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GJN4378 ODOT Contract Completion Form
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GJN4378 ODOT Contract Completion Form
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Entry Properties
Last modified
8/26/2014 1:46:02 PM
Creation date
3/4/2010 10:30:24 AM
Metadata
Fields
Template:
PW_Capital
PW_Document_Type_Capital
Contracts
PW_Active
Yes
External_View
No
GJN
004378
GL_Project_Number
965132
COE_Contract_Number
2009-00249
Retention_Destruction_Date
4/19/2022
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PUBLIC WORKS - ENGINEERING <br />CONTRACT COMPLETION FORM <br />Contract#: 260q-002-°+c) Vendor: C) D o -k <br />GJN: Wr 7& <br />Subject: ®-oo-° -'0 1~ ~P2®G~IZC `lV\E Iv i ~'tZOLESS <br />'PU-Rr-"A S c--- 2® WQ %:,L:S-A +>aMDC- GOO-PPA S iUrc& 21, <br />The terms of this contract or agreement (other than financial) have been fulfilled. <br />( Ia to 10 <br />Contract Manager Date <br />Public Works Engineering <br />Division <br />The financial terms of this contract or agreement have been reviewed. <br />Billings complete <br />V Payments complete <br />Payment and billings do not apply <br />C ) CA,.3r3C k--2()--t0 <br />Contract Administrator Date <br />Attach correspondence or other documentation regarding completion of contract, if available. <br />Original: City Recorder Photocopy: Contract File <br />PWA (if Capital Funds) <br />Scan to Contract on Q <br />Q:\SUPPORT\PERSERV\forms\Contract Miscellaneous\ContractCompletionForm.doc <br />
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