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I r . l",':" "i" I 1'0: ,~::):.: .i, V :p' l ;~: li" t 1," 'j, ii :~ k ",; r ", ':'< ',,' :i~:""'..'", ~/<, " '. :,.', .': ',',," , :",'" ".',:, ". ,,:' , , ',," " ;' .:: , '", ' ,";, . <," . " '", " , .',;, , ,''', " ,:" ". .. .: 'i, " ' UEPARTIlIENT OF PUBUC \YORIeS JEFFERSOI1 COUIIlY COUmfOUSE PORT TOlllSElfD, WA 98368 CONSTRUCTION COST ESTIMATE SUMMARY Project Tille Date / ) l:) 7'>(. ) 7' ; i.... I '.' I . i... 1~' J ," i,' I J ," 'I Location /. {. . . / ~ I Estimateu BV Checked By o Conceptual o Preliminary o Final Project No. Construction Cost Estimate Summary Item No. Item eo.. OeKriprion Total Cost W....,.F,.... FOlm '1.. , " '.,' """,. ,: i' 1<>, ,:,"'J' ","I :' ".' , ',', ,: , ,.,I': ".' " · ": : :' ::'", '.'", "', :, .," ,: "', ,', ',..:..' ", ',' ",' """ , :: " '" '" .'.'.' " :'" " :.,..::, ; ,> ...' ;\: ,,-:;,". "'" " " ',. ,'.' '~':' ',," . <'.:,'. " '. ','.., ", ' , ",:', ",,".' ' ", ,''< ,''', " , ,.' ,,' :\., ':'" '" ':: ..".,,', , " , ;,,,,::,':,,: :" ,,';: , .. '. , ' , ",' , ,,: .' , " , ' 'I': "~ ..JE FFERSQIi COl.I.ITY OEPARTPoENT OF PUBL 1 C WORt<S FILE ~J' ,_:1t,'<:J~-t.~ ACT! ON REQUEST REQUESTED BY.. ~:~..-,...}/.b ::-,_,,'~'/ DATE ~ /,-/2-/ /:!- ADDRESS~ . /~.r'~ .~ /?./' ~'?;:';- ,,/ ,?r:-:... /, ~";~.:5~. PHON:E NO.. ALT. PH. NO. ~ NATURE OF REQl..EST~ 0 IN PERSa"I 0 BY PHCNE 0 BY LElTER TAKEN BY- PERTAINING 'TO. G]OFFICE 0 ENG!SlJRVEY 0 ROAD MAINT. 0 EQUIP. MAINT. 0 SOLID WASTE REQUEST FCR. 4',~e../ l.OCATI~~ ROAD NAME ",-A-/, "f~,-...<) u.-'" ROAD NUMBER J/56'C';? M,P, PRO.JECT ~ PRO.JECT TITLE _''-:>77 DESCRIPTION. 7..~?G/p.'//' //1'.:/ <!-."A,/A/ / r-; C'// //- ~ //~: , .f"::- C't't': / ~~".-: /;'...(-:". :'''/'-' ~ /' , ,.,.,..'" )1"-; /),~~./ " "'7'..... '-! ,~)/'/-"? t:"t: '" r~:('",.r' l \/;. / RROJECT Ntw.1BER~ /- ,/,..., ~}/ ,"//?/"I/._? ,..~// ~ -../<r".d~/ "....L'O r'..--.-/ :,,'r//(--e:- '~?'/[//a ///.< /:.-/;,?,L /...~ ./ ,/':(~' '- ATTACH MAP OR SKETCH REFER TO~ /l,..,..Lr::~ RESPOND BY ~ RES~SE~ .(->;;1" .~t:- ~ ~ r-' <~ 7';0.;.. 4,," .,.':. REVIEWED BY- /", DATE. c;a.rrAC'TED REQl.ESTER 0 I N PER~ [J BY PHONE 0 BY LETTER <X:)NTACTED BY. RE~TION~ f'-REPARE EST I MAT&' FeR. ROln'E TO- O DIRECTClfl o ASSISTNrr OIR. o ROAD SlJPERV I SOR INITIAL o CONSTRUCT 1O'i ENG. [] PLANNING ENGINEER o ADMIN ASSISTANT o AC~TANT o o 01"", ,'" , I ' ' .. . " I' ,-- ,"" , , ," ", .'.', ': ", ',..,..'"", , ,', ~ l~ Y d ~ ~ eg ~, :t <Q) lJ ~ [)= ~ 0' u ~ < ~ 0 ~ ~ l:::;::::) ~ 4; ll.. ll.. [Q \.tJ r( ') I!#JJ d d W @Q] ~ :I r( c?,2) ; ...:, " \ , " " " , " , , '\ , , - ~) , I I j 'it ,t ~, ,:,' :: , ,.... \,' .. ,',' " .',.,,' "... '),..; "c." ..>."...F... . '"'.",.,..,,.,.:,'. 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I... /' :-..- ,/ / :~ // ",'oj,,', / / . t'. ,."1/.'" /~' , /" 'J " l ,./-'t'~1 J' "':' ,.: . ,"~_' ,- oJ 'i) )..S.. ,), ,/',,:- ..- ,,'!i ...~-)/',7'1' // "",."" ,/" l:!,;:~'~' '~ -~ ~., ...., ~ ./" ...:'-', ,c;'/ h~'() /"3~ 1-':. ._> 2.:5"5 !.:: ::SO .-LJ /, /7',/ /~!::~ ....-:'(--,'~.:-. ~. ::..J- :--..:. ,/ (j, ) I, ' / i'" ..f;, /.... ) ~ .' ~/ ,') jl~'/ , ) .. .. /,1 ,r ,), 1 ) " _'1/ / '/- -~{ , \' , '7) /?{ (' ( :/::,;,,; r . '\ ) ) '~~~. ~./ j /' ) /' i...-' /~ r / ,.:: ',,+(..1.) . (.)~':--^ ,) I' ,,/ I ,. ~ ~ J I.~ ,.,/.-.' ... '. . -.------.--.---------- /. __..:--.:.-:..i.J..~~ i! if. ,:'1 _.._--_..-....._~-_.... ~~ /j ';" __~'J.I, / i ~"., ---. ,r.or ... .. .. ..JEFFERSCI'l CO~TY DEPART~NT OF PUBLJC WCIfi1<S FILE Cd' ()53Z REQUESTED By. ADDRESS. ...7/I-~.ctl / 81J-1 ON~FJ1JFST /C?fii!.,-f-.. l~':;.">o,' DATE- /0.A k,- AI",,,!! 1-.) PHCX'<lE NO.- ALT. PH. NO.- NATURE OF REQl.EST - . 0 IN PERSa\I rn BY PI-ICI"lIE 0 BY LETTER TAKEN BY. r-:;/'l PERTAINING 70- OOF'FICE rE1ENG/SURVEY DReAD MAINT. o EQUIP. MAINT. OSOLID WASTE REQUEST FOR- ,4~ L.u/~ 7 /~.4At,,; lOCATlO<- ROAD NAME ~/Ng5.sr <"72- ROAD NUMBER M.P. PRQ,JECT- PROJECT TITLE /'?~~/J;{J 6A-->"'t/r ./~")/~'",,,JrFt: PROJECT NUMBER- DESCRIPT.(W. c"'-)C'~'( '" /) ,/ /~?- .7JJ.!/?~()/A.'r~ r.; ,.,p P/::>o;;rc'c>'.' 'I,{'::~ e./.tI~1) -~ /t.I ~)../ v 'J uz..JO{' A: ;?-h IT ~/.q!!; .z;o...r..'~ s~ ~~ (/.').(.1 /1trlke h1 S /';'~L~)t... T 7'J,!,..;)U.V,A/,L. r Lor O(.V-li ,.....),! }" 14--;:;.;'oc.. .b ,.... n::~ 'Yf/;-,'-/ ATTACH MAP OR SKETQ-f ~ RE FER TO. 7:yt? lit: it: RESF"OI'olD By. A.~.y:> RES~SE - (~O/C1" /.' I""j C;'J ~,~ M'(/ /:?~?.., /" // /, , /, ~; to 4' / REVIEWEO BY. ,/""j,-,","" OATL, a:~'~..<<.f" CCNTACTEo REQl.ESTER 0 IN PERsa.. 0 By ~E: 0 BY LCTttR Cl::lNTACTEO BY. RC <::ot.NE:NDA T I CW . ------.--.--------..-- ..-..--.......---. ..--.- PREPARE ESTIMATE FOR. ROUTE TO. o O'RECTOf< o ASSISTNn' DIR. o ROAD SUPE.RV I SOR INITIAL o ~STRUCTION ENG. 0 ACCOL.r'lTANT o PLANNING E:NGINEf:R _ 0 o ADMIN AS~ISTANT 0 CR0522 STRIPING - VARIOUS .r r - . f L L rr L ., . .. c;7 C:' 7 7:)u jle y ~/~4J d -f! ~ff.5 f-- ~n,-/ <J -/ ..5'4).? '" SC) t'7 (,h ;/~ /~/ ,/,4r-.:--c ,.z2r, ~?<~~~ P /;., T dr,?'.!? /0 ,/C:J .. J " ---, 77 // :-:!.<".,2 'I' y~~~-.J J......, <8 -9iii: .0~7.%c" { . _f.., .';~; J (. ;...~...-4 17 'f-<::/-I<:-:'7 .~~ )/ ",'"1 ;Pr,::'z .!:J"!''', <J~/~r> I"lc,..," 1?/.)/<J rdv"'::::-/ c: y "'{~~/r1 / ;$"/d nT'-'-";"5 ~,"I - /~ - (:;A.2 .J I -, .J -1- ~ . '.', f ~ I': .. " Slale 01 Washington Dep8rtment 01 Revenue EXCISE TAX DIVISION Audit Procedures & Review Olympia, WlIshlngton 98504 Reg. No,..,"...,:,....::,..,;..,.._,.....'..,.. Certificate of Payment of State Excise Taxes by Public Worl.s Contractor Contractor: Kii,SPOC ConJ. 1237 :;. D; r't2ctat~ ~rat1,le ~:A 931(lr PWC 5 415 4 We hereby certify that taxes, increases and penalties due or to become due from the above named contractor under Chapter 180, Laws of 1935, as amended, with respect to the following public works contract: ............,................................ ................................................................................................................................. .............."................................................................................................................................................... ............................................... together with all other taxes, increases and penalties due from such contractor, }W\"C been paid in full or that they are, in t.he Department's opinion, readily collectible \vithout recourse to the state's lien on the rctained percentage, This certifieatc is issued pursunnt to the provisions of Chaptcr 60,28 Rcvised codc of Wnshington for thc sole purpose of informing the state. county or municipal officcr charged with thc duty of disbursing or authorizing the payment of public funds to said contractor that the Department of Revenue hereby releases the state's lien on the retained pcrC.'cntage provided by this Chaptet' for ex- cise taxes due from said contrnctor. This ccrtificate docs not relcase said contractor from liability for additional tax which may bc later determined to be clue with respect to the above mentioned contr:1ct or other activities. Dntc nt Olympia, Washington, STATE OF WASHINGTON DEPARTMENT OF REVENUE FORM REV 31 0023 ~Il,7dl rf'''lIfu1''(J Offi(,l"T nOUTr:'-lr.: Whitl' c()pj(>!l.-nlshur~ln~ anker, C'llnllry CfJpy-.Cflntrnc:h".. Pillk Cupr-.