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City of Eugene Public Works <br /> Closeout Form <br /> .November 3, 2009 <br /> GOOD JOB NUMBER 004510 <br /> PROJECT NUMBER 985354 <br /> PROJ / GJN DESC PPP 2008 Slurry Seal Project <br /> FUND /DESC Budget Expenditures Difference <br /> 342 -Pavement Preservation Capital 424,588.00 401,949.60 22,638.40 <br /> 0.00 <br /> 0.00 <br /> 0.00 <br /> Totals $424,588.00 $401,949.60 $22,638.40 <br /> Notes: <br /> Transfer to 975014 ~ $22,639.00 <br /> Warranty/As-built Fee $788.00 BJE# 62622 <br /> Tree's BJE# <br /> 1l 3 ~ <br /> Project Ma a r Dat <br /> <br /> r ~ ~ <br /> Pri cipal Civil E gineer Date <br /> 1. Review funding and expenditures <br /> 2. Project Manager sign <br /> 3. Principal Civil Engineer sign <br /> 4. Forward to PWA <br /> <br />