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����'C CITY OF EVERETT <br />Sub Total Material Cost S <br />Totel Meterial Cost $ <br />Sub Total Labor Cost $ Sub Total qental Cost 5 <br />Total Labor Cost 3 Total Rental Cost S-- _ <br />Date Work Completed: <br />� � <br />Signature ol Foreman <br />COMMENTS: <br />� �S �� Total Charges, Materials, Labor and Rentals 3 <br />— sJ .'7 // <br />� <br />� <br />H �-1 <br />H �?' <br />�� <br />� <br />O� <br />� <br />M <br />2i <br />� <br />y�ti <br />K � <br />�� <br />[�] M <br />N <br />� � <br />. � <br />y� <br />S <br />M <br />N <br />nH <br />�7 <br />