-Filt., C;oldrnrod COPy-Spt,t1!11 Fill'. <:")0- , ",,'..: , " " , ,: I ". " ",.""" J' ,":"..,' " , " ,,' , , , I ,"',.' f.,: " ,':: ,,:,.. , , , , .. " " '" , ,", ',: ,,' , ,,' 0', " ,",: ,: :, :,,:,: II rtt~.:~f~';~:Y.:::~?B:;5\~;<:;~;.t~?/~.~;:'''.'':' , 1 :' ,': ': ': ,<::';:"i,: .,. } . <~,>~:t>~rtJ · ,,~;}-~~:L"",Si: ," , '" ,. I ':::;;:::"':,' :" '~:t NO STATEMENT WILL BE SENT. PLEASE PAY FROM THIS INVOICE. " ':',.';"",','" "'i~-~_1JI!W'7~1IIlI r ~ v'f'tr n ITi 1':."''' rv- "",,', ',,":~~' :,:"," " ',' ,', " ' "", ' :', ", '" , ..,' ,': : ".'" , ;:, ' , ", ' ',' I; '", ,,:",' I" ,'" j; ,: " ",'. :, " : ' ;:,' , ",: : ' ',I ,','" ,,', :~~~~i)~~. ',',',',", .,' , ':' ... " i, ',", ': ,.".., ,,:. " ", ' .. :; , ,.0: ,: .' " " :';' ", :, .~ "; " ." ",' ,..', ' : ,;' , " " , > '" -', { , " :,,;. ',"; ;,.',".,::....','" :" ',' ,'" ":"L" "", ' ';' : ",.".' :," , ','., ' ::.'," ' ", ..':,,)': '\ ' ':' , ' ""',,:' ',',' "'":,,,'" ':"".. ': '.. " ':..' "W"".."'" -" , , '," ," " , l, I.: : '" "," .. ,;' :', , ,,', " ,. Till: I\A~VAC C()I:JVUVA TI{)i'llI P.O, BOX 80306 -1237 SOUTH DIRECTOR SEATTLE, WASHINGTON 98108 (208/782-3210 tit Sold To Jdf'ferson County P. l'i. Cout'thoust3 Port Tm-mncnd1 /W:-i. QRiA8 ~ Shipped To Jeffeeaon County ,. o AdCiress > Z R?_l1t;FiQ 5 6 17.00 Type I L.11. at 195.00 2.40 Typo II L.M. at 265.00 Total ';, ", ,.', OUlf UJM6t/i 5 <1 ,'!7 DATE 9-27-82 CUSTOMER'S ORDER TAX CODE PHONE 331'i 00 636 00 3951 00 I I r .":, ,',' ': "::::, "': " , ":, " '",' ',.' ", ' ,",...' , , ''", i :, ,','::,'>' " ,.:' . " ':.. ", ";, " ,:,.: ',,: '..' , ..." , ,::::, ': ',' , , ;: ", ..,..':,:':' :' "", ' , "" , '.., , " ,,: " ';"'" " ":,.,, b:~,::;:':,:):,',/:'. j, ",', " "'..:,'.",.;.', , ,',,',',' ',,'." ..' .' ",,, . '::' , "::', . ,.,.,. ': " ,,',','i.' ",;, ,', : ..:, "I' ":',, ' " , ' " , , "",,: " , , :. '..,:",.:, , , "" '.,: '... ", " " " ;"'~:iy"~ -I, , ' "', ',' :'"" , :: :,' .) ",,',,' , , ..'I/',;:\,"'{ ~f"",:",:!:,! "..."'C',~ ," >,".-'.< ~ -'~-'ill " ...J;, r--. ,Ir I !r , I I ~ I , L rr- - /i, ~, .. t I, . \~ TtllE 1\4.~V4.C C()&:!V()I:l4. Tlf)~ P.O. BOX 80306 -1237 SOUTH DIRECTOR SEATTLE, WASHINGTON 98108 (208) 762-3210 oua H'.JMtIt'll 54D7 CATE 10-3-82 CUSTOMER'S ORDER TAX CODE PHONE Sold To Joff'erSQi'l. County P .11. County Courthouse Prw+. 'r,..,l.mrln"rl 1-1::. qf~1';P, UI U o > z Shipped To .Tcff(H"'~on County 1922 ~, Address 82-068g - 1 26.12 r:j . Center :;tripa at 93.50 24[12 22 2 - 11. 63 r~Q. rio PeWS <It 192.50 2232; 78 3 " 1. i-li. ;';dr:e ~~;tripo o' ;!15.CO 215 00 4 " 2100 L.F. ;;tripc at .15 315 00 5 ,. 12.37 'J'~'r(l "- L.r:. at 195.00 2!~12 15 (, ~': . ;?~) ~ Vj)(~ II L.r;. Clt ~~(\~i. 00 I 596 25 ! I Tot,11 821 1.,,0 NO STATEMENT WILL BE SENT. PLEASE PAY FROM THIS INVOICE. ~,~ L ",' .;\! ~ . ;(')";;':\,~ .,J'!" :f"" '~: !','J' 1: j' -,- , ., I f f f I r I -1 -1,: ...1" ".-' tF Irr rr- .--.~~_.- ;'.. ~.~~~a>>~JtfIil~~__: L L ,e' I, .. . ! l~ L LU U o > z Tt-I~ 1\4~J)4(; (;{)I:!J){)I:!~ TI{)~ P,O. BOX 80306 - 1237 SOUTH DIRECTOR SEATTLE, WASHINGTON 98108 (208) 762-3210 OUI! H.,JM8[1I! 5546 DATE 10-11-82 CUSTOMER'S ORDER Sold To .Jefferson County Public ::lorkG rnl,y.UH111f::A TAX CODE Port 'fOi.:Tlsend, ~;at 9f3368 Shipped To .JeffcP80r1 County Address_ PHONE 62-0629 '. 33.37 !'j. , Center S trip~; at 93.50 31~'0 10 - 13.32 i';~. 1;0 t'a:JS Str~_r(~ n.t 192.50 256/f 10 To;.:.a1 56LlI! 20 I : NO STATEMENT WilL BE SENT, PLEASE PAY FROM THIS INVOICE, -, I I I I ..J ..J." '.;.:. ., -1" rr- I r T 1-11' I\ASVA C C()[)I){JI:) A n()~ P.O. BOX 80306 ,1237 SOUTH DIRECTOR SEATTLE, WASHINGTON 98108 (206) 762-3210 5(;:16 OUlI W..J......HII DATE (I) Sold To 10-19-82 JefforS0n County Public Hork:: Courthouse CUSTOMER'S ORDER TAX CODE Port Tmmsend, Ha. gn368 . ~ "Sh;pped To Jef'f'ersop County PHONE o -> Z Addreu 82~0689 . 2.09 t1i . Skjp St!"'ipe at 93.50 1951.42 , ;,.09 ;'1;1 . Ha Pass .:.~tripe at If)?5C': l,oc .33 16,10 1<;1. Ed,erj Stpipo at 2]5.00 346 .50 . 1500 L.F. harri.er Stripo at .15 22, .00 ~ 'J'otal I 1+2'::11.25 =:B NO STATEMENT WILL BE SENT, PLEASE PAY FROM THIS INVOICE, L.. ~ , ., I .J .J~ -1' rr- ,I. ~ .r .,,' ,.,~ Till: 1\4~1)4<<:: (;Cl:?f)()VAn()~ P.O, BOX 80306 -1237 SOUTH DIRECTOR SEATTLE, WASHINGTON 98108 (206) 782,3210 OUR W"'M8l'lI 5r.11 DATE Sold To _T:. :'::: .~::-~ r"""~M+-~' P"hl; ('" Pr-.l"'l~q , _, R? CUSTOMER'S O~DER r"""Y'~.h""'11"'l~ TAX CODE P<:-..... 'i'.....TT'1"'<=>T"rt 1.1;1 Qn16B L&l - U .-Shipped To . L L o .> Z T.-.f'f"r-.....cor.T'l ~()lP;tV' PHONE Addren f',2-0689 ~ 11 1"vne I L.i:. at 195.00 606 45 98 05 '1'7 'T'~rn"" T J, H R.t 265.00 Total 701, 50 NO STATEMENT WILL BE SENT, PLEASE PAY FROM THIS INVOICE, :-., :;1\';' ,\ .'". ~'~ ~, ffi""~m~~~;~~"~' 'j."" -'1 f I !: .J - , .J: -I 10. 11, 12. 13. 14, IS. 16, J 7. III. 19. 20. 21. 2::!. 23. 2.1. - " '1i,iT-CiJON'I'Y ,',0. HOM) NO, 1. 98 /::;:::::"::.:'::' . :,'..~\';;" ~>: <',". fit NAME ',-:,1i-:< " ,,'; '.:: ~, ';.,,-':..<, .. Arcadia-Cape George !load Di SCovery Road Old Fort Townsend Road Pt. Townsend-Beaver Valley Roae! Quilcene-Irondale Road Ness to Flagler Road Oak Bay Road Cedar Street Anderson Lake Road Egg & I Road Swansonvi11e Road !Valker/Talbot IVay Mats Mats 8each Road Port Ludlow-Paradise_Shine Road !Vest Uncas Road East Quilcene Road Linger Longer Road IIcu ~Ii 11 Road Dosewallips Road Duckabush Road Black Point /Pleasant Tides Road Mise, Additions L,~I. ~ Lane ~Ial'kers - Approx. 3 miles Cllanllcl ization - Approx, 4000 fect CENTERLINE NO PASSING HJGE SKIP SOL 10 SOLID 2,7 0.9 6. I 2.0 2,6 0,5 1.0 L.~l. 5.0 3.0~ (:I~~ L,~l. 6.0 4, Do' (" , L .~I. 2,0" ("" " L.M, 2 .O~ (,,,, 0.7 2.8 0,9 2,5 0.8 3 ? 1.1 1.2 D,S 0,1 6,6 2,2 2,0 0,6 1.8 0,6 1.6 0.5 1 . !~ n.!) 6.0 2.0 2.4 0.8 1.5 0,5 ~ ~ ~ 45 25 IS 2. 38 96 3, 'I, 12 5. 6. 7. 8, 18 4 10 4-0,49 9. 95 90' 90 308 10-4.99 6 34 20 28 7'1 70 54 62 Ncsscs Corner Intersection Cilpe Georne Intersection Cotamtllli 1.)' Shell Intersection Beckett Point Intersection (....,' 'J" 'f. /',., r .l:~/ ~'.I,y~ ..... ''';'''# ~ ~..,... ..t,., r ,(."-,' '- . <. ..... . ',""t' , ~, ,,'rr. :-',1 .;.'........: I'"~ ,c....;'" ...:,:......{>..... .';', ,{;;..t: ~..... .":",\0 ';., .:..:)/ .". - - "Romns"'Burdick"'Hunter of Washington, Inc. former~OMPANlfS DOUGAN, EADER, REYNOLDS & WHELLER, INC, I"~ ' ~~T!L~.\~~898109 ,,':,:'" A TEL: (206) 28 14500~ ,_ _ m "", 8 I The Home Insurance Company Underwriters at Lloyd's, London THE KASPAC CORPORATION P. O. BOX 80306 SEATTLE, WASHINGTON c C. V, Starr through Granite State 98108 A i, Gl.NfRAl :!~ Ilr~ [;xi ,~x: . IiX' i'){! I; . ;!X~ . fiXi' BOP P 145657 12/31/82 500 [ , 500 lfARfllfY 250 250 32-1913 12/31/82 ,;U,OMOllll( !.1,~Htl.L f x X X X BA 2830641 12/31/82 f ):.CE~~ I !:Illlt If, x 6381-8901 12/31/82 ';>\'JH", ~,> { "','~ I',,~,r, .')", I \~ I': (",) , ,." I;:" II " ( r,(!,_' All OpCl'utiollS Re: C.R.P, 522 1982 Pavement Marking C ii' I (~'IJ ,ltlt~ f1 10 .Jrffcrson County n~I't. of Ptlhl1c WnrkR Cr'urthousc Port Tll\o,'l1Sf:nd \,'/\ 98368 6/16/82 .I,v ) 'I / ((;\r-- ,Jolln Jj, Albert 1Ir---- ^ '::J~~ -;,J'- ,'> ~ -..:,.........ji ~... "' ....... . ..~ :. .: ~.. . : -: ,I: . \' . ....1_..... PROPOSAl. TO: Board of; Jefferson County Commissioners Courthouse Port TOlffisend, Washington 98368 Gentlemen: The undersigned hereby certifies that he has examined the specifieations, special provisions and thoroughly understand the items of work in this project and the method by which payment will be made and hereby proposes to undertake and com': plete the work in accordance with the specifications and plans for the following unit bid prices: tem Quantity Unit Amo,unt No. Name Price ._----_..