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CITY OF EVERETT <br />Utilities Division <br />W.O. No. H7ga <br />Sub Total Material Cost S <br />Total Material Cost $ <br />� LACVM AN CVUI rM cwn I v <br />I ­ NAME OF WORKERS I HOURS I RATE I COST I EOUIPMENT HOURS I RATE COST <br />Sub Total Labor Cost S Sub Total Rental Cost S <br />Total Labor Cost S Total Rental Cost S <br />5, -�f/ Total Charges, Materials. Labor and Rentals S <br />Date Work Completed: <br />Signature of Foreman <br />COMMENTS: <br />