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0 <br />s <br />•~ese~ <br />regon <br />Bureau of .Labor and Industries <br />Brad Avakian <br />Commissioner <br />February 6, 2008 <br />CITY OF EUGENE <br />ENGINEERING DIVISION / BROGDEN <br />244 E BROADWAY <br />EUGENE, OR 97401 <br />PAYMENT RECEIPT FOR PITBLIC WORKS SEE <br />(OR5 839-025-021:0). <br />Name ofProject: 2008 COMMUNITY WASTEWATER EXTENSIONS #59494 <br />This certificate is proof the CITY OF EUGENE, ENGINEERING DIVISION / BR4GDEN <br />made a fee payment of $250 for the public works project named above, based on fhe contract <br />awarded to 2G CONSTRUCTION (DBA) (CCB#: 40559) on 03-JUL-D8, leaving a balance of $0 <br />for this contract. <br />As required by QRS 279C.825 and OAR 839-025-0210, the agency shall, upon,completion of <br />the contract, determine. the final contract price,. including change orders and adjustments to the <br />contract.. If the final contract price varies by $:100,000 or more,. the. agency shall-.submit any <br />additional payment or request for refund of fees, using form WH-40, to the bureau within 30 <br />days of final payment to the contractor by the agency. _, <br />PORTLAND: ET7GENE BEND . MEDFORD <br />800 NE Oregon St. Suite 1045 1400 Execuflve Pazkway, Suite 200 Worksource Bend 119 N Oakdale Ave. <br />Portland, OR 97232-2180 Eugene, OR 97401-2158 1645 Nfi Forbes Rd,-Ste 106 Medford; OR 97501-2629 <br />(971) 673-0763 (541) 686-7623 Bend; OR 97701-4990 (541) 776.-6270 `t' <br />Fax (971) 673-0762 FAX (541) 686-7980 (541) 322-2435 FAX (541)776-6284 s <br />TTY (971) 673-0766 FAX (541)389-8265 <br />SALEM PENDLETON <br />3865 Wolverine St: NR; E-i 1327 SE 3cd St., r <br />Salem, OR 97305-1268 Pendleton, OR 97801-4101 ~ s <br />(503).378-3292 www oregon.gov/boll. {541)276-7ss4 <br />FAx (503> 373-7636 AN EQUAL OPPORTUNITY EMPLOYER FAX {54> 276-x767 <br />. JUL 2 5 2008 <br />F <br />8 <br />