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<br />City of Eugene Public Works <br />Closeout Form <br />December 21, 2015 <br />GOOD JOB NUMBER004603 <br />PROJECT NUMBER995285 <br />PROJ / GJN DESCWW Terry St Flow Splitter Cntl <br />BudgetExpendituresDifference <br />FUND / DESC <br />532 - Wastewater Utility - Capital 105,613.33 <br />365,092.00259,478.67 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />Totals$365,092.00$259,478.67$105,613.33 <br />$105,213.33 <br />Notes: <br />Warranty/As-built FeeBJE#95116$400 <br />Tree'sBJE#$0 <br />Project ManagerDate <br />Principal Civil EngineerDate <br />1. Review funding and expenditures <br />2. Project Manager sign <br />3. Principal Civil Engineer sign <br />4. Forward to PWA <br />