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Request for Billing <br />Cost worksheet <br />To: Finance Department <br />From : Street Department <br />- J .. _ .._ ,''. . -. ' � _ . .. <br />3231 Grand Ave � <br />Date of Service: 11/18/2014 <br />' � i . -- - <br />Descripiion of work periormed: <br />Sidewelk Replacement <br />to: <br />12/10(2014 <br />. ;' '� _ . . <br />16120 99th Ave SE <br />Snohomish, WA 98296 <br />Contact Person : <br />Street Dept Supervisor <br />= ' _. . .. ..,.. _ _ . _-_ - -.r <br />W/O# 20143498 �' �?:=_ <br />< .:, � <br />-�.': ... .iy _ 'i: .. .. .''rv+�" . . . .,. . . ' ,�-� <br />Labor 50.00 <br />Benefits (29% of Labor) �0.00 <br />Sub Total for Labor 50.00 <br />- , - . - , -_ s <br />r, , ,; •; _ _. ... <br />Tolal Labor $0.00 <br />Materials 50.00 <br />N/A Materiais (Cr,ncrete 2 yrds @$66.50 per yard) 5173.00 <br />Equipment 50.00 <br />_ - - t { ,.'_ _..1. l ; A � 1 <br />'� ..'r . � .'. . � ..� .� <br />...� ' ��.�� •.�. _ • __ •� �. : � � .:�.. _�'.: � ' '.� . �-....! _ . � _ '`` �:. � . •.: <br />Sub Total 5173.00 <br />., � � < � e <br />� (� t !" Y <br />' � I ��:i � •.� J <br />... •.. . ,: ,� . :..�. .. . ; .�.� �, ..� . '. : (.'_ "": . .. • <br />Balance Due 00 <br />5173 <br />- :,< � <br />�_ ` ' . - . . 3' � . . . <br />. : .. . ...: . . :: . -, . .- --':-- -. .' ', . _ <br />DR-120-1220000000 <br />CR-120-3699000000 <br />ned: <br />Approved: <br />Jeff, please send copy of invoice to Matt Welborn <br />cosnvorksheeUexceUcpm <br />