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Request for Billing sn�no�2 <br /> Cost worksheet <br /> To: Finance Department <br /> From Street Department _ <br /> A . T -':6 1Y A .-' 'l� . <br /> I�:��7�x:.4�...i.`.���. ti�J'..._ . ._ -.y.�'IP �. . .;.?1 f:... ., � ',�-.- ;.:; , 5}r.,-. �:.� <br /> 1420 Wetmore Ave Bill to: Alex Backus <br /> Date of Service: 09/11/12 1420 Wetmore Ave <br /> �z°�:h�,� �.w ,%�s ;,, �:�:f � �.,.;�� �. � '.�' _ :."�' Everett, WA 98201 <br /> Description of wo�ic performed: <br /> ConUctPenon : <br /> Sidewalk Replacement Stroet�ept supervisor <br /> . . � � -�- -�:;: . __: ti .,: r t- <br /> . <br /> �.. i x ", � <�._ $ �.. . <br /> y� . i. .�.t."...�r.�.��b.:n. s.4o1r<..;a,1� .�L a�..Lnri �. '.� � c �.. <br /> W�QTf 20�22�70 ! , .+ j �J;'.J ;'-f <br /> .r� � � ...., ... ._ . ...0 .. �_ � <br /> ';;' �'�..� ' �} .. ..:..il:.Jk .tl�_'�sl < <Fi ...t�.r#r.,n._� . _ . �:�. w <br /> Labor � . _ � $0.00 <br /> Benefits (29% of Labor) � $0.00 <br /> Sub Total for Labor 50.00 <br /> e-., ,:�;,. . 'r r::: <br /> � � -;: . - , _ , , , , ., <br /> •.; .��;. ' . � ' � .:. � _.1.:.� .. � .�� . .. ; �.[ . . . . . .:_ . . �:�., ... .:��. �.�.: <br /> ., A.. $O.00 <br /> Total Labor <br /> Materials $0.00 <br /> N/A Materials (Concrete 3.5 yards @ 87.75 per/yd) $307.13 <br /> Equipment $0.00 <br /> ,.,,. :� _ <br /> . „ ,_..L-� ---_ '::_.. w , .. _..r.. a _ _. _ _ .. _ . .< !.. _. - <br /> Sub Total 5307 13 <br /> tC(.W"� �e;�,._ iy,�. _�.?: �$ .. <br /> �. <br /> � a rF' <br /> '.'d. '4.:::{' i^,:.. <br /> . ..r �,F-' . ._ . . <br /> Balance Due� 5307.13 <br /> r ' S xxh��,� ��' i4 '_ ��: � '�'i�:..r y pt. y� � � t � .'a. <br /> 1 .1, 3�.: xr 2, _ �.a+: -,i'�� r t , � r a.rv oai <br /> . , : <br /> . <br /> , . .. .�_ .. � r �:' <br /> . . . . . . . . . . ... . . _.e�.... _ . ... . . . . .. � . . <br /> DR-120-1220000000 <br /> CR-120-3699000000 <br /> CR-120-1220 00000 <br /> Si ned: <br /> Approved: 7✓(.�,ro�.�� _ <br /> Jeff, lease send co o(invoice to Matt Welbom <br /> cosrivorksheeUexcel/cpm <br />