City of Eugene Public Works <br />Closeout Form <br />February 14, 2011 <br />GOOD JOB NUMBER _ <br />PROJECT NUMBER 905314 <br />PROJ / GJN DESC ~ ~ff <br />FUND / DESC Budget Expenditures Difference <br />333 - Transportation SDC <br />82,720.00 <br />82,720.07 <br />(0.07) <br />341 - Road General Capital Fund <br />26,874.00 <br />26,873.38 <br />0.62 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />Totals <br />$109,594.00 <br />$109,593.45 <br />$0.55 <br />Notes: <br />Warranty/As-built Fee BJE# <br />Tree's BJE# <br />/YA <br />Project Manager Date <br />a //I//// <br />Principal Civil ngineer Date <br />1. Review funding and expenditures <br />2. Project Manager sign <br />3. Principal Civil Engineer sign <br />4. Forward to PWA <br />