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Accounts Receivable Worksheet <br /> Public Works Maintenance: Traffic Operations Billing For: After hoursTraffic signal turn on Dat 2/18/2014 <br /> 1820 Roosevelt Blvd. Eugene, OR 97402 (Send to 11 <br /> (541) 682 -4800 Responsible Party: NW Natural Mitch Crossitt 541 -954 -3625 <br /> 220 NW 2nd Ave Portland, OR 97209 <br /> Location: 13th and Polk <br /> Dates of Service: 1/30, 1/31. 2/3 <br /> JDVSW 9426 I Account Code: 9426 47945 Electrical Services Reimb <br /> LABOR: ............ .. . ... .. . . <br /> Hourly Benefit Base Total Overhead Employee <br /> Employee Rate + Rate = Rate X Hours X 27.17% = Charge <br /> Represented Employees: <br /> $0.00 $0.00 $0.00 0 1.2717 $0.00 <br /> $0.00 $0.00 $0.00 0 1.2717 $0.00 <br /> $0.00 $0.00 $0.00 0 1.2717 $0.00 <br /> $0.00 $0.00 $0.00 0 1.2717 $0.00 <br /> Rep. Employees OT: <br /> Electrician 1 $45.80 $19.97 $65.77 6 1.2717 $501.80 <br /> $0.00 $0.00 $0.00 0 1.2717 $0.00 <br /> $0.00 $0.00 $0.00 0 1.2717 $0.00 <br /> $0.00 $0.00 $0.00 0 1.2717 $0.00 <br /> Exempt Employees: <br /> $0.00 $0.00 $0.00 0 1.2717 $0.00 <br /> Exempt Employees OT: <br /> $0.00 $0.00 $0.00 0 1.2717 $0.00 <br /> LABOR TOTAL: $501.80 <br /> • <br /> EQUIPMENT .. .... : ..... <br /> Hourly Total Equipment <br /> Equipment Type Rate X Hours = Charge Equipment Description <br /> 0.00 0.00 <br /> 0.00 0.00 <br /> 0.00 0.00 <br /> 0.00 0.00 <br /> 0.00 0.00 <br /> 0.00 0.00 <br /> 0.00 0.00 <br /> 0.00 0.00 <br /> EQUIPMENT TOTAL: 0.00 <br /> MATERIALS: : >: :::: >: ; >: >: >: <br /> Actual Number of Overhead Material <br /> Material Type Cost X Units + 10% = Charge <br /> $0.00 $0.00 <br /> $0.00 $0.00 <br /> $0.00 $0.00 <br /> ............................ <br /> $0.00 $0.00 INVOICE :TOTAL :::::= <br /> $0.00 $0.00 Labor <br /> $0.00 $0.00 Charges $501.80 <br /> $0.00 $0.00 Equipment <br /> $0.00 $0.00 Charges $0.00 <br /> $0.00 $0.00 Material <br /> $0.00 $0.00 Charges $0.00 <br /> MATERIAL TOTAL: $0.00 TOTAL: $501.80 <br /> Form Document No 578 <br /> Billing Worksheet - Traffic Page 1 of 1 Last Revised: 02/07/13 <br />