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City of Eugene Public Works <br />Closeout Form <br />August 4, 2010 <br />GOOD JOB NUMBER .~~.x" <br />PROJECT NUMBER 965494 <br />PROJ / GJN DESC <br />FUND / DESC Budget Expenditures Difference <br />333 - Transportation SDC <br />0.00 <br />342 - Pavement Preservation Capital <br />315,230.00 <br />315,173.84 <br />56.16 <br />531 - Stormwater Utility - Capital <br />807.00 <br />807.00 <br />0.00 <br />532 - Wastewater Utility - Capital <br />1,345.00 <br />1,345.00 <br />0.00 <br />0.00 <br />0.00 <br />Totals <br />$317,382.00 <br />$317,325.84 <br />$56.16 <br />Notes: <br />Warranty/As-built Fee $800.00 BJE# 66655 <br />Tree's BJE# <br />Project Manager Date <br />Principal Civil Engineer Date <br />1. Review funding and expenditures <br />2. Project Manager sign <br />3. Principal Civil Engineer sign <br />4. Forward to PWA <br />