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City of Eugene Public Works <br />Closeout Form <br />January 22, 2010 <br />B16 (-a~eloF <br />GOOD JOB NUMBER 004fi32 <br />PROJECT NUMBER 995295 <br />PROJ / GJN DESC WW Lanc <br />r Mat <br />FUND / DESC Budget Expenditures Difference <br />532 - Wastewater Utility -Capital 15,000.00 5,709.20 9,290.80 <br />0 00 <br />0.00 <br />Totals $15,000.00 $5,709.20 $9,29080 <br />Notes. <br />Warranty amount? <br />xfr balance to 985015 <br />Warranty/As-built Fee <br />Tree's <br />n,V,6 UI <br />Project Manager <br />BJE# <br />BJE# A4- h/I-- <br />~i o10,1~ 6 <br />Z D <br />Date Ire hk~f~ <br />Principal Civil Engineer <br />1. Review funding and expenditures <br />2. Project Manager sign <br />3. Principal Civil Engineer sign <br />4. Forward to PWA <br />Date <br />