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City of Eugene Public Works <br />Closeout Form <br />November 9.2O11 <br />GOOD JOB NUMBER 00141 <br />PROJECT NUMBER 905115 <br />FUND/DESC Budget <br />Expenditures Difference <br />Totals <br />$777,500.00 <br />LC <br />Notes: <br />*fr Fund 531 back to085O2G 'I5. So <br />xfr Fund 532 back toS85O15 <br />------- ��u ' - <br />Warranty/As-built Fee <br />$3.500.00 BJE#70424 <br />BJE# <br />z - 7 / — � <br />Project Manager � Date <br />Principal Civil Engineer Date <br />� <br />1L IfJmi��. 5D <br />3w <br />1. Review funding and expenditures <br />2. Project Manager sign <br />3' Principal Civil Engineer sign <br />4. Forward to PWA <br />