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Request for• Billing 9"v2°�2
<br /> Cost worksheet
<br /> To: Finance Department
<br /> From : Street Department
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<br /> 1832 Lombard Ave Bill to: Ed Sebbas
<br /> Date of Service: 09/5/12 1832 Lombard Ave
<br /> " `"��,'..,�'�a'',«,�`',� Everett, WA 98201
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<br /> Descripticn of work performed
<br /> Contact Person :
<br /> Sidewalk Replacement street oept supervisor
<br /> Mike Hale 425 257-8835
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<br /> W/0# 20122074 • ..` ` ,- '
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<br /> Labor $0.00
<br /> Benefits (29°'0 of Labor) $0.00
<br /> Sub Total for Labor $0.00
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<br /> Total Labor $0.00
<br /> Materials $O.00
<br /> N/A Materials (Concrete 11 yards @ 80.00 per/yd) $880.00
<br /> Equipment $0.00
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<br /> Sub Total $880.00
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<br /> Balance Due $880.00
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<br /> DR-120-1220 , : _ _ .
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<br /> CR-120-3699000000
<br />� CR-120-122 00000
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<br /> Signed:
<br /> Approved: l�Lt��—
<br /> Jeff, please send copy of invoice to Matt Welborn
<br /> coslworksheeUexcel/cpm
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