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//3t f zo ZI <br />City of Eugene Public Works <br />Closeout Form <br />December 17, 2010 <br />GOOD JOB NUMBER <br />PROJECT NUMBER <br />PROJ / GJN DESC <br />FUND / DESC Budget Expenditures Difference <br />531 - Stormwater Utility - Capital <br />49,750.00 <br />46,444.70 <br />3,305.30 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />Totals <br />$49,750.00 <br />$46,444.70 <br />$3,305.30 <br />Notes: <br />Warranty/As-built Fee $250.00 BJE# 73079 <br />Tree's <br />BJE# <br />Protect Manager Date <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 />