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°11 <br />CITY OF EVERETT <br />Utilities Division <br />w.o. No. s9`r <br />Sub Total Materiai cost s <br />Total Material Cosl S <br />Date Work Completed: <br />Sipnature ol I <br />COMMENTS: <br />Sub Total Labor Cost S Sub Total Rental CO51 S <br />Total Labor Cost S Totel Renlal Cost S <br />,�y� ;ws,—g�,� � ,� <br />Total Chargea Materiala Labar and Rentals S <br />