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<br />City of Eugene Public Works <br />Closeout Form <br />December 3, 2012 <br />GOOD JOB NUMBER004702 <br />PROJECT NUMBER905634 <br />PROJ / GJN DESCPPP Green Acres:Norkenz-D Hwy <br />BudgetExpendituresDifference <br />FUND / DESC <br />14,008.0014,007.590.41 <br />333 - Transportation SDC <br />529,303.00529,302.750.25 <br />342 - Pavement Preservation Capital <br />5,695.005,694.610.39 <br />531 - Stormwater Utility - Capital <br />5,695.00$5,694.610.39 <br />532 - Wastewater Utility - Capital <br />0.00 <br />0.00 <br />Totals$554,701.00$554,699.56$1.44 <br />Notes: <br />Warranty/As-built Fee$1,000.00BJE# 78909 <br />Tree's$0.00BJE# <br />Project ManagerDate <br />Principal Civil EngineerDate <br />1. Review funding and expenditures <br />2. Project Manager sign <br />3. Principal Civil Engineer sign <br />4. Forward to PWA <br />