~_... ~_._.. 1. 45 Centerline Skip Striping ,/ 71.... tt::~}) Per mile ,9.;:s?J ~d.~ .S'() ~,-2..' ?-tU J!P. '((t, rL '" ~;- 2. 25 / I /9.,J.l" tf'/,;,~-o .-/' 3. 15 Edge Striping I Per mile ,;;US:"'''' 3.;1.,)5<'0 ..--- 4' . 4,000 18" Channelizatio'Jl Striping -f. ~e..""t;" Per foot .,/~- C:OtJ, <'0 -- 5. 19,5 Lane ~Iarker, Type I I /:h~"o rhj /I.....P~.P ~..' . Per ~';."t,C ?d'O.J.~-V ../ ~. 2.7 Lane Marker, Type II I <1t,j'dt.l1 ".r f'r; p'e.r rj;?i.~ I 71S"-~7) ~ f-~( . Total -f" A proposal guarantee in the amount of 5% of the hereby attached in the amount of $ ,5~., d..,~ FIRN NAME: "-f-1' '---/--{.-..PILL &7.1/)..,.....- ";;...:.-..... ./-LI2 ~/ '/ (-" ADDRESS /0 0- /'O::Jc/ (;; O.L:ffl'c6; /1"-'1, total construction cost is Dntcd this ~/ 9J/tfl/; "7>>:2-<.-1.,..<- ? A.....-{' 1)- r/ .. 1982 C-t\-(I _,. ., Signature of Authorized Official day of VDL 8 w' "K. - r _' _:... '-- _~"M_"_', '. I ~ -,. . .,.. _ p '.... I, I ~ ~. __", ,\ . '..' . : . ... . ~ '. . , ~ . ~ ',' -- ._~ R - --<-- - STRIPING 1982 ITEr., COUNTY NA/oIE CENTERLINE NO PASSING EDGE NO. ROAD folD, SKIP SOLID SOLID I. 98 Arcadia-Cape George Road 2,7 0,9 2. 38 Discovery Road 6. l 2,0 2.6 3. 96 Old Fort Townsend Road 0,5 1.0 4, 12 Pt, Townsend-Beaver Valley Road L.~l. 5.0 3,O! (as 5, 18 Quilcene-Irondale Road L.M. 6.0 4,0:1; (as 6, 4 Ness to Flagler Road L.~1. 2,Ot (as 7. 10 Oak Bay Road L .~1. 2.0t(as 8. 4-0,49 Cedar Street 0.7 9, 95 Anderson Lake Road 2.8 0,9 10. 90' Egg & I Road 2,5 0,8 II. 90 Swansonville Road 3.2 1.1 12. 308 Walker/Talbot Way 1.2 13" 10-4,99 Mats Mats 8each Road 0,5 0.1 14. 6 Port Ludlow-Paradise-Shine Road 6.6 2.2 15, 34 I~est Uncus Road 2.0 0,6 16. 20 East Quilcene Road 1.8 0.6 l7. 28 Linger Longer Road 1.6 0,5 18, 74 Bee ~lill Road 1.5 0.5 19. 70 Dosewallips Road 6.0 2.0 20, 54 Duckabush Road 2.4 0,8 21. 62 Black Point /Pleasant Tides Road 1.5 0,5 22, ~lisc, Additions 1.4 0,5 ~ 23, L.~l. = Lane ~Iarkers - Approx, 3 mil es 45 25 IS 24. Channelization - Approx. 4000 feet Ncsscs Corner Intersection Cape George Intersection Communi ty Shell Intersection Beckett Point Intersection , '\ I ,,' r r t , "',' '~ ," " , ' , ;., '-",," .. ,~_~ '., ' II rr " '--- r , .,.. , ( , , , ;::', '. ;' . . " ..-L-:;;: " / ~ /.' ":;:.r- !.\ ....<0,.~ , "" "'" ",' " , ," '~ L L. , " ! , ! i j I I i l I I i I I I , j I i I i j j I I I 1 I I j I 1 j I I LI I 11 --.J -1 - , , > ...', '. ,', , '.. '.',' " "...,.,>.i/. i " ,',. ,',,'. ....,.' .',: It ! v, ---. -- '--~ -- - --,-- -- --,-.-", - !, p, ,L ," i \1 :~ .. 1- " " !.) H ;.) -. " U (:l~ . .:; '" - n, IX J. .~ .,~'; l, 0 !J '" f; u ;:i , .~ . ,,; 0 .... I, '" ,\ J :;j H \ 8 ~ "I 1'1 -. ~ 'I " ,,; 1;1\,J ;;: p., \ ,~ r:~ 0 "" ~ 1\:;;, u '" ~~ ,,; 0 .... U p., w ...,'" :;j 0[- , [i;;? H 0 '" .... 0 -. [~ U ,,; ~ p., f-' ~ () '" u E'S ;: ~g; ~ ~ ~ g I " I,) ~ ~ ~ ~ " '~:;j <J) " ~ Ii ~ \r) " ;-, .,~1:) ,~ ~ ~ \) "l ~ \5 n; .... l\j ~ " '" K "'l H :2~...... V, I, "" 'l '\ '1, "-, 5 ~~~ \' ,.., t3:-i~ ~i q \'j .~ IS ,~ \j' ~.... 1- 0""" ':z: \ V u ,-:", ~~ .\. \~ ~ ) ~ , ~ ~ " ", f.:, a h ,,; ~ .... u (.j p, (~) , \ r;. Ul '" " I , \: ) 1'1 \) r'l \, t-o .... \' \, \, , 1'1 .. 0, f-< J' ~ < ~ 0 0 ,i ~ u ro .... r ,~ 'o' \~~ I.." Pl,; '..(, I, ~ , .. :l' " ,', .. ; r, , .. ;-.;; '" f': '" <: " Vl tl' \~;. <: \'. , id .~ I, \] ~ r' '" 1,1 ,', '< II ~ I fii " '\ 0 l .... , ~' , \ \ ,\ " \~I I " ... I, ~ \ , '"I \ ~ \ \, \ (~ ( :~' u: :.~ \ ) " ~ \, \~ \~~ ~:, r.} l.oJ "';' !'1 ~ z \ ,~ <; 'X fi ~. ~ \, \, r ,~ , \, \, ~ \~ \' i~j f-o r.. \0 H -; ',~ " " f-o '" , , , ;.~ t~ U , , , \ I' ~ !~ 9 <J) .., , \ 'I \ ~:i ..... , ~ 0 A \ I~ U It..: , \~ I. \,' U, '; \ \ , H5 \ , , V} :~ , " ( \ I~ \ '" \ '~ " ~~- '1 1.1 t- h. r.: ~" :.'J I" c "- t, .: ..: ....., (- t~ \; I.. , 1.1 ~ ~! ~ H ~ \ " , ' :~ , , ~ ~, , " :~ ....... \ , \ " 0' ~ ) \ \ I II' I, ,. '\ " \ "~'-I b f:j fi ~ '" M ... '" '" .... co '" ~ ~ ~ M ~ ~ '0 ::: ~ '" a ~ N M ... '" I~ ~ ~ ~ " '" N N N N ',,',,. i'" ,',', , ", " .'... .;i'!: ..C ',C' ."',..,'. C..c .,i ",.": · "i.. "',:'.,;;;',i. ".i'. ......'<'i , .:!;<,..,.,., "< '\,"." , . PRO P 0 S A L .. TO: Board of Jefferson County Commissioners Courthouse Port Townsend, Washington 98368 Gentlemen: The undersigned hereby certifies that he has examined the specifications, special provisions and thoroughly understand the items of work in this project and the method by which payment ..ill be made and hereby proposes to undertake and com~ plete the work in accordance with the specifications and plans for the following unit bid prices: tern Quantity No. I. 45 2, 25 3. 15 4. '4,000 S. 19.5 6. 2,7 Name Unit Amo,4nt Price ./ 9_~.Io 7"d.o ,,StJ /C~Sr> tf"/~,~-o -- Edge Striping Per mile .;V.s:u,:'J 3.;l~S: 00 .--- 18" ChanneIizatio'n Striping -f. -- ~..L; Per foot ,./j.- ?t:JtJ, tJo ~ ::>d'o.J,~-O .---' Lane Harker, 71S'-sV ,/' Total ..,. A proposal guarantee in the amount of 5\ of the total construction cost is hereby attached, in the amount of $ ~<, ~~ FIRU NAME:~ '-;;(:(~.1<-. tM_I/)......;-~ ,- ,{ ADDRESS /0 0__ ,('03(/(", (,2~-~q /h'1, 9//6>/; Signature of Authorized Official ~t~--i..._. ~- '9 d......-r:' Dated this r2.c.,.J day of ;J<.ff .' . 1982. V0L 8 1"< 01,,_ 01201 .. .. PRO P 0 5 A L '1'0: Board of Jefferson County Commissioners Courthouse Pon TOlmsend, Washington 98368 Gentlemcn: The undersigned hereby certifies that he has examined the specifications, special provisions and thoroughly understand the items of work in this project and the mcthod by which payment will be made and hereby proposes to undertake and com- plete the work in accordance with the specifications and plans for the following unit bid prices: [tem Quantity Uni t Amount No. Name Price I. 45 Centerline Skip Striping Per mil e 9.:l;d& -;;2?S. da . 2. 25 No Passing Striping /90."" -(8?S: 00 Per mile 3. IS Edge Striping 2/0."" 3,226:d<1 i Per mile I I i'l. 4,000 1811 Channelization Striping oJ'': "'-4d,do I ~ Per foot i 5. Lane ~Iarker, Type r Per hund. 2{)"'''~ 3,<1<" t:J. "0 I : 6. 2.7 Lane 1-1arkcr. Type II 7'1;>, Sa Per hund. 21';;"" Total ,:j'/ 7, ,;,:-.:r ? ~-cJ A proposal guar.:lntec in the :lmOllnt of 5% of the.' total construction cost is hl..'f'L"by attadlC'd in thL! amount of $ 1:IJ~,\.1 N:\.\IE _~~:.;_ {'_..,.....;.,..,..;:.,.!,::__ AIIDliLi;S :-;i~Il:lturc of Authorized Official D.ltf'd t hi s /057 . ~,~.,.. .~.[/""'i::...,.