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City of Eugene Public Works <br />Closeout Form <br />January 30, 2012 <br />373 <br />I - A id <br />r P C- <br />GOOD JOB NUMBER <br />PROJECT NUMBER <br />PROJ / GJN DESC <br />905604 <br />FUND / DESC Budget Expenditures Difference <br />342 0 - 0 1 5 avement Preservation Capital <br />42,668.00 <br />42,668.00 <br />0.00 <br />343 - 2008 Street Bond <br />1,123,800.00 <br />1,122, 902.76 <br />897.24 <br />531 - Stormwater Utility - Capital <br />13,587.00 <br />13,587.00 <br />0.00 <br />532 - Wastewater Utility - Capital <br />9,705.00 <br />$9,705.00 <br />0.00 <br />0.00 <br />Totals <br />$1,189,760.00 <br />$1,188,862.76 <br />$897.24 <br />Rf-vise a x�e m d; ivye s as Wows <br />Notes: 34$ 150Kd = � 1 11 St$,5(o X�r' $S og3 , �t�4 fi> 1405;'404 xfr $898 to 905404 <br />531 - $A U+1. = s t3,t.sb (+,V►VI g7 <br />5 3 2 - W w L+I (C, 1-7 x .Fr $ 3530 -b cl 1 sa l LA <br />333- ?ra Spc. = �51,Z1q.o8 �Sf # Ats)?J1- <br />Warranty /As -built Fee $1,200.00 BJE #74379 <br />Tree's BJE #� U �� <br />Proj c Mana er Date <br />e <br />y- Z <br />Priricipil Civil Engin er Date <br />1. Review funding and expenditures <br />2. Project Manager sign <br />3. Principal Civil Engineer sign <br />4. Forward to PWA <br />0 <br />