<br />City of Eugene Public Works <br />Closeout Form <br />############# <br />GOOD JOB NUMBER005023 <br />PROJECT NUMBER965644 <br />PROJ / GJN DESCPPP 2016 Slurry Seals Ward 6 <br />BudgetExpendituresDifferencePM ActualsAJE AdjBJE Adj <br />FUND / DESC <br />342 - Pavement Preservation Capital141,611.0084,587.6857,023.3284,587.680.00(57,023.32) <br />Totals$141,611.00$84,587.68$57,023.32$84,587.68$0.00($57,023.32) <br />Notes: <br />Warranty/As-built FeeBJE#92814$1,500 <br />Tree'sBJE#95337$698 <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 />