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Accounts Receivable Worksheet <br />Pub* works Unkdaoa,. TrW% OparaWonx Billing For: Replaced Br <br />1820 &o my SW, Eug-, OR 97 ISend to <br />(541) "2-4800 Responsible Party: Incident #5057 <br />Echo Hollow at Royal <br />............................... .......................... ........ .... <br />Employee <br />Hourly <br />Rate <br />+ <br />Benefit <br />Rate <br />= <br />Bass <br />Rate <br />x <br />Total <br />Hours <br />x <br />Overhead <br />29.00% <br />$160.00 <br />Employee <br />Charge <br />Represented Employees: <br />53.43 <br />$16.00 <br />0.00 <br />0.00 <br />$0.00 <br />0.00 <br />Electrician 2 <br />$33.34 <br />$16.16 <br />$49.50 <br />0.00 <br />0.2 <br />$0.00 <br />1.2900 <br />0.00 <br />$12.77 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 1 <br />$0.00 <br />2 <br />0.00 <br />1.2900 <br />$0.00 <br />$0.00 <br />0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />0.00. <br />01 <br />$0.00 <br />1.2900 <br />0.00 <br />$0.00 <br />$0.00 <br />0.00 <br />$0.001 <br />EQUIPMENT TOTAL: <br />$0.001 <br />01 <br />1.2900 <br />$0.00 <br />$0.00 <br />Rep. Employees OT: <br />$0.00 <br />$0.00 <br />Electrician 2 <br />$50.01 <br />$0.00 <br />$21.25 <br />$0.00 <br />$71.26 <br />1.8 <br />1.2900 <br />$165.47 <br />$0.00 <br />$0.00 <br />$0.00 <br />0 <br />1.2900 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />0 <br />1.2900 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />0 <br />1.2900 <br />$0.00 <br />Exempt Employees: <br />$0.00 <br />$0.00 <br />$0.00 <br />0 <br />1.2900 <br />$0.00 <br />Exempt Employees OT: <br />$0.00 <br />$0.00 <br />$0.00 <br />0 <br />1.2900 <br />$0.00 <br />X-1-1 :111111 tol IF-1 IN <br />F-QU � � .................... <br />................................ ............. ....... . ..... ............ . <br />Equipment Type <br />Hourly <br />Rate <br />x <br />Total <br />Hours <br />= <br />Equipment <br />Charge <br />Overhead <br />10% <br />Equipment Description <br />534009 <br />26.72 <br />$160.00 <br />2.00 <br />1 <br />53.43 <br />$16.00 <br />0.00 <br />0.00 <br />$0.00 <br />0.00 <br />$0.00 <br />0.00 <br />0.00 <br />$0.00 <br />0.00 <br />0.00 <br />$0.00 <br />$0.00 1 <br />0.00 <br />0.00 <br />$0.00 <br />0.00 <br />0.00 <br />0.00. <br />0.00 <br />$0.00 <br />0.00 <br />0.00 <br />EQUIPMENT TOTAL: <br />53.43 <br />$0.00 <br />....................... <br />............... <br />..... ...................................... . . <br />................ .... ................................... . <br />Material Type <br />Actual <br />Cost <br />x <br />Number of <br />Units <br />+ <br />Overhead <br />10% <br />= <br />Material <br />Charge <br />Frangible Base 4" <br />$160.00 <br />$176.00 <br />1 <br />$16.00 <br />$176.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 1 <br />$0.00 <br />$0.001 <br />0.00. <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />MATERIAL TOTAL: <br />1 $178.241 <br />............................ <br />............................. <br />............. .. .......... <br />........... <br />. . . . . . . . <br />INVOICE'..td.TAL . . .'.""""""' <br />Labor <br />Charges <br />$178.24_ <br />Equipment <br />Charges <br />$53.43 <br />Material <br />I Charges <br />$176.00 <br />1 $176.001 TOTAL: 1 $407.671 <br />Form Document No. 578 <br />Billing Worksheet - Traffic Page 1 of 1 Last Revised: 10/07/10 <br />