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CITY OF EVERETT <br />Utilities Division <br />MATERIALS USED ON PROJECT <br />W.O. No. X3,1 <br />_MI <br />Sub Total Material Cost 5 _ <br />Total Material Cost 5 _ <br />I APnP A"n Pr)l JI PMP:MT r1N PQr1.IFr,T <br />Sub Total Labor Cost S Sub Total Rental Cost $ <br />Total Labor Cost $ Total Rental Cost 5 <br />Date Work Completed: �-3 <br />Total Charges, Materials, Labor and Rentals $ <br />_ <br />�'�/� <br />Signature of Foreman <br />COMMENTS <br />