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<br />City of Eugene Public Works <br />Closeout Form <br />January 22, 2010 <br />GOOD JOB NUMBER004632 <br />PROJECT NUMBER995295 <br />PROJ / GJN DESCWW Lancaster Manhole Adj w/Lan <br />BudgetExpendituresDifference <br />FUND / DESC <br />532 - Wastewater Utility - Capital 15,000.005,709.209,290.80 <br />0.00 <br />0.00 <br />Totals$15,000.00$5,709.20$9,290.80 <br />Notes: <br />Warranty amount? <br />xfr balance to 985015 <br />Warranty/As-built FeeBJE# <br />Tree'sBJE# <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 />