STATE OF WASHINGTON

DEPARTMENT OF NATURAL RESOURCES

DEPARTMENT OF NATURAL RESOURCES CONTRACT
PCT
UNIT COMPLETION AGREEMENT

Invitation to Bid Number 3027 SH

To be filled in, signed, and forwarded to the Pacific Cascade Region Office, P.O. Box 280, Castle Rock, WA 98611, upon
completion of work. If more than one unit is listed on one sheet, indicate acres for each unit:

Unit No. Unit Name Acres Completed Date

1 FALLS FORKS U 2 32
2 FALLS FORKS BD U 8 21
3 FALLEN ELK BD U 1 29
4 TYPO PCT 244
Add On 5 WAPITI U1 13 6/6/2022
Add On 6 WAPITI U2 5 6/6/2022
Add On 7 WAPITI U3 2 6/6/2022
Add On 8 WAPITI U4 20 6/6/2022
Add On 9 WAPITI U5 5 6/6/2022
Add On 10 WAPITI U6 17 6/6/2022
Add On 11 WAPITI U7 43 6/6/2022
Add On 12 WAPITI U8 2 6/6/2022

LAST DAY WORKED:

• Collect any keys

The above unit(s) have been satisfactorily treated and the acreage listed is correct.

__________________________________ __________________
Contractor or Representative Date signed

Print Name

____________________________________ 6/6/2022
__________________
Department Representative Date signed
Jared Larwick
Print Name

FLMC Form No. 11 - 9/70