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PUBLIC WORKS - ENGINEERING <br />CONTRACT COMPLETION FORM <br />PO Contract#: ©p t~ C 22 Vendor: P S ES C; ~ E 1Z ~ G,- <br />GJN: 't't7 <br />Subject: C 1vW\E:1\ iA L 'S~ T E ASSESS \IV\-C--,.Y'-,3-V <br />tzooSEVCU <br />The erms of this contract or agreement (other than financial) have been fulfilled. <br />Contract anager Date <br />Public Works En ineerina <br />Division <br />a <br />The financial terms of this contract or agreement have been reviewed. <br />tl <br />Billings complete <br />f i Payments complete' <br />Payment and billings do not apply <br />u e.s tl_-0~1 <br />CA Ns K) C-, <br />Contra t Administrator Date <br />Y <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\ContractCoinpletionForm.doc <br />