City of Eugene Public Works <br />Closeout Form <br />August 4, 2010 <br />GOOD JOB NUMBER <br />PROJECT NUMBER <br />PROJ / GJN DESC <br />975484 <br />IZ, G, 9 S!•w <br />FUND / DESC B dget Expenditures Difference <br />333 - Transportation SDC <br />129,594.00 <br />129,593.25 <br />0.75- <br />342 - Pavement Preservation Capital <br />126,950.33 <br />531 - Stormwater Utility - Capital <br />1,352.00 <br />1,351.12 <br />0.88 <br />532 - Wastewater Utility- Capital <br />259.00 <br />259.00 <br />0.00 <br />0.00 <br />0.00 <br />Totals <br />i 50tT6706- <br />$258,153.70 <br />qc:~ <br />ZS`IS(:~ r <br />Notes: S 15,11 <br />Warranty/As-built Fee $1,500.00 BJE# 66049 <br />Tree's BJE# <br />Project Manager <br />Principal <br />1. Review funding and expenditures <br />2. Project Manager sign <br />3. Principal Civil Engineer sign <br />4. Forward to PWA <br />SW <br />Date <br />Date <br />