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City of Eugene Public Works <br />Closeout Form <br />December 8, 2010 <br />GOOD JOB NUMBER gyd <br />PROJECT NUMBER 905504 <br />PROJ / GJN DESC <br />FUND / DESC Budget Expenditures Difference <br />342 - Pavement Preservation Capital <br />239,500.00 <br />213,258.44 <br />26,241.56 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />Totals <br />$239,500.00 <br />$213,258.44 <br />$26,241.56 <br />Notes: <br />xfr balance to 975014 <br />Unposted PSF hours: 0 hours <br />Warranty/As-built Fee $800.00 BJE# 70463 <br />Tree's BJE# <br />Project Ma gei` Date <br />IZ, - <br />Principal Civil Engin er Date <br />1. Review funding and expenditures <br />2. Project Manager sign <br />3. Principal Civil Engineer sign <br />4. Forward to PWA <br />