-<;":' ,~) day of ~.n.L-- , 1982, , , - '. - _ -:::, '. ~ .' <i9 ',_ ' r r , - " ~ ','. . . " -.' '" :.' , _" , : __ _ ~ " - _ r- rr L L ......... rr L CAll FOR BIDS Notice is hereby given that the Board of County Commissioners of the County of Jefferson. Slote of Washington, will receive sealed bids up until the hour of 10:00 a.m., Tuesday, June 8, 1982 at the office of the County Commissioners, Courthouse, Port Town. send. Washington, 98368, 10 be publicly opened and reod at that dote and time for letting of 0 con. troct for pavement mark. ing in Jefferson County for the year 1982. ITEMS OF WORK WILL BE: 45 milu of centerline Ildp ..riplng; 25 miles of no paning strip. ing; 15 miles of edge .triplng; 4000 fee' of 18 inch chan. nelllatlon Itriplng; 3' mile. of centerll" type I . II kine marken. Each bid sholl be in ac- cordance with the specifications now on filE with the Director 01 Public Works, Court. house, Port Townsend, Washington. where copies may be obtained. Each bid sholl bo ac. companied by cosh, cer. tified check or bid bond payable to the Tre05uror of Jefferson County in the sum of 5 percent of ,ho amount of the bid; 10 bo forleited 10 Jefforscn County bv tho succouful . bidder if he foils 10 enter into contract ond fb file on acceptoble Surely Bond in the sum of 100 percenl of the conlroct price within TEN (10) days after the award, The Board of County Commissioners reserves rhe right to reject any or . all bids. to accept the bid deemed most advan- tageous to the county. cnd to waive 011 infor- malities in the bidding. JEFFERSON COUNTY BOARD OF COMMISSIONERS B,G. Brown, Chairman A.M. O'Meara, Member C.M. Mercer, Member ATTEST: Jardine C. Brogg Cleorl.. of the Board 15745-2t . Affidavit of Publication STATE OF WASHINGTON) COUNTY OF JEFFERSON) U FRANK W. GARRED, being sworn, says he is Ihe publisher 01 the Port Townsend Leader, 0 wgekly newspaper which has been established, published in IhQ English language and circulated con. linuausly os 0 we",ldy newspaper in ~he town 01 Port Townsend, in said Coun.y and Stofe, and lor gen'J(ol circulation in said county lor more !hon si. (6) months prior to .h., dote ollhe lirst publico. lion ollhe Notict! here.o olloched, and thaI the ..aid Port Town- send LeodlH ....os on the 271h day 01 Jtlml, 19<11. approved os 0 legol newspaper by the Superior Court 01 said J..f/E'r!ton County. and Ihot onne.lId 1" 1'1 true cc.py of .he Call for Bids - 45 mi of centerline skip striping, 25 mi of no passing strlplnr" 15 mi of edge striping, 4,000 ft of IH i!lt:h :'~:aru'lelization :1tri pi.ng 3 mi of cent';rline type I and II .lane r:1t1.rkers os 'I app..a'vd on .he .egulo, and li>ntire .ssue of said paper itself 'lnd not on 0 supplement .he,ool fa, a ptt,iod of one . . con..cu.iyo wfOeks, beginning on the ;'6Lh day of !~:~_ 19 82 and otnd,ngon th.. 2_~ttl day 01 May 19 82 and Ih'l! 'Old n.......poper wos r"llulorly d,..I,ihuted '0 ,Is suburob",,, dUring 011 olth" p"rlod Tho! 'he tuil "N\oun! I'll S '33.60 has b....r1 pOd,#')full.Olthfl rot", 01 13,m por r.ol "'"'' Inch lOf flarh ,n.......op' ! "'" ," .v,/;., L-L ~ ~~... ~4:.~' ~ut>\f',t>..d o,,,-j '....0." 0 h..lu..' m.' 'h,,, 26th d.,.,-ol !-hy ;: 1)( IY $;; ---7 t. ,r ",' ", //.., ,~( /," . /. I... ~o' ,..f ' ,.- r -< 4 Not'l'''- "ubl,( ,n o...d 10. ,nIl S'oll'ol W.:an,nQ!on ,...,d+ng I'll Port Townu'"d , . 11 --' , -, --,. ... -1' ~ - rr J L L La RISOLUTIOI! ....~..2 co::m .. PROJECT NO, 522 Before the' Board of County Commissioners of Jefferson County, Washington: In the mat- ter of initiating a county rood project designated as C.R.P. 522; it is hereby resolved that various county roods, County Road No. -'-, State -Log No. ... from Milepost .". to Milepost n_ be improv- ed as follows: STRIPE 89 MILES OF ROADS IN EASTERN JEFFERSON COUNTY It Is further resolved that an appropriation from the officially adopted rood fu.nd budget and based on the County Engineer's estimate is hereby mode In the amounts and for the purpose shown: Con- struction: Contract, $20,000, This project is hereby mode 0 part of the Of- fIcially adopted annual rood program In accor- dance with RCW 36.81.130. It is further resolved rhot: The conltructlon Is to be accomplished by contract in accordance with RCW 36.77.020 el. seq. Adopted thla 17th day of May, 1982. Boord of Commiasio'nen Jeffenon County B.G. Brown, Chalrmon A.M. O'Meara, Member CarrolJ Mercer, Member SEAL Jerdine C. 8ragg Clerk of the Boord 1'80 5.76 ~ Affidavit of Publication STATE OF WASHINGTON) COUNT'1' Of JEFFERSON) 51 FRANK W. GARREO. being sworn, says he iSlhe publisher of the Pori Townsend Leader. a weekly newspaper which has been eSloblished, published in Ihe English language and circulaled con. linuously os 0 weekly newspoper in lhe lawn of Port Townsond, in said Counly and Stole. ond lor general circulation in said counly for more than sb, (6) months prior 10 Ihe dole of Ihe lil'sl publico. lion ollhe Notice hereto olfochod. and thai Iho sold PorI Town. send Loodor was on Ihe 27th day of June, 1941, oppro....ed os 0 legal nowspoper by lhe Superior Courl of said Jolterson County, ond Ihot onno.od is 0 true copy 01 tho !(e,;olution 1151-82 County Hoad Project #522 os " appllor9d in thu rllgular and onliru iuue of ~oid paper il~el! and not in 0 supplemftnl Iheroof lor 0 period of one _.._._. can~eculj....e we"ks. b"gin"ing on Ih" 26th Hay 82 ..loyol._____...__ __ __...._._.19 26t.h Hay and ondon9 on the dQyol 82 IQ ond thcI so,d newspClp'H wos rflgUIClrly dislribuled 10 ,h subliCflh'lr~ during 011 01 IhlS period. ThaI Iho full amount of ,24. DO hos bo..n pa,d In full.Clt Ih.. rClI. 01 $J 10 pOl' cot umn on,h for each !n";'iOn /1.' ~- l_'~1''!(_:'''''J !~.~~.f ;)()th Sut">\cr,ll"d Gnd ~w"fr, 10 bel",,, ...,.. Ih,~ day of nay H~ .',<"-~,!')': ' / ',~;' --;-- ------ ; /.,l:'U_C"~'-'- r.,.,-;:.,'.f{/ /j //r ,I, . Nl'llO'y Publ,( ,n Qnd for th. SIal.. of Wo~n,nglon re"d,n; 01 Pori Town,..nd -, ~ ,;,' r' 1 f ! ~ ~, ! [ ! I ! f ! ! f i t I: r. I , f. r r I ! t f ., .J -1,' -1' ~ \ '. , "'" \, . '. ."." .... t , ." . p. ' ~ \, . .J>,,' i , '>"", " I , ' .~ . - lIioi...., - "- . . ....',,,,..., ,- . . . ~ .... ". . . STRIPING 1982 ITE/.! COUNTY NAME CENTERLINE NO PASSING EDGE NO. ROAD NO. SKIP SOLID SOLID 1. 98 Arcadia-Cape George Road 2.7 0.9 2. 38 Discovery Road 6.1 2.0 2.6 3. 96 Old Fort Townsend Road 0.5 1.0 4. 12 Pt. Townsend-Beaver Valley Road L.M. 5.0 3.0:!: (as 5. 18 Quilcene-Irondale Road L.M. 6.0 4 .O:!: (as 6. 4 Ness to Flagler Road L .~1. 2.0:!: (as reg.) 7. 10 Oak Bay Road L.M. 2 .O:!: (as 8. 4-0.49 Cedar Street 0.7 9. 95 Anderson Lake Road 2.8 0.9 10. 90 Egg & I Road 2.5 0.8 II. 90 Sh'ansonville Road 3.2 1.1 12. 308 I\'alker/Talbot I~ay 1.2 13. 10-4.99 ~lats Mats Beach Road 0.5 0.1 14. 6 Port Ludlow-Paradise-Shine Road 6.6 2.2 IS. 34 I~est Uncas Road 2.0 0.6 16. 20 East Quilcene Road 1.8 0.6 17. 28 Linger Longer Road 1.6 0.5 18. 74 Bee ~li II Road 1.5 0.5 19. 70 DosCl'U II ips R"ad 6.0 2.0 20. 54 Duckabush Road 2.4 0.8 21. 62 Slack Point /Pleasant Tides Road 1.5 0.5 22. ~Ij sc. Additions 1.4 ~ 0.4 23. L .f1. . Lane ~Iarkcrs - API' rox . 3 mi les 45 25 IS 24. Channelization - Approx. 4000 feet Ncsscs Corner Intersection Cape George Intersect ion Community Shell rntcrscction Beckel t Point Intcrsect i on .. .. PROPOSAL TO: Board of Jefferson County Commissioners Courthouse Port Townsend, Washington 98368 Gentlemen: The undersigned hereby certifies that he has examined the specifications, special provisions and thoroughly understand the items of work in this project and the method by which payment will be made and hereby proposes to undertake and com- plete the work in accordance \.dth the specifications and plans for the following unit bid prices: Item Quantity Uni t I Amount No. Name Price I. 45 Centerline Skip Striping Per mile 2. 25 No Passing Striping Per mile 3. IS Edge Striping Per mile , 4. , I 4,000 18" Channelization Striping I Per foot I 5. 10.5 Lane Marker J Type I ! I , I Per hund. i I I I I 6. 