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Accounts Receivable Worksheet <br /> Public Works Maintenance Billing For: Date: 7/19/2012 <br /> 1820 Roosevelt Blvd , Eugene, OR 97402 Send t0 <br /> (541) 682 -4800 Responsible Party. Sanipac <br /> Clean up debris from dumpster fire <br /> Location: On roosevelt @ Roper <br /> Account Code (Fund 8 Orq): 1 9473 535 1 Revenue Code: 1 14 554 P <br /> LABOR: <br /> Hourly Benefit Base Total Indirect Costs Employee <br /> Employee Rate + Rate = Rate x Hours x 0.00% = Charge <br /> Represented Employees: <br /> Maintenance Worker $21.47 $12.54 $34.01 2 1.0000 $68.02 <br /> Maintenance Worker 2 $21.47 $12.54 $34.01 1 1.0000 $34.01 <br /> $0.00 $0.00 $0.00 0 1.0000 $0.00 <br /> $0.00 $0.00 $0.00 0 1.0000 $0.00 <br /> Rep. Employees OT: <br /> $0.00 $0.00 $0.00 0 1.0000 $0.00 <br /> $0.00 $0.00 $0.00 0 1.0000 $0.00 <br /> $0.00 $0.00 $0.00 0 1.0000 $0.00 <br /> $0.00 $0.00 $0.00 0 1.0000 $0.00 <br /> Exempt Employees: <br /> $0.00 $0.00 $0.00 0 1.0000 $0.00 <br /> Exempt Employees OT: <br /> $0.00 $0 00 $0.00 0 1.0000 $0.00 <br /> LABOR TOTAL: $102.03 <br /> • <br /> EQUIPMENT ............ . <br /> .... <br /> Hourly Total Equipment <br /> Equipment Type Rate x Hours = Charge Equipment Description <br /> 511028 185.10 1.00 185.10 Large street sweeper <br /> 701023 37.40 2.00 74.80 Front end loader <br /> 0.00 0.00 0.00 <br /> 0.00 0.00 0.00 <br /> 0.00 0.00 0.00 <br /> 0.00 0.00 0.00 <br /> 0.00 0.00 0.00 <br /> 0.00 0.00 0.00 <br /> EQUIPMENT TOTAL: 259.90 <br /> MATERIALS: >:::< :::::::: . <br /> Actual Number of Overhead Material <br /> Material Type Cost x Units + = Charge <br /> 0 $0.00 $0.00 <br /> 0 $0.00 $0.00 <br /> 0 $0.00 $0.00 ........................................... <br /> 0 $0.00 $0.00 INVOIC€ TOTALZ :::::: :: ::::::::» <br /> 0 $0.00 $0.00 Labor <br /> 0 $0.00 $0.00 Charges $102.03 <br /> 0 50.00 $0.00 Equipment <br /> 0 $0.00 $0.00 Charges $259.90 <br /> 0 $0.00 $0.00 Material <br /> 0 $0.00 $0.00 Charges $0.00 <br /> MATERIAL TOTAL: $0.00 TOTAL: $361.93 <br /> Form Document No.385 <br /> Billing Worksheet - General Page 1 of 1 Last Revised: 07/19/2012 <br />