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Request for Billing 2n5i2o�z <br /> Cost warksheet <br /> To: Finance Department <br /> From : Street Department <br /> 3��4 Krcmer Ave Bill to: Richard and Mary Czmun <br /> Date of Service: 01/10/2012 3404 Kromer Ave <br /> Everett, Wa 98201 <br /> Description of work periormed: <br /> Contact Person : <br /> Sidewalk Replacem�nt street nept supervisor <br /> Mike Hale 425 257-8835 <br /> �V/O# 20120358 �,�._�_..__ ._ ^ - _ . <br /> Labcr �a0.00 <br /> Benefiis (29% of Labor) $0.00 <br /> S;�b Total for Labor $0.00 <br /> Total Labor �0.00 <br /> Materiais S0.00 <br /> N/A Materials (Concrete 7.5 yards @ 62.62 per/yd) S469.65 <br /> Equipment $0.00 <br /> Sub Total $469.65 <br /> Balance Due $469.65 <br /> DR-120-1220000000 <br /> CR-120-3699000000 <br />- . CR-120-12 000000 ' <br /> �' ��/1..��- �(..��� ' <br /> Signed: i � _ <br /> I � ' __ . <br /> � Approved: <br /> � <br /> � Jeff, please send copy of invoice to !Matt Welborn <br /> r,eshvorksheeVexcel/cpm <br /> � - <br />