2.7 Lane ~1arkerJ Type II i Per hund. f l Total A proposnl guarantee in the amOllnt of 5% of the total construction cost is 11crcby attached in the amount of $ F I m.1 NAME ADDRESS Signature of Authari :C'd Official !lalNI lhi s day of 19R2. .",'{'; ':;,,',--:<,';;: ,> ':';,:;1 :::'~ ',;;,' ~.. ". .- - '" J_,_._.... ... ..._...~,.......". . . , . ' -" ' ~'"', ,. --:,."., , '. I r" . '.' '. ~ . ','" . '.. _ " . " ~, n .~...."""...",--" ~ - .. .L:.' ..." ~ ~ .~ .",' ~;lJ;"~,""tti,",,,l""'MIi~'1IWI:.. ." . " I . .... -.,' " ,. r I. ~ . > _ ' ". , > . ..... - ...." .... :. .':;..,': ..... <.: " '" C:, ..... . ..,:/,... .... '...... ':',' .... .",.' :..' : ..,.. :. 'c. ..... "',',', ': '.: , ..... ",: ""..:.: .'. '.' '.:.:'. ':. .........'. . ",;. "'::" ".'. "." '. . .'. . . .'.' ".:." ".';' . . ...... :': .'," .'. .' :.. . .. ': '.', .... ': . ",' ". ......, '.: "'. '." : <. .'. .... . Bond No. 012167 ".. . . ,",VI'1 '.n.... I '.iVI'U -. . -.- ---.- --.- JErFEHSOr! courny, WASHlriGTOfl " KNOW ALL /o1[ri BY THESE PREScrHS: ~l .f'" ~' That Walker & Associates, Inc. , of Seattle. Washington . as Principal. and International Fidelity Insurance Company , as Surety, are jointly and severally held and hound unto the COUriTY OF JEFFERSON, the penal sum oft Nine Thousand Nine Hundred Fifty and No/IOO-.flollars ($ 9,950.00--), for the payment of which we jointly aod severally biod ourselves, our heirs, executors, admin- istrators, and assigos, and successors and assigns, firmly by these presents. The coodition of this bond is such that WHEREAS, on the 21st day of March , A.D., 19-.J!], the said Walker & Associates, Inc,. Principal herein, executed a certain cootract with the County of Jefferson, by the terms, conditions and provisions of which contract the said Walker & Associates, J;nc. ,Principal herein, agrees to furnish all materi~ls and do certaio work, to-wit: That the said Principal herein will undertake and complete the fallowing described work: _ Aerial Surveying-C.R.P. 523-Glen Cove Area-Standard 1"=100' Contour io Jefferson Couoty, WJshingtoo, between Statioo and I 'f Station _____, as per IIldpS, pluns and specifications made a part u f S d i tj con l rile t, w h ; c h r. 0 n t r d r l. il'; ~ 0 ex e cut e d lis her e u n to iJ t t a c he d . Hnd is now referred to and by this refereoce is incorporuted herein "nd ,".Hle a parot hereof a~ fully for all [lur[losp.s ~s if here set forth ..t lr'ngth. 110 ~I. T H r 11 f f () r~ r. i f tI", r r i n c i p.11 her c ins h.1 11 f il i t h full y and . .. "-.. ......ro,l; t;f'\n~ and orovi..sions of ~ ,.....;.',c'..,;i'.; . .'.~. '.: '.; '.,.: . '. ....::. ',' '.'" " . . ....... . ......,... ". ..: .: ",. . :"". .... ,,' ; . '.>' .' ,.:, '., ....... ..' .... '. .". .... .....'. . ,;'.', ".: .: . :' ". .' . ".: :' ,'. ." .. i..........,..:'., . · . :'.' .'. "'. .... ::...... ..... : ;' ',." ,. ."..'.'." '. :..y. '''.. 'c' . :.. , . :':. , . ,,, .: . (I rr ,.' ,.. I . J"" .. r " ~ ..',. ..-:\ -1"" . , r-.lr " So- "'~ # '. ~ I Il -, rr- ., I 'j I I i I j .i j I 1 I j j j , 1 . 'I , j j ; i .1 j I I :1 j .~ j i TEL. '201) 624.7200 . . POWER OF ATTORNEY International Fidelity Insurance Company HOME OFFICE: 24 COMMERCE STREET NEWARK. NEW JERSEY 07102 HOND NO. KNOW ALL MEN BY .THESE PRE~ENTS: That Intern.llianal riJdity Insurance Company, a corporation argunizt:d ,lnd cx:isting under the laws of the State of New Jersey, and haVing its principal office in tht' City of Hcwark, New Jersl~Y. docs lu:rcby constitute and appoint William C. Nelson, W.C. Nelson Jr., Robert M Carlton, Steve James, Helen R. Newman, Joseph B. Buchanan, James B.Binder, Terese L. Mc Connell Seattle, Washington its true and lawful attorney(s).in~fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature hereof, which are or may be allowed, requireJ or permitted by law, statute, rule, re~ulation, contract or otherwise, and the execution of such instrument(s) in pursuance of these presents. shall be as binding upon the said International Fidelity Insurance Company, as fully and amply, 10 all intents and purposes, as if the same had been July executed and acknowled~ed by its rel!ularly elected officers at its principal office. This Power of AHorney is executed, and may be certified to and lTlay be revoked, pursuant to and by authority of Article :!, - Section 3, of the By. Laws adOPted by the Board of Directorsoflntcrnational Fidelity Insurance Company at a meetin~cal1ed and held on the 23rd day of December, 1968. The President or any Vice President, Executive Vice President, Secretary or Assistant Secretary, shall have power and authority (I) To appoint Atlorncys-in-facl, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds and undt'rtakin~s, ..;ontr.Jcts of indemnity and other writill~s ohlillatory in the nature there.)f and. (2) To remove. at any timt', any such Alltlfm'y-in-facl and revoke till' authority ~i\'en, Further, this Po.....er of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Dirt'ctors of said Company adopted at a meeting duly called and held on the 4th day of February, 1975 of .....hich the following is a true excerpt: Now therefore the signatures of such officers and the seal of the Company may be afh....:d to any such power of attorney or any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such ['lower so executed and certified by facsimile signatures and facsimile seal shall he valid and binding upon the Company in the future with resp':ct to an}' bond or undl'rtakin~ to which it is allached. IN TESTIMONY \\.'HEREOF, Internalional Fidelit}' Insurance Company has C3ust'll lhis imtrulllent to be signed and its ~or['lorate scaltn he affi,xe.1 hy its authori7.cd officer, this 18 t h dayof April A.D. 19 8~~6' '-- c:: "0'::" rf>- STATE OF SEW JFltSEY County of Es.'i(~x On this 18 t h llay r,f Ap r i 1 11183. heforc ll1e ~'.lme the individual who executed till' prcCl'ding instrument, to me personally knnwn, and, bein~ h}' me duly 'iworn. said that he is th,~ therein dcsnibed and uutlwri/cd officer of the Inl~'rll.Jtional Fidelity Insurance Company; that th(' seal affixed to said instrument is thl' ('orpnr:lle S('al uf s:dd Company; th;.tt the sajJ ('orporute SC;11 and his sign.lture were duly tlffixed by order of the Board of I>irrctors of said Company, _....~ /I,t; /' . ~..~., ,..,' ....;.^ IS II SIIMO:\:Y \\1Il IU 01, I h1\cl\l'rcuntosellll}' h:ltld and affixed m~' Offlclul Sc,d, / d' . Q;.... I:,... \ ;tt the Clt~ ,lf Sl.....ark, Sl'W JeTl.l'} till' d~y and ~eat (lrq ahove ....ntten. / ' :t:: !... :" ~Oi M~I' '" \ /l' "'" 0 : \ .' cy ?q~ t"'U '4/1t'# .\PU~\..\c" _ ,:'olut:lTyl'uhlil' ~~ ,'~:" My ('olllmJS~lOn F:.J.rlrC!: T\lilrdl ~. II/xe .. III ,n:: \\ ~ ('FIU'IFH'XJ"lOS I, thC' \llhh"r(i~tll',1 ,1ffl,'C'f .,r IntC'rnatj('fl,1l Fillt'hty rn~lIT3n('t' Cunl['lany rJn herehy certify "nd th3t I hav(" ~'f)l1ll1lHed the fnregoillJl COflY of the ''-"q'f ....r ,\!tor",-',' ~Ild all'hl<1\'il, and the ffll')' ,'fltle St'~'Hon ,,/ the Uy.I..t\li' of saill Comran)' as set forth in said Power of Attornt.y, wilh the (1H.1(;IS -\1 so, j"1I1 I~ 1111 1l0\IF OFFH!-' 01' SAm (ll\ll',\~Y. and Ih<At Ih.: S,1Il1t.' tire l'orrect tran!ocnrts thereof, .mtl of th,~ whnle of the ~.lI.l .'rtltlnOlh, .Hh\ that tht ,.lld '."....rt nl Alt"rne)' ha.. not lll't'n r('vol...('(] and is nllW in full for~~c ;mJ rffecl, IS TrSll\10'.... wllnu Or. I h.J\'(" ht't('unl<) ~('t my lund 1111\. JdY of A p r ill 'J 8 3 .