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City of Eugene Public Works <br />Closeout Form ~ : <br />December 8, 20~ o ~ . <br />wl' ! J'i~ <br />fp I e•P.~ € Ia GooaJOB NUMBER ~ <br />PRoJ~E~T NUMBER 9D~5~4 <br />PRoJ l GJN DEC <br />FUND 1 DESC Budget Expenditures Difference <br />342 Pavement Preservation Capital 239,5ao.00 213,258.44 26,241.56 <br />o.ao <br />o,oo ~ <br />o~oo ~ 1 <br />. a.oo <br />o.oo <br />Totals $239,500.00 X213,258.44 $26,24 ~ .56 ' j <br />. ~ j <br />1 <br />' 1 i <br />Notes: ~ ~ 3 <br />' xfr balance to 9750 ~ 4 Unposted PSF hours:. o hours <br />3 3 <br />i I <br />WarrantylAs-built Fee $800.00 BJE# 70463 <br />3 3 i <br />Tree's BJE# ~ I <br />i <br />1 <br /> <br />~ ~ <br />Project Ma g Date <br />! 3 3 <br />Principal Civil Engin er Date <br />. ~ <br />1. Review funding and expenditures <br />2. Project Manager sign <br />3. Principal Civil Engineer sign <br />4. Forward to PWA <br /> <br />i' ~ ~ ~ ~ f <br />