PUBLIC WORKS -ENGINEERING <br />CONTRACT COMPLETION FORM <br />Contract#: MO- 002-03 Vendor <br />GJN: Ito \ 8 <br />Subject: 6-o \j 1R-dN~M~N ~ 1a lr S ~T~ AS 5 ESS~'Y~E/~'C" <br />(W \s-c AN EX CiJ at-- Mo din 5 6NECA Tv `~~E2T~t_SC;►J <br />The en oft ' contract or agreement (other than financial) have been fulfilled. <br />V S Z-J~ <br />Contract Manager Date <br />Public Works Engineering <br />Division <br />The financial terms of this contract or agreement have been reviewed. <br />t/ Billings complete <br />✓ Payments complete <br />- Payment and billings do not apply <br />tJ iJ~ ~s <br />Contr ct Administrator <br />3-25- (C) <br />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\fonns\Contract Miscellaneous\ContractCompletionForm.doc <br />