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Pubpc Works <br /> Daily Extra Work Sheet A - , <br /> Engineering <br /> City of Eugene <br /> 244 East Broadway <br /> f Eugene, Oregon 97407 <br /> Date ~ Z' / ~ ~ ~ S (`~i) 682-8460 Fax <br /> Qr Contrador <br /> Job No. _ <br /> Cont. No. ~ ~Jb ~ ©C~ _ J,al1J ~ p~~D <br /> Project ~ ~ S ~/~li/~ %~'D~ ~ ? J ~ U~ ~ IN <br /> The following ei~enses cover work and/or other dzarges incurred on the above date: <br /> Desc~tion of Work Done ~ ~ I = C <br /> ~ L? <br /> Hours Hrly. Rate <br /> Detail of Labor or or Eq~ripment Material Labor Other Total <br /> Equipment or Materials quantity Unit Price Cost Cost Cost Cost amount <br /> T "r I 5Z~ <br /> Z <br /> ~j a(.C b ~ r "D ~ <br /> V,~' <br /> 'Gv 7v V e • ~ cc c- <br /> ' c~ <br /> ~~k ~ ~ IN ~ 2 ~ r1 ~ ~ ~ <br /> SUB TOTAL ~ -I(~ S C C <br /> Equipment <br /> Material % ~ ' - ~ ; <br /> Labor % U ~ C, 1 ~ . l <br /> Other <br /> TOTAL -?,b 0 v ~ ~I <br /> V <br /> BY ~CV l/ By <br /> Approved by Owner Approv y Contractor <br /> <br /> EngFcrm f0?2 1Nhite / coruractor YaHow / Rle P;nk / lrrsvecior Rev. 1/98 <br /> <br />