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Daily Extra Work Sheet :4 a~ Qubucw°rks <br /> City of Eugene <br /> 244 East Broadway <br /> 1 Eugene, Oregon 97401 <br /> Date / ~ Z' / Q ~ Contrador ~ S (541 }682--8460 Fax <br /> ~T Qr <br /> Job No. <br /> Cont. No. ~ ~ Q CJ _ fV ` ` NCO <br /> Project ~ ~ g ~/q~/`~ %~'4u~'1?/~-~ ~ f ? ~ 1~~ ~ (/`i <br /> The following expenses cover work and/or other r~rarges irrarrred on the above date: <br /> De~sa~p' <br /> tion of Work Done ~ ~ r ' ~ <br /> Hours Htly. Rate <br /> Detail of Labor or or Equipment Material Labor Other Total <br /> Equipment or Materials Gtuantity Unit Price Cosa Cost Cost Cost Amount <br /> ~,C.fi tic b C / -a ~ <br /> v,~ <br /> .r~ i L' e 1°~ ~ !c c o <br /> ~Gc~ 1v ~ V e - 1 ~ cc c- <br /> c to <br /> SUB TOTAL ~ ~ -f h ' C : c <br /> Equipment <br /> Material % f ~ ~ ~ S C <br /> Labor % ~ ' ~ ~ 1 <br /> Other <br /> TOTAL l1 Q, ~ ~1 <br /> ey ~CVV By <br /> Approved by Owner Approv y Contractor <br /> <br /> FJrgForm1022 White/Corrtractor Yellow/Rle Pink/lrrspector R2V. 1/98 <br /> <br />