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su" ON weew Qkx Reg. N —
Depmunent of P"Awv— AX-02
Audit Proom"Ge & fti,-� Date: 5/26/87
C*PTWW waqhinglon 98604-0m
NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT
From:
City of Renton Asalwied To
200 Mill Ave- SO -
Renton WA 98055 Date AsjiagirO
m,*a— io harobw ohmn ralal,6, 10 the completion of contract or project descrbed below-
Deacflption of Contneat
198f, uard Rails
Gontrac1lor's Name
rTelephone No.
Com an
(503)
�Construction
M=s Address
347- wilsonville OR 97070
P.O. Box
Date Woek Accepted
Date Work Q)mrnenced
Date Work Completed
May 4, 1987
Oct. 6, 1986
April 10, 1987
S4jr*,4y or Bonding Co.
Fireman's Fund Insurance
Agent's Address
c/o Trum & mcKin T -------- P
Contract Arrux9t: S 77,093-00 Arrmnt DisWreed: $
Additions: Amount Retained:
Sales Tax: Total: 1nS 904 94
Total: 105,904.24
k1l i T ur .— a —1--1.2b J
IR C-. C E I V E n (Debuming 0111000
JAAy 19 1987
Phone No. z
PURCriASING CEFT
-rho Disbunjing CXfhcw must complete and rrall three oopi" of thia notice to the Departrnent of Revenue, 04ymPLa.
Washington 98504, imrT*difft0IY after acceptance of the work done urwJer this contract. NO PAYMENTS SHALL
BE MADE FROM RETAINED FUND until receipt of DOPGAMOnt's certilicate, and then only In -Doordance with said
certificate.
FORM REV 31 0020 (2-86)