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City of Eugene Public Works <br />Closeout Form <br />February 29, 2012 <br />GOOD JOB NUMBER <br />PROJECT NUMBER <br />PROJ / GJN DESC <br />915166 <br />FUND / DESC Budget Expenditures Difference <br />531 - Stormwater Utility - Capital <br />28,150.00 <br />45,752.94 <br />(17,602.94) <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />Totals <br />$28,150.00 <br />$45,752.94 <br />($17,602.94) <br />Notes: T,�s <br />-$ 1 ( 0 2 , 1 ct CGS <br />Warranty /As -built Fee $500.00 BJE #74115 <br />Tree's BJE# <br />a <br />Pr j ct Ma er Date <br />Principal Civil En 'veer Date <br />1. Review funding and expenditures <br />2. Project Manager sign <br />3. Principal Civil Engineer sign <br />4. Forward to PWA <br />