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Accounts Receivable Worksheet <br />........ ............. .. . . . .. .. ..... <br />.. .................... .. <br />. <br />Material Type <br />Actual <br />Cost <br />Public Works Maintenance <br />_Blllin For: <br />Hendricks Park <br />Date: 9124/2012 <br />1620 Ro.sevett Blvd, Eugene, OR 97402 <br />Send to. <br />asphalt <br />F <br />(641) 682-4800 <br />Responsible Party: <br />$46.15 <br />Location: <br />Hendricks Park <br />��JACcount Code: <br />VSw Revenue Codes <br />.. ..... .. .. ..... . <br />............ ................ <br />.. ....... <br />.... .......... <br />.... ...... ............. ....... .......... <br />Hourly <br />0 <br />Benefit <br />$0.00 <br />a <br />Ba s Total <br />$0.00 <br />I <br />Costs <br />0 <br />Employee <br />Empl9j a <br />Rate <br />$0,00 1 <br />Rate <br />Rate <br />0 <br />Hours <br />X <br />$0.00 <br />Charge <br />Represented <br />Employees: <br />0 <br />$0.00 <br />$0.00 <br />0 <br />$0.00 <br />01 1 1,2717 <br />NIA <br />00 <br />E <br />LABOR <br />MATERIALSt."."" <br />........ .. <br />........ ............. .. . . . .. .. ..... <br />.. .................... .. <br />. <br />Material Type <br />Actual <br />Cost <br />x <br />Number of <br />Units <br />+ <br />Overhead <br />Charges <br />Material <br />Charge <br />asphalt <br />$47.0() <br />Charges <br />9.82 <br />$46.15 <br />$507.69 <br />0 <br />$0.00 <br />$0.00 <br />0 <br />$0.00 <br />$0.00 <br />0 <br />$0.00 <br />$0,00 1 <br />0 <br />$0.00 <br />$0.00 <br />0 <br />$0.00 <br />$0.00 <br />0 <br />$0.00 <br />$000 <br />0 <br />$0.00 <br />$0.00 <br />0 <br />$0.00 <br />$0.00 <br />0 <br />$0.00 <br />$0.00 <br />MATERIAL TOTAL: <br />.... I ............. <br />........ ..... <br />, L ............................ <br />)NV-0itK <br />Labor <br />Charges <br />$1,384.02 <br />Equipment <br />Charges <br />$190,56 <br />Material <br />Charges <br />$507.69 <br />1 $507.69 . TOTAL: 1 $2,082.27 <br />Form Document No. 578 <br />Billing Worksheet - Traffic Page 1 of 1 Last Revised: 10107/10 <br />