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CITY OF EVERETT <br />Utilities Division W.O. No. 4 /L <br />MATERIALS USED ON PROJECT <br />MATERIALS <br />TOTAL <br />COST <br />�srt <br />eal.���� <br />�� <br />■i�i <br />Sib Total Material Cost $ <br />Total Material Cost S <br />LABOR AND EOUIPMENT ON PROJECT <br />NAME OF WORKERS <br />HOURS <br />RATE <br />CO;,T <br />EQUIPMENT <br />HOLl.9S <br />RATE <br />COST <br />fin" <br />Sub Total Labor Cost $ <br />Total Labor Cost $ <br />Sub Total Rental Cost S <br />Total Rental Cost $ <br />Date Work Completed: <br />Total Charges, Materials, Labor and Rentals $ <br />�� � <br />Signature of Foreman e/ <br />1:OMMENTS: <br />