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PUBLIC WORKS MAINTENANCE <br />BILLING WORKSHEET <br />DATE - E 1 ( `� WORK ORDER NUMBER d C-G �-I <br />LOCATION <br />/; " T �-, <br />WORK DONE <br />e L <br />DATE OF WORK <br />3 ,� 01 l q,9 I '� I �� �' r I (�r I <br />WAGE <br />FRINGE C� V <br />U <br />R3 ;" ` 0 1 j <br />O 3 g t V ( `? 1 TOTAL <br />OVERHEAD 1 <br />3 '7, ✓ 5, � �, 9U <br />�. <br />0 <br />HEALTH FRINGE <br />w <br />LABOR (;� <br />D o `7 <br />OC r Cx EQUIP. <br />SUPERVISED BY <br />1 .Cf�; v'ORDERED BY •� `; e / "' -; GRAND TOTAL r�J <br />