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City of Eugene Public Works <br />Closeout Form <br />February 14, 2011 <br />GOOD JOB NUMBER <br />PROJECT NUMBER <br />PROJ / GJN DESC <br />00:4730 <br />915095 <br />WW W13' <br />ve Siphon Rebab <br />FUND / DESC Budget . Expenditures Difference <br />532 - Wastewater Utility - Capital <br />34,500.00 <br />24,394.40 <br />10,105.60 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />Totals <br />$34,500.00 <br />$24,394.40 <br />$10,105.60 <br />Notes: <br />Transfer balance to 532-985015 <br />Warranty/As-built Fee <br />Tree's <br />c <br />Project Manager <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 />$500.00 BJE# 72625 <br />BJE# <br />2 iS N <br />Date <br />Z/I7/it <br />Date <br />