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Request for Biliing v2vzois <br /> Cost worksheet <br /> To: Finance Department � <br /> From Street Department <br /> �' � ."' . � � .. �. 'D i'.r. �r'3 � . .. ..t . s s : .. i"}r� . �.- .�-r-,� <br /> ...�i,°i:� .u�._" .i<ti....�.:. � ti_. .�a........°'_...+:1..; Fu. ...i.f:.... �s°�_.�` if..��5��..�;-_. � ;��n �i..i.. . u .....�. �_. � �.:�<� <br /> 1906 Fioyt Ave Bill to: Elizabeth Gordon . <br /> Date of Senrice: 12/16l2014 1805 Lombard Ave <br /> - " „ `' ` ` �:' ` �' "' ` ' -�; Everett, Wa 98201 <br /> r �:���. _ .�.�....iin ..�.-� .c. .::.:r ..cia...r_��il...�=.. , . qrz <br /> �escription of work performed: <br /> �ontact Person : <br /> Sidewalk Replacement Street Dept Supervisor <br /> Bob Sor en 425 257-6839 <br /> ��.� i y�._: ' :� �� � L�.a�k,T. < ."' _ ' ' - �' <br /> W/O# 90 i 50233 `y � 1 s , h ' ` �� <br /> , <br /> F .�tv r� r}��.} � . m'� � ,Y tir+�� .+.. i�3, �.}S ..-„'—i- �. ; s J 4� <br /> �. ._ _�_.. _.� .�.�..___�. .f ._._.�s. K .-c:�...;.0 �,_v_;�..�+_ t Y ._ .._ _ . �. . . . . . . . . . <br /> Labor $0.00 <br /> Benefits (29°/a of Labor) $0.00 <br /> Sub Total for Labor $0.00 <br /> , � ,. r— � i . � � a�. � r R .- _ 7 r,� ...e � �� .r, F . .�N1,, .7"r.�: �.:� . <br /> �. .'_ ,�_..r. i ... __.� `'� .�._` ' 3.a�' ' ._ '...__ _. _ ._ � .Lx iiC: _. .d .... � t�.i <br /> Totafl Labor _ $0.00 <br /> Materials $G.00 <br /> N/A Materiais (Concrete 4.25 yrds @ $86.50 per yard) $3E7.&2 <br /> Equipment $0.00 <br /> .�: �T- t . f�f � Y 4 Y -.. F �. <br /> _. . ... . � . ��. .. �. ..� . __"''� i . "-7. ,•.�.-.., � .✓.:,t ;( <br /> Sub Tctal $367.62 <br /> ' 4fr � 1 : �� .-�.'.�' ��y . n-' <br /> � r1 . e r � i,t� <br /> �:� _ � � � <br /> . <br /> . _.. � . .._. . ._. - . . .. . ...�:t i__. . .._ _ _ .. _ 1 . _ �.� <br /> Balance Due $367.62 <br /> .. ..!J . � tc.�. I -:'� ,�� ::4 1 ".t-..: 1 <br /> � rJ, q ���_i .. 1 c�! -3 � ;. � r, �1 ( <br /> Y ]l . . ._ � J.. _��Y _f• t.._ �-2 4 ��.� f� ,"., t ! <br /> . ♦ . . .. . .. � +. <br /> !�_. '.r'./ .L . : . . .... . � ... ,-� <br /> UR-120-1220000000 <br /> CR-120-3699000000 <br /> Signed: \`/'l-� I��:�-�s�c <br /> � • <br /> Approved: <br /> Jeff, please serd copy of invoice [o Matt Welborn —� <br /> coslwarksheeGexcel/cpm • . . <br />