~~ C~S-- ,,/ ^s~i~lant Secretary 18 th L -.I L -.I L -1' ~. , .~ ~ ~ ..... l . . Affidavit of Publication f ] j RESOLUTION NO. 22.83 County Road Proleet No. 523 Before the Board of Jeffenon County Commll1ioner. of Jef.' 'er.on County, Washington. In the motter of in~ ltiating 0 county rood project designated os C.R.P. 523, it is hereby resolved that aerial maps be prepared of Glen Cove orea. It Is further resolved that on oppropriatio"n from the officially adopted road fund bud- get and based on the county engineer's esti. mote Is hereby made In the amounts and for the purpose shown: Purpose: Engineering; Amount of Appropriation_ $10.000; Right of Way acquisition. -0.; Sub-total, $10,000; Construction, .0.; TOTAL $10.000. The prolect IS: hereby made 0 port of the of. ficially adopted onnuol rood program In accor. dance with RCW 36.81. 130. Adopted this 2ht day of March, 1983. Board of Jefferson County Commissioners A.M. O'Meara, Chairman John L. Pitts, Member B.G. Brown, Momber SEAL: ATTEST: Jerdlne C. Bragg, Clerk of the Boord 822 ..6 tlOllJlf I'vbl.. "" <J",-jIQ' Inll !>Iole 01 Wtn"'f"~lrH' r..."i,ng 01 Port To...."..'nd STATE OF WASHINGTON) 55 COUNTY OF JEFFER!>ON) FRANt< W GARR[O, beong ~""orn, ~oy~ he IS Ihe publish..r ollne PorI Townwnd lttl;ldrtr, 0 ....eekly ntlwspoper which nos been eSlablisned, pubh~nlJd in Ihe fnglish longuogo ond circulol(ld con. linuov~ly o~ 0 ............kly new~pcp.H in IhOl' lo....n of POI' Town~end, in SOld Counly and !>Iolc, and lor gotlle,ol cilculolion in ~o,d county for mOrC Inon I'. (<>) monlh, prior 10 Ino:. datil ollho lint publico- I.on oltne NOlice neroto olloduld, and Ihot the ~Qid Pori lawn. sond lotQder was on Ihe 27ln doy 01 June. 1941, opproved 010 legal news pope' by Ine !>uperior Courl 01 SOld Jellenon Counly, ond Ihol annexod i~ 0 Irue copy of Ihe Resolution #22-83 - County Road Project #523 - Aerial maps be prepared of Glen Cove area 0' ;1 appoorod In Ino rogular and ellllre iuuo of 'Old popel Ihelt and nol In 0 supplemenl tnelDof 101 0 pot"od 01 one consocuh...e weoks, bug;nni"", on In", 6th AP::il " 83 doyol 6th doy 01 Ap~il ond ..ndlng On Iho ,,83 ."d ".. ,..d ".w'p.p.' w.. ..g.'.d, d'""b.'.d 10 ," ....h""b.." dUflng 011 olIn.. perood Thot tno lull amount of S . 22. ~O no~ b..ltn paId In h..t1,ot Iho 'Olll oi $3_.0 por col umn ,nth 'or ""nh IIl~OIl'O"'r] I L, /{.d ~L:"_~ :,-.-.~(-.,~\_..; 6th !>ubHrlbnd lInd Iworn '0 t""OUj mft Ih" dar 01 April 83 ,or: ,I I. ~ . . --- / ..-I ( L, I~' ',' ,., ,.' ~ I ..., f( i: ~. f f I ~ t I ~. l ~ i, Ii ~.; ..., t' f r t t d . - :, . .~ . . "". - '.' '. '",,'~ ::;.;:. ~ . ...., ..... .' r rr I 11 ,"" . . / I ~ J \ L L. -.J -1. c . . , ~ _ . . .' _ '.... . ; ;" '. .~_ . __ ... _. . ~_:. '~ '. . ~~+~ '"II:' ,; .. . .' ",' : ",':,.- . '::: ." .',,', '.,'" .:'.,'\ '.- , .- ,.' " :,", , ,.,:,-, '; .:, C:", . , < ''"', . ". .....,. ,:<, t . .'. " " , ." " " '>'.'".. ' ,',' : "."', '. '.,. [.::.. '..,: I,:); ,', :', ", :..".' ;. " .,'" :'" , '''''', ,,',..:.. . : ", c'.' .' . .: ',' : '.' , )~if; " ; ;.: ," ',' .; .- ,,' , . . I :. ".','. "'.:, '. '.'. , . :. . , .',: ....,>,.' , '. ,"..' . :.:..- ' .'.' .',;. . . " '."\:' .""'. ....", '. , ..., .' " ... . . .:::: .. '. ;,.: ':"""'-:'. ',...,' . " i,.',- .', ,.,,', " ':',:'.' .'.',: ' " ',;, i,\;. C',: ",.'.' .-, , "',. , " ,,' " , " '."".... "::' " ""." . ',,,.,-,,; ,', ., , , I,'., ~ .' ',"', ,:: t " "', '.' , "-", " '," I:' " .. 1,-' ,':"".. ", ,::';.-,' . :''''.:,'' ~ 1'1 '.- > ' I" ". '.' I ~~ L b " I: " I ~. I , : [i 0:.0(0. I',f.'J! r.~.!\ r.[,:,[>I. Corroon & Black, Inc. P.O. Box C-34201 Seattle, WA., 98124 Walker & Associates, Inc. P.O. Box C-81430 Seattle, WA., 98108 E~'z :."::L, ", ,',.,..,,[ ] Gf.N[RAl l fABllln Renewal of: SMPI;8-0280-415 A Ixx 1:-. ~XX. ',' ixx" iid, lXX' Ik:~ i~r" )kx AUTOMO!l.Il. [ : i" [{llll I DCfS~; llli tiltH 'r WOII~1 f./S CO'v'f." r,~;,~ ffO~, ,11111 'MPI 0'" ll~<; L U\,flll 11' (l!t/f," :'1 ,.., '. .' , Job: eEl':,,] - '\'_'1' Ld 1 .,urv0j'in~' l)l C.1t1fdJ"llflfl 18 . . ~ I: ; ~ ',' .' ! :_1 :_" 1 i. : t. ',.' : , _' ' - : . ' ~, , . I \. . L" . <'.' " ',,' .' '. ,',' COMPANIES AFFORDING COVERAGES B C D ". E "/4/84 th(; (~lc!l Cove .A.. Indiana Insul"'ance Company ',:..," ,', lllnih ~;'I Lt,! ~;iljt'y- in iflO(js-;illd~ idQO j ----. , [ I : : , : 500 Al'Cd fj:Jh~, J . 'd. r, j f:,! '-, '.:~h.i , "",', ! I ! 500 ! 500 "I I: ~ \ ' . , . ',', , .. , .,'. " :.,' , ,,, . ", '. , ",- .' '.,-, , :' ".c' " . -' 'I:' , :':, -', " ',.'.'.',,', ,. P, r' .' " '. , .' : ' t .,', "'". ,'.- '.' ,:: -' .,' """,' .' ',' ,.;',,,- , " .,',.,::', ,'", , ,I' i. ,., . i,', , , . -, .,' " , ': ,., .. ", ,'. ' , " " ...- ,:' , '," :', ,,'" : "" ': ',".. ',',',' 'I' i:'" ','I', ", '.:. . '. ,"~I , '.' :" " ,',.-:" , , :',,,, :', ", ". ;J, :], ,,' . . . , 'i , '.... " 'i , ,",'."" :-,;,: .....J Ii ':', . , " ..J I I !: r ," ,\-'-\T? 0'~ """".",,, . . . ". ..' . '. , " ' ' ..' :.' " , . '. "', ..' , ':, ' . .' ': " ',.. ,. ' "'::' . ", . " " :': ....:., ~'-: ':: ..... ',. ....:..:. ....: :.. '.:. '. :,:,,, '." ,'. ''':..':.'' '. ,. . . - : :.... . ..:", . ,': ......'... '.,'.<: <' "'<.. '~ ' '.. ".' ..:... . ..... "'.:" '. "c"I.', '.':': :-: . " "'. ' .... .. :".:' '. . ':"'. ,". "','.': '.': ':.: '" ':' .: ,.." ,'.," ...,..,.... " . .. .. . 7.' .. Fee Schedule _ 1. .Aerial Photography & Laboratory _.' $-- .. 530-.00 2. Topographic Mapping __..--.--..-- ..'- 4,500.00 3. Carto graphic jlraft:i'ng 2,420.00 4. Gr~ies-Laboratory 400.00 .. ,,- ---TOTAL $ 7,850~00 ---- DELETED needs. We trust that one of these options will fulfill your Please note that there is a substantial difference in the amount of ground control required by the two apporaches, and this should be considered. If you have any questions, please call. Very truly yours, WALKER & ASSOCIATES, INC. ~~~ Gerrie E. DeGroEs, P.L.S. Manager of Photogrammetry Enclosures cmb/GED WALKER &. ASSOCIATES, INC. tI.. ".'ne, .....PH" SOUll~ PO 80'- C au)O SE"TTLE """"S"'NCtTON 98101113)0 , , .... .. '..,' ",: '.':( "...' , ... ::' ..... .....; "':', :'. " ", ..',,' '. " ,'.' "':':. .'.' ....: " ',' , ':'" "', "", ,.', ,'" . ,:,.'i',;' i:' . " '.:'. ....,..,. ". " . ':"'. '. " :.' .. :. .:., .., ',.',:. <, ....., ....,... ',< . :;.. '.:"::-:::':" ".,. " ". '. .' ::':.. '.' ',. ',,-,, :. " : -: .::: ','.:'.: " . :,.', ": ., . ,'.' .. ' , . . :: ' ,',::'. , .' ~ - ,_ . . . j ~ .. .... '. Ii: ~ ~ . g' . .: - _'. .' 1 . . 4 . - .-.-- I ~ -,- -, rr- ., " ~ ... fit'l ",. ,0 Walker & Associates P. O. Box C-8l430 Seattle, WA 98108 SZ3o.,\r[-: "UO~f,Cl CRP 525 -Glen Cove Mappinp; Attn: Gerrie DeGross Gerri: Enclosed is the control set of.photos with coordinates and elevations annotated on the back - finallyl Also enclosed is the list of coordin- ates for section and one-quarter corners. UnaEr separate cover is the ~ask/title block and the maps that you will join to the north. Please return the mask when you are through with it. Thanks, /7 /. . /-' c:2'-??-<--<-<- '-.;',:.,t,n 11 L5~,,- .:.- ~'!l'~',' ~l,~r';I,~!.!'."f'4\"fl'm1r;,t;~.,}FI~~.;I~~~~~__,-;~ L .J -1" . - ... ...... ~ ~; < . - -- '" .... <... < .. <<,,;. ._~".~~.:...l U:'.:."',E:D 1"'OIN"r:E'.j; IN COORDINATE TABLE l"r,lJE 1 l1li t!l,P ~~b L~ a..;;;: IE';:: F;: 1I.1I,111l~~'~ "'y'" 1111 PREPARED BY: B.LAURIE -------------------------------------------.