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Last modified
4/23/2021 2:30:15 PM
Creation date
10/12/2020 12:06:19 PM
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Contracts
Company Name
AUSTIN BRITO
Contract #
A-2020-198
Agency
CITY ATTORNEY'S OFFICE
Council Approval Date
7/7/2020
Insurance Exp Date
1/1/2001
Destruction Year
0
Notes
INSURANCE NOT REQUIRED
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Addendum No. 1 <br />Description of Periodic Payments <br />Claimant (1): <br />Austin Brito <br />Claimant Address: <br />Claimant Social Security <br />Number: Date of Birth: 05/04/2017 <br />Payee Name: <br />Austin Brito <br />Payee Address: <br />Benofit(s): <br />1, Guaranteed Lump Sum - $12,250.00 paid as a hurip sum on 05/04/2035 <br />guaranteed. <br />2, Guaranteed Lump Sum - $12,250.00 paid ass lump sum on 05/04/2038 <br />guaranteed. <br />3, Guaranteed Lump Sum - $12,250.00 paid as a hunp sum on 05/04/2041 <br />guararrtood. <br />4. Guaranteed Lump Sum. - $12,250.00 paid as a lump sum on 05/04/2044 <br />guaranteed. <br />S. Guaranteed Lump Sum - $12,250.00 paid as a lump sum on 05/04/2047 <br />guaranteed. <br />6. Guaranteed Lump Sum - $12,250.00 paid as a hunp sum on 05/04/2050 <br />guaranteed. <br />Payee Name: Yaneii Alonso, as parent and guardian <br />Initials <br />Assignor: <br />Assignee: <br />Claimant(s): <br />tor Atney <br />Attorvey <br />7. Guaranteed Lump Sum - $5,000.00 paid as lump sum on 12/15/2020 <br />guaranteed. <br />Page 5 Version vl2.00/rl2.00 - QAR <br />
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