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Request for Billing 5/23/2014 <br /> Cost worksheet <br /> To: Finance Department <br /> From : Street Department <br /> 1807 Colby Ave Bill to: Gina Loring <br /> Date of Service: 05/19/14 1807 Colby Ave <br /> Everett, Wa 98201 <br /> Description of work performed: <br /> Contact Person : <br /> Sidewalk Replacement Street Dept Supervisor <br /> Bob Sor en 425 257-8639 <br /> _..:.�,•�:�,.�,:�..::�� - --.. <br /> W/O# 20141203 i <br /> Labor 50.00 <br /> Benefits (29% of Labor) 50.00 <br /> Sub Total for Labor $0.00 <br /> Total Labor 50.00 <br /> Materials �0.00 <br /> N/A Materials (Concrete 3.5 yrds @ 586.50 per yard) �302.75 <br /> Equipment S0.00 <br /> Sub Total 5302.75 <br /> '.�Fr <br /> �11 <br /> Balance Due � $302.75 <br /> . �..��.. ,. . . . <br /> DR-120-1220000000 <br /> CR-120-3699000000 <br /> Signed:� �('l,'-r.ca' �� � % <br /> �� � <br /> Approved: <br /> Jeff, please send copy of invoice to Matt Welborn <br /> � �_ E, ., :,',-iau-�tJl�l�}�� <br /> costworksheeVexcellcpm <br />