--------------------- 1/J.7/84 FROM * 1 TO 1'300. POINT NORTHING EASTING POINT NornHINlJ EASTINlJ ================================================================================ 1 9395.842 10:<68.073 2 9399.272 10266.706 3 9403.440 10262.755 4 (,.409 t 962 10256.096 5 9523.198 10322.677 6 9514+2:~9 10345.046 7 9508.458 10342.726 8 9516.5:38 10~148. 620 9 '1514.046 10353.833 10 9544.317 10375.131 11. 9547.530 10370. 65~5 12 954'7.947 10~163. 994 1 ~l 9563.589 10330.056 14 9578.B49 10378. ;,4;, 15 9574.883 10374.943 16 <j)574.876 10366.788 17 9603.229 10360.960 18 9596.590 1 0~156. 794 19 9592.702 10353.063 20 9617.071. 10330.841 21 9606.333 10327.102 22 9602.677 10327.850 23 9599.585 10319.758 24 9644. 3~56 1029~1. 321 25 9659.660 10308.561 26 966~5. 027 1031~5. 596 27 9626.020 10364.182 28 9628. 6'7~:5 10364.648 29 9632.329 10367.243 30 9637.172 1036B.707 31 9648.774 10379.572 32 9640. ~1O~j 10384.B90 33 9633.201 10385.107 34 96;\4.923 :I,O~189. ~518 35 9631.639 10391.B29 36 9649. 5~)8 10407.133 37 9651.399 10405.241 38 96~;3. 94:t 10401.644 39 9654.969 10396.741 40 9717.6~'il 10407.lH7 41 9717.684 10411.524 42 971'7.590 10415. ~:;48 43 9717.,.31 10418.556 44 9597.6B7 10410. '/t'i4 45 9716.431 10418. ::::;56 46 1003;5.614 10120t~56=:! 47 10129.940 10093.705 4B 10l.17.:582 10 19;! . 9:39 49 10161.463 10198.404 50 1015B.37:3 1022~5 t 212 51 10099.670 10694.5B6 52 1 0;~30 . 9'71 1 02:5B. 07B 53 10215.135 10408.253 ~54 1.01.60. 0;,~9 10407. ~'j61 55 9438.795 9701..264 101 1.0000.000 10000.000 102 9963.405 10024.322 10;5 1.0292.B1313 1 ()~~20. 056 104 91332.430 10142.843 105 93:\O.f.l72 'n~l:l .962 106 9685.325 l,02'74.868 107 9792. :107 1. 04313. ~576 lOB 959f.l.687 10410.754 109 r;'6~)~:j . 360 10424.079 110 9843.73:1 10446.133 111 to J. ~)9 . 275 10467. ~55b 112 10195.260 7602. 9("1:':'~ 1l.3 9721..605 9969.1..'n 114 9306.958 10164.546 115 1.0103. ~j14 91370 . 0~1O 116 9569.258 895~1 . 1330 1l.7 10:\45.72:5 9746.646 11B 10323.084 97213. B9:3 L19 1. 0261. . :1'7B 9t307 t ~58~j 120 10252.847 9707.950 1 :11. 101130.B41. 97l.4.U.~3 12::'~ 10129.657 9116.302 1 ;13 9(-;90 . 4~'.:;O 969'1.930 124 9954.265 9691 . :~(;)('; 12~:i (1131~:; . O~':;13 1. ();,~74. 'n6 126 9650.895 969'7.821 127 96~1l'l. '7'15 9'701 . ::!63 1213 98:18.19:1 9'765.520 129 ';6213.1.(;"2 '1'76:5.6131. 130 9278.192 9'765. 96:~ 131 9609.1370 98'77 . 7:W 13;"~ '7586. 1"18 9869.7313 133 ("r~551 .904 (f97l.4~.:j9 134 9340.208 9966.2:'4 .t:~~j 9~~~17. 447 100n.no 13~) '1390.786 10191.113 l37 949~;. O;l;,~ 1 O;,~'n,. 0:\.1 130 (";56:!.460 I0096.7.1~; 139 1. 000'1. :'i:\:< 1.01.27.;!'76 140 10004.161 lO108.0Il 141 9B~IO. 6~j6 1.0:1:1:1. '110 142 9815.031 t 0302. :~:-~2 143 91305.906 10:580. '795 144 96'78.397 1 036~:;. 22("'> 145 968~\. 9B4 1. 03;~0. 043 .. .. .' ~ ~,' " ".". " . \ . . ~". :.' -','.. . .' - > rr -r -,- 11 rr -, ~'g '<Ii p :~i 17) I 13;-( I I I t f I I I I i ! r I f II C.R.P. No. --.-:... I PROJECT lcJ/~(.lcET I u/-h" -C/.V 1::.1-1'1 R' P :, I-J T C"'/(-,f. C II~ AI 'Y'rl/'J A '>L.Tvc: r I :1 :j DATE 11- f:", ., f'.> I i I o = L -.J L L ~ .e' -.J -1- . ,,,...... . . , " ... ..-. .......II1II - . '._.' 0 ? _/4" _ . ". ' ~- -. ...~ -..- (,\ .) ~ J .....- I . .. ~ ... ::.. . v . -, .. . " .-- " ~ . . . __ ;---' II rr Il 11 rr ., II ill ~ \..: '(. \. I.,. \ \', :~' ~ s \ >-1\,':i r ) ;(, \ l,.r\ \. ;' f\. .1, f . ~. fj ff H L --1 L L . . --1 -1" ....... ~ 1Iloo..- .... , . ..' . . ~ . .. . .' ,'(-,' "', . . , rr rr -, Jl I l n- ., "l. 1\ l' II 1 i\i \\~j -' I, \:'..j, . i" L,:f JOk:1 "c>'? I I i' ~'. ;-".1t X' , "/09- '".''' I.,' +<~, r if I I :<ii',,!,: (;.1 ,; , , I ;' I ',....., I 1"_ I:..J Ie ,.~ . -. I" I I' I' a ( I , ' II , " I ,", :' I I I (' L .J L .J L -1' -, . ..,. , .' 't"'" ~ . " . . .' , . /. . I . . rr rr -, 11 I ~ rr .., fJ ~ I ~ ~ . " "" ','~.... ". r J, .-~ r "'. ~ (,'- , 1 t- I, . & -~:'~ ~ . .::,/.>~; " ,. , ~'. " R ' . J f ! . .'. ., ~;:: Ii t;, '. " L .J L L .J -1' - . . ( '. . ": " - . .,' ~ . - - '. : __4 ':'I; . - r'.. _.... . . . .( r , rr -, tr ..., i ::: ;'1( ,'( ; I, , ", "j;' 'A '/ Iii I If r( .- I, -;,/;; <, , (,.-'. ":; ", ,,' I {, '/7 { 'I " ,'/ i -.l .\' " ;'-;::\ .7"/ I" ~ .-1 ,! ~::'I ..- i't ~ I ::- ". to I, " I. ./ < 'J I /, ;. L --I L --I L -1.' ~. ~ ~ ..... ~ ',~ , ~. ,1 .. ~ _ .,. .. ~ . ,.' . . ~ " . t ~. __ .~__ _~_,,.. , . r r ~ ~ r , J ~ ~ [~ A- . t:;.:I . , '0,. I.,.r. c.... ~ . , ! I., \.. u . .. ~ . ~. " , '.1 L ~ L ~ ~ ~' ,'. . ., ".' . .: " ' ': '.. ~.:'. ' ': - " ". - . ~,' '.' . ~', " . rr- rr , -, rr -, I ,) j i j I j j i i l ! :! "} 'f ~ l! l I :'~.' I, , ? ,I .~ f; j j ~ 1_) '";(;. 1,'1.;,/1 Ii CI':) I I')" -~ I ,i ';,/ '. ',' \ 1 ~-~~- lCe ;'! - " ,(,' ":'; "},') I 1'1, ;" 1 " ",'1 ) -- I 1"-,' '...,'/ d-P7C " 1'1'1)0\' :) :i! -,- OJ !i I " , ;t/()(._ I'l ~_.r, . ,'~-,';'i \'"\ " \ 9 iJ :.) t1 t, , '~ l 1 ;. I I _ \'.1 1- ~ '\ ",1 \f" ,",_ It ) / / , :,1 I'" J ". C~ ,'r ,':c. R ,. " ) " ',,!. -/1I L -I L -I. L --1" lll........ - , . ... ~ ....... . " , ' - .' ~ '. ,- I '_ ~ _ : _ _ ~. ,-~~ -- rr rr 11 -, rr -, " 1,(; I .---..._-. _..~.._--~:*--_.- . flf ':,'",) I~CLI I",' <<_ L,-,j,\l.kL;~ '......)..., , ., I '<. , \ " ' .-, , i " . '(1, , . ) i ;. t ~ I I ' , '.I' <" ,. . -~. '"h'" I", ,.j 1,'/ a " II I'. { L --I L L ~ --I -1" . . . " ~ ~ ...... - , 'Q... " . '. ". . ~ \....., _. ~ ~ ~ \ ~: ~ ' I' ~ ~. r -, rr -, Jr ., J 1:- '1/ <J, ,. -// ;/ ~,~ .:c,i, :::':1 -- i f i- II i I r II , i 81 .-' 1''[" ': l ,~.:' r:.oj I ,I :.' ::' L- n /'. ' , ~\I.."~ /".l ,I/! ~ /'./) , ~"7j.{. (.. 1'."( /",1 ,( ,'. ,-3 ~~ '-12 /,",' (;.! / "I"! ":'r '/ ,';' } "";:;~.,, ?!' -\i~ ?( " ,_~: I '/ .-,' :'r . ~' --- ,'e'\ ,.;'.," "_I'" It'! ":' "j,-" ,/,- /.' ., J' :::...-;.. '. J' "Ji -I ,'- '/ -:"t'e' jt ) ',"', '" ~, 8 " .' ','l' I'f" I' 'I" H , &. '1 I ~ '/ H L .J L .J L -1' r - rr Jl rr -, ',' ,~i ":,' "l V'<' '" I \ I" 1\ 111\ -1' I I- L\\~\t ~), I I /, i" i' \ ,h ',-Jf"'l"l-'i I t; 1 ?PJ['L:; /(.Jvf~?-{ , \ i 1 I'l ') I" _~ I if .. "'... . 11 .)/ f.,,\,.......; . . 'I " P/i I't \' ,"('KJ" r: , 'I") If., ! 1 , ( 1 , 1- ,I .t'" , / , f ~, I ',.I lit) ,,, . \~ /.. -,(" ".,--': e)ll .1-/ " / / '\~ L -.J L -.J L -' , . .' , . .... . .'~ <.. f!' - . ~ _ .' ... / I ~ . r rr --, -, rr -, J I I ! I I i L .J L L. .J. -1' '/"> "\j' , , '("""'.,.,, """"'....'i..., ""'.,",',"',,",/,; " ,', "" ,",', 'i.."",.,,, ',.., .:.i","i""ii" "",, "ii.. ,/ ",' ',',',', ....',.,..'\.. "/:"" ,,";,i, ','...i~i' ", i,{,,/,i,\:. ""i"?' I i'", '2,,'-' '" ,,; "'i>"" PROJECT: \IliA LI( E R Vi;,:; v / C,) C' :;'J :<J I .^-/T E K SEcnO (,j CRP. 1/ 3'3/ RIGHT OF WAY STATUS ~~ APPRAI R~~~ REVIE W FED ,A,I[ Cor.r'AC PREP. :~l('C'Ii! RECORD l'.!lnh jNoT I CE ~IHi:;S CONST PARCEL NO. / OWNER SAL AP~t I Cl"'~ . arNERS AGReE DEEDS 1 2 3 . 7 B 9 10 11 12 1 2 3 . ~ 6 - 7 B !-; 10 11 12 13 .. 15 16 11 18 19 20 2' -- 22 23 2' 2\ 26 21 28 29 30 3' -- "" ,i'(:",cY"i,:X:" , ,,'" ',::",'i,," xi :i.'.;.;"",;" /,.... , iF " ,<;: I ~ " , - ' ',.' ... '" :: c'c'cc '.. ,. CC ,c :c 'c " ' c,," c c ,c:. c ,'c 'c 'c' 'c ,', c,::, 'c' ,".. .,' : , . 'c" c:ic,:. C,,:' .... c',c' 'c. .:c " c '.': c',",:/ c' :c: .. Cc',c c c.' c' c:' c".c', cC'c',c, ' c',,,:': c ;c. c 'c,c '. "c"",c "'>., . ':c'., ~ia.':" , ' "".' , c ,,'., c "c.,:, ,",' ,.)c. , ,< , c','i,', , , , ;',', ' ,,' , ,:.':" c' ',: "',', " , :. ," , <: , :;: ::, , f , ' PROJECT: ';14/'/' )-l/(:::~ CRP. If 5-:=:'J RIGHT OF WAY STATUS PARCEL NO.1 OWNER ~ICE ~ ~AI Rl~~ Z~t\' ~fi~'- ~~~ ~~Ss ~~~: ~~ R~~ ~~E 1 2 3 . 