?wm- cw,6� <br />Accounts Receivable Worksheet <br />Public Works Maintenance: Traft operations Billinq For: Turn sicinal loons on for road construction <br />Dat 3/27/2009 <br />1820 Roo-eft Blvd, Eugene, OR 97402 <br />(541) 682-4800 <br />ISend to Dan Johnston <br />Hourly <br />Rate <br />Responsible Party: Hoffman Construction (541) 344-1799 <br />1615 E 13th Eugene OR, 97403 <br />Location: Franklin & Agate <br />JQd <br />Total <br />Hours <br />0 Account o e: 49745 Electrical Services Reimb <br />Equipment <br />Charge <br />Employee <br />Hourly <br />Rate <br />+ <br />Benefit <br />Rate <br />= <br />Base <br />Rate <br />x <br />Total <br />Hours <br />x <br />Overhead <br />33.84% <br />= <br />Employee <br />Charge <br />Represented Employees: <br />0.00 <br />$0.00 <br />0.00 <br />$0.00 <br />0.00 <br />0.00 <br />$0.00 <br />0.00 <br />0 <br />$0.00 <br />1.3384 <br />$0.00 <br />$0.00 <br />$0.00 <br />0.00 <br />$0.00 <br />0.00, <br />$0.00 <br />0.00 <br />0 <br />1.3384 <br />1 <br />$0.00 <br />0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />0.00 <br />$0.00 <br />0 <br />0.00 <br />1.3384 <br />EQUIPMENT TOTAL: <br />$0.00 <br />$0.00 <br />1 $0.00 <br />$0.001 <br />$0.00 <br />1 $0. 0 0 <br />1 0 <br />1.3384 <br />$0.00 <br />Rep. Employees OT: <br />1 $0.50 <br />$0.001 <br />1 $0.00 <br />Traffic Signal Tech <br />$40.58 <br />$19.20 <br />$59.78 <br />2 <br />1.3384 <br />$160.02 <br />$0.00 <br />2 <br />1.3384 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />0 <br />1.3384 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />0 <br />1.3384 <br />$0.00 <br />Exempt Employees: <br />$0.00. <br />$0.00 <br />$0.00 <br />0 <br />1.3384 <br />$0.00 <br />Exempt Employees OT: <br />$0.00 <br />$0.001 <br />1 $0.00 <br />0 <br />1.3384 <br />$0.00 <br />I <br />I <br />LABOR TOTAL: <br />$160.02 <br />. . .. .. .................. . .. . . . . . . . . . . . . . . . . . . . . . . .................................................................... <br />..................................................................................... <br />Equipment Type <br />Hourly <br />Rate <br />x <br />Total <br />Hours <br />= <br />Equipment <br />Charge <br />Overhead <br />10% <br />Equipment Description <br />Material <br />Charge <br />0.00 <br />Charges <br />$0.00 <br />0.00 <br />Aerial Truck <br />0.00 <br />0.00 <br />$0.00 <br />0.00 <br />$0.00 <br />0.00 <br />0.00 <br />$0.00 <br />0.00 <br />0.00 <br />$0.00 <br />$0.00 <br />0.00 <br />0.00 <br />0.00, <br />0.00 <br />0.00 <br />1 <br />1 <br />0.00 <br />0.00 <br />$0.00 <br />0.00 <br />1 <br />0.00 <br />EQUIPMENT TOTAL: <br />0.00 <br />$0.001 <br />MATERIAL TOTAL: <br />.......................... <br />......................... <br />.......................... <br />......................... <br />INVOICE <br />Material Type <br />Actual <br />Cost <br />x <br />Number of <br />Units <br />+ <br />Overhead <br />10% <br />Charges <br />Material <br />Charge <br />Material <br />Charges <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />0.00, <br />$0.00 <br />0.00 <br />$0.00 <br />0.00 <br />$0.00 <br />$0.001 <br />1 $0. 0 0 <br />$0.001 <br />1 $0.50 <br />$0.001 <br />1 $0.00 <br />MATERIAL TOTAL: <br />.......................... <br />......................... <br />.......................... <br />......................... <br />INVOICE <br />Labor <br />Charges <br />$160.02 <br />Equipment <br />Charges <br />$0.00 <br />Material <br />Charges <br />$0.00 <br />TOTAL: 1 $160.02 <br />1 $0.00 <br />Form Document No. 578 <br />Billing Worksheet - Traffic Page 1 of 1 Last Revised: 7/17108 <br />