Accounts Receivable Worksheet <br />Public !Yorks Malnfenancer Traffic Operations Billing For: Street Light Pole Damaged COE 99622 Dat 1012712014 <br />1820 Roosevelt 91vd, Tugeno, OR 97402 <br />($41) $ee -4800 <br />Send to <br />Material Type <br />Responsible Party: EWEB (Flow) in Claims Dept. 541 -685 -7630 <br />Location: 12th/Olive <br />Cat of accident: 4126114 EWEB damaged while working at'obsite. <br />DVSW 3427 ccount Code: 9427 47945 Electrical Services Reimb <br />1�i480R,. <br />Employee <br />Hourly <br />Rate <br />+ <br />Bonefft <br />Rate <br />= <br />Base <br />Rate <br />x <br />Total <br />Hours <br />x <br />Overhead <br />24.64% <br />= <br />Employee <br />Charge <br />Represented Employees: <br />10' Street light arm <br />$400.00 <br />1 <br />$40.00 <br />$440.00 <br />20GwCobra Head Fixture <br />$142.41 <br />Electrician 1 <br />$31.46 <br />$14.24 <br />$15.69 <br />$156.65 <br />$47.15 <br />$6.42 <br />9 <br />1 <br />1.2980 <br />$0.64 <br />$550.81 <br />Electrician 2 <br />$34.34 <br />$5.29 <br />$16.57 <br />$50.91 <br />$0.00 <br />1.5 <br />$0.00 <br />1.2980 <br />$99.12 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />0 <br />1.2980 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />KOO <br />0 <br />$0.00 <br />1.2980 <br />$0.00 <br />Rep. Employees OT: <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$1,460.45 <br />$0,00 <br />$0,00 <br />0 <br />1.2980 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />0 <br />1.2980 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />0 <br />1.2980 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />0 <br />1.2980 <br />$0.00 <br />Exempt Employees: <br />$0.00 <br />$0.00 <br />$0.00 <br />0 <br />1.2980 <br />$0.00 <br />Exempt Ern to ees OT: <br />$0.00 <br />$0.00 <br />$0.00 <br />0 <br />1.2980 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />0 <br />1 <br />1.2980 <br />$0.00 <br />$0.001 <br />$0A0 <br />$0.00 <br />0 <br />1.2980 <br />$0.00 <br />LABOR TOTAL: <br />$649.93 <br />NlATERIAM <br />I NVOICETOTAL. <br />Material Type <br />Actual <br />Cost <br />x <br />Number of <br />Units <br />+ <br />Overhead <br />10% <br />_ <br />Material <br />Charge <br />30' Aluminum St Lt p ole <br />$778.85 <br />- Charges <br />1 <br />$77.89 <br />$856,74 <br />10' Street light arm <br />$400.00 <br />1 <br />$40.00 <br />$440.00 <br />20GwCobra Head Fixture <br />$142.41 <br />1 <br />$14.24 <br />$156.65 <br />200w HPS Lamp <br />$6.42 <br />1 <br />$0.64 <br />$7.06 <br />Photo Cell <br />$5.29 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />KOO <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />MATERIAL TOTAL: <br />$1,460.45 <br />TOTAL: $2,608.25 <br />Form Document No. 578 <br />Billing Worksheet - Traffic Page 1 of 1 Last Revised: 07!0712014 <br />I NVOICETOTAL. <br />Labor <br />Charges <br />$649.93 <br />Equipment <br />Charges <br />$497.88 <br />Material <br />- Charges <br />$1,460.45 <br />TOTAL: $2,608.25 <br />Form Document No. 578 <br />Billing Worksheet - Traffic Page 1 of 1 Last Revised: 07!0712014 <br />