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DATE <br />LOCATION <br />WORK DONE <br />WORK ORDER NUMBER <br />----------------------- - - - - - -- -------- ----------- -- ------- - - - - - == <br />- - - - - - -- - - <br />LABOR DATE HOURS RATE SUBTOTAL [ FRINGES TOTAL <br />EQUIPMENT HOURS RATE TOTAL <br />- =J;� <br />MATERIAL AMOUNT PRICE TOTAL <br />GRAND TOTALS <br />LABOR <br />EQUIP. <br />MATERIAL <br />OVERHEAD <br />SUPERVISED BY ORDERED BY GRAND TOTAL: <br />DEPARTMENT OF PUBLIC WORKS <br />MAINTENANCE DIVISION <br />