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Request for Billing <br />Cost worksheet <br />To: Finance Department <br />From : Street Department <br />3232 Rockefeiler Ave <br />Date of Service: 4/24/13 <br />Description of work performed: <br />Sidewalk Replacement <br />.,���:.f..:.�:,..',_ .._...�__ <br />1N/O# 20130�24 <br />Labor <br />Benefits (29% of Labor) <br />Sub Total for Labor <br />Total Labor <br />Materials <br />N/A Materials <br />Equipment <br />Sub Total <br />Balance Due <br />(Concrete 4 yards @ $87.75 per/yd) <br />DR-120-1220000000 <br />CR-120-3699000000 <br />CR-120-1220000000 <br />Signed: <br />Approved: <br />cos:�,vorksheeVexcel/cpm <br />Bill to: Mitch Cogdill <br />3232 Rockefelier Ave <br />Everett, WA 98201 <br />Contact Person : <br />Street Dept Supervisor <br />__.. __:.`.,�_- --__. �<- -- <br />� •� c�'�P����k;^T��.�l.: ,n <br />. . .. . � . _ . � i . -: �'\��-..:1:, : . <br />5/8/2013 <br />$0.00 <br />$0.00 <br />$0.00 <br />�0.00 <br />$0.00 <br />S351.00 <br />$0.00 <br />$351.00 <br />$351.00 <br />Jeff, please send copy of invoice to Matt Welborn —� <br />