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City of Eugene Public Works <br />Closeout Form <br />February 22, 2012 <br />GOOD JOB NUMBER 004693 <br />PROJECT NUMBER 905145 <br />PROJ / GJN DESC WW 2010 Open Trench Rehab <br />FUND / DESC Budget Expenditures Difference <br />532 - Wastewater Utility - Capital <br />548,000.00 <br />508,592.97 <br />39,407.03 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />Totals <br />$548,000.00 <br />1 $508,592.97 <br />$39,407.03 <br />Notes: <br />Warranty /As -built Fee <br />Tree's <br />$2,000.00 BJE #71240 <br />BJE# <br />-2 1 -04� t2 <br />Project Manager Date <br />z <br />Principal Civil Engineer <br />Date <br />1. Review funding and expenditures <br />2. Project Manager sign <br />3. Principal Civil Engineer sign <br />4. Forward to PWA <br />