on Q <br />Q: \SUPPORT\PERSERV\forms \Contract Miscellaneous \ContractCompletionForm.doc <br />