'if' LIfi , 8 9 .0 11 12 1 ,-)j?() ,:J'J .' / ?,EN,V 'T//..f:9E f( /0/<],' 2 3 . . - 5 6 c, c 7 8 9 '0 II '2 13 .. '5 16 " 18 19 20 2' n 23 2' 25 26 21 28 ---- 29 30 3' ,t~ f ,~;. '. 'it~ -- 1 :t ~i .... '.. ,: '.,,", ,'" " ' , ,,.c,::":';":, :, /:' ':, " '" ;."'" .; "', :', ,C:',,' , ,.' "'.' .:)'"" ,"" '.' " ,.,:,,':,':,, " ':"'.' "c':.' "',' , ' :, 'c, ' ,'" :::. " 'C:', c:," c' ':, " '<c' , , : " .' ", , ','....,.,' ,:,,' '",' ...." ,'':: '.' ' , ,., " ~ , j , I , :.....s...!...C-5 I I l"I. ::t; ~~ ..... ,'~.c ~:.. ,~,~~ . .,-'~;; .... ....I...C......L . . .... W:~"4," t,',C''I!'i' '.: l:>. ..t.~'30 lo.. W .': :::O-YtI.y,,&, .'~ _."l":'" ~ '...~'. <<t Ie- r) ,! ,n -, -=1-; . I , I SHINE'-' t:> LAT- .....1.1_58 IN WE 5T <460rT lOT 3 SECTION ~~ T 28N RIE W,t1, JEfFERSON COUNTY WASHINGTON ."'1.. ,,-. IOO"T, DUe'UrTIOtf Thh SKIH!: PLAT h that porUon ot' ,~ .... 460 {:..;, oil~;s:::;~r:t~~ 1~~ ~,s*l~i 2~ T~~~n:~R:;:' to..U.1' with all ~. Secord Clu. Tide Landa In tront or, aCSJaoent to and. .blol'tine lMZ'lon .114 M;ft =~:;:~~~lh::';~~ b:~o:~ t:~;o::..: ':ot~l.~~~:l OM or 'h. laO~nh _rklns ,he ...t 460 n ot "be ..lel Lot 'IC~'Mlnc at eM Horth...t 1/16 OOI'IWI' ot thII ..1d. Lot 3: Thlnol S O"46tSI}'"W 1')8.47 n to .. point 1n 1M ...t 1101 ot thl ..ld lot, Cl'Moh 11 thl true point ;;:'::=1~9fl'jI'8'"E tor 42.0Z tt .-here tbe unc.nt to .. 4' 0'.) I auI'''' to thl rl15M HI,., :s '9'15 IIlJ ""nol on ,~ .1'0 or \h. .ald 4. ~, .urn or a radlua :f .~~;-:lh~~~u'~,. ~~:~.i ~~~ .;r t::'~B:Z~ ;\J Thanoa on Uw .I'C or a ~ 4J.' our...' \0 'h. ht\ or a ~lt:r o~ It:;:l..~\, \hI';Ul!~\~ ~~~=:1 s .gtt.! ,:t t:r 'D' ~5.'1 1\1 The.... .(j~l,Io'. tor &1.'0 tt o. poln\ In tho. ll&lano.cs !'III_nc1.r 11n. _ron.\he Mld S.oUon "1 Thane. on ,be ...nd.,. l1ne "?6 51120" 1_ ~.o ~l\ ~:. o~ f1.:'t::r~O~0;,4th~~:tM \~.t6~;;~ ~:r 'be 1)2.5 ,,, to \h. 'fft'UE poln\ or 8a<<lnn1nc. P"JIIIDR'S CER1'IPIC.t.TE Ins .~ r:~-;~;~~r::c ~8;::::-:'~~1;~:~~. 1~~i2.:: bar.by lI_la... ,haS 'h1. PLAT 1. ba...cs on .n .otuo1 .U"" arC tblo" the 10,"- ba.... ba.n ,toad and tha ~nl,;_nta ..\ .. ahown. 44:~ w. ]It. 'lllU!';IUtHHrn PROTECTIVE CO'IBNAHT n. l"ollo.lac r..\..loUon. arl plaoad UPOD 'M 10'"- In \hl SHID PLAT and. Uw7 run .Utl uw laft1 and .... "1I:I1II11nc upon tboa .uoo...or., hat,.. .NS ...lIU .r t~ lot ~n.n I 1. on. d._lUng hou.. or 1250 6>4.11. or ..... 2. r..po....r1 tNt1.d1D<<a ..nd .hK. l1aUed '" "'.. tor \~ .:::~1:~1= :~rir::-i:.o~~~':~.h .. ..In.f,., .. .. oOllllPhto4 .Uh1n ~ aolll'U at..r work ._~~-::-:'~:p~r.r.~~-.!rn~ l~Nl.::::.~ r:::-: or .lIber allP'-lr'.nan\ Mll141ft11. ., be buIlt . . ;=- ~la;:~-=:~~l=~':.tolht ,..nUl.. ...11 ... lu1., th, bO\l" a.nd \h. .,Ihln, tr_ 'he. h:i.to4 ~",=ha:s.~=~::'b, -:~:l:.:i~ :::h:~::r::l:; 1.rr.I:on ~o~::~~":.::::. .:;.:-~~:-::o:; polll'rJ,' .ll_ad. 7. nw.. pro,..".. ....trtoUona .... \0 run tor IS '..1'. troll ,he 4&". 'N 'LA'" ,. r..ordo4. ..' Io.tGlN~ . ;;,l~~. p V~... . c:.O"'lG ~O"" DEDICATION lCnow .11 Mn b1 th... pr'...nt. 'hat _ the und.rlt,ned owner. In t.. .I~l. ~b~~: ~~.::r:~ :~::;:: ~::~~~.~.:i:=:. t~ :~::.. &~.:::~;:t:r ':~~. e~:: ~b~~ ~::::~ ::~~:n:~:3n:nw:~ ~~t:~b1=- u.:u:~::::~ :~=oa:l.~J~,:U:~: aU .......U'J' Ilop.. 101' ollta or tl1b upon 'h. ros.. bloclu, .,,&Ct. .'0 _own on thi. rIa\ In tM ~.o..bl. orl11na1 V&dlnt: 01" &11 \he .tr..'.. ...nu... pl-.o.. .to ahowa \hano. ~ ...oad .la.s 'ld. land. go with tha abuU1ng lot.. 1I1"r.: =:.;=~a:.:;h .h:':.:;,.~o:f'l:~~t 1 w;'2 :r~c:bl:'l~. \i~2.~~:C:"2, d.- I... 1 ... .2 atlock , .nd no tracta north of t6. Count1 ..OIId llll th. ..t 460 ,t ot tba ;:I:I~':'~. ~....01" _ ba.... h.,.. Ill'l\:o ..t ollr hand. .~ ...1. \hi. 15"" 4.7 f4 """'.CH 1.958 a.D. ~~ w. .. ..rrlCU Ul 't.?-~..~ ICIIJIOYJIJ!:OOD(Eln' au-a Ii...-I..... ..11.n ... Ba:1I'.r N ~CCI'\L ~.'}ti!i:;,:..;.~~:~"J.~~"" ".rll./ ~ ~P.".Il.I....S....""L....tI~J'.'''~ ~"'.." : ~I ~: !I -;:; ~I. ~ .t. ''N~~''''''4 ,Q'" I! f:~ ,- -~ .. i~ 'I ~::: !r't~~.~.'t( - -..,. --. -. -, ~~~. Im-f.-'-! ;1 .~ _,,-.to. : \J~~'~ ~ ~r! I~ ' r: ., I ....t/tI' "'", ........, )' ! l ~, " .f '"l'hl. .. '..... ! '1. ,i r...~ ~ut.tI'VI!l.O"'~.st.CT~~ .,.l....A...w... ,...... ~~ I ~,. _ ~1'4'----"..!..,," " '/ .1.t'::f.~ """,..C.f'''~,,,,,,'')4~'''''''''''''''~W,(af'II'''~'' 'G......e. ,~..oo;:: ).'I-"'--~\,-:;i~,.r- -n1'''~1 :: ).... I.l s..'-"~'''''.'''-tle'''~,I..~~.,.,.....\E. Ce,........"..o""'....,,_....c._ ,.....,,:.,,'J..~.= tlt.;.,~ ....~ ~.:-:..::.,~~.:~~~~',:~~1l~ .i:::..~::a-:I~~.4:..:;~~~.:.::r~ s:~'J:.::....a .... ...._ II'.... ,..,..,." ......,... ::::;, 0:, ~~:,onles ~.:~. .::.::r~31:~:.::~~:Pc::~~ ~~~c~~iJfl:hD:n1....~~~t t:l"~i'Ji~h, lid. wiro. and All.n A. .Iak.r '0 .. known \:0 b. \h. p.raQn. who ....ou\o4 the tora.. r~~ :::;o~o:Ot:I;:;,Icn::~.:~~ ~d -;o~~~a \:~~. ~=-:;=.::.;~I':~ .:::t~nld. .1I;n... IQ' hand and otr101al ._1 \ha da, and ,.al' tlr.t abe.. .rl\\an oI-.;rR~, ~ ~~ ~"'~"'''''' :rf. ,'if.) 1':"/ ..,~o .r 5:t. .r 1.:i.,.. . ...h1,,~0~,.lJ~1111ne:.;:.hJns,0I'I ~\~~~~; ~~ ...~,' ~ TF!KASUfmR'S Clft1"P'IC.U" - J ~ 06 ..../ ,c::r:..~~ ..- \"...1.1".1' ot J.tl"uaon Count7 ...hJ ne\on do .....by O."5J.'f"_~ .,I..I.1fi= laz.. on the .bo.. prop,r'7 ba.. ....n ~d up to .nd Includ1nc I;h. "ar 1959 I I I ....rr~~ ~~t"'~~' .."ROV&I.8 ~i .:; ~. ,"y ....'n.. ..... ...r.... .. \h"--LZ..-..r.r H'4~ 19~B 1" ./~ ./-; ~_ _t1~ ~, '~""~~~~,:: ~na.r baalnec1 .nd .pPl'o....1\1 on 'hJ.---L;Z.-d.., ot fu~ l'l';Tl .I~Jd~::e.C"a:.;:~".." ~~ r_n ( !UlCORDUO ~: PIlo4 tor ...orol1 ., tha r.q<l..t or lr. K. ".""ldl\l~~ _ m.11I"',.. ;.""t Ii!)' .... o'.loell' "n 'hj. da)' ot "'.I ~-,-::j(r-r.fl 1""..1 no pIIj!. J~ .Ollo1_~J Pl.'., l".o~, of .rrflr'l'lr, ::tllll'lt'l ~',"I,lr,r.tl'ln. .J:.t,.. IS," 90'f I1IIII ~~~mTTTmTq 1I1I1111111I1 r I 1111011111111'11111'1'11 r III'IIIII'~ l'I'I'I'jlllllll\' .". 11 .:...... 2 "".. 3" 6 s l' "I.' .I.S. IN WE ST <460.T LOT.3 SECTION 33 T 28N RIE W.M, JEFFERSON COUNTY IJASHINGTON .CAt.L. II.. 'oo..r. -~~-=fl I I SHINE.... P LA', ~C."" />f.Irr;:.~.-;.;;:;:'1.~~<W .....r....( iw.. ">>;r.;;P.'."" ~..s.......,-..-;;r;c..~ ~"." , ~I ..; ~I .~ ~I. ~ .~: 'W"~""''4 ~... I! ~:~ ,. -~ ll:" .. t..9 ./ ~,::: ~ ~ , ;f'~~:~.~:t( - - --.. -- -- - -, -ll'~'Jm"'f_~ ;1 ..~_,,~..... : u~..1,~ ~ .: ..~,~ B: '"tut,..~ o ;=.~ Cl I):!.r", I ~,'...Ji. ~'~.' , ...~..., l' ! .c.~~.: ....,0... , ,.I........~,,",O... _ :.f_~;s.....:..oD.. ..::' '...... . . ! '- ~~..... .....,...-..-..,....." ~Ll .......... l":'L -rnJ;t1...:..;.._. "'"' ,~....' ...,~~.J' 'c .t'~.~ ..'..C.....,...,~,..._".".(......... o.c.~.."..~...~ ".'._..--..~~:_I." ..."f,.. "~J " # :.-::.;.~::.:::~~;:::J;::~.':::~~"..:_ ....~,.. .......... -...."". -.-.... .,. ,.... ", 'J ..~:. -l. t... ...~."..c.&..... '-'"" ,"l') A.... ................".. .'."..,.\,......... ''''~ ."., ....,...- .,...."..,..".., ""......., ... DESCRIPTION Thh SHINE PLAT 18 tblot porUon ot 'hoe ...ti 460 {::t or1~:s:~:~r:t~:" l,~ J. S~l:t ~rw. T~~~n::-;':::. SOaetb.,. wUh all 'h. Seco"" Cln. T'1d. Land. In tron' or. adJa..n. to and abuttsnc 'hltreon &lid .0'" ::;:;:1;~~::':~; b:~o:~ ':~;o::' t: t:.~~:lot:~:10M ot 'he laO.QLUMnh _rk1nc 'hII ...t 460 tt ot ttw ..Id Lot 'IC_.no1na at 'ba North..., 1/16 corner ot Ib. .a1c1 Lot ,= Th.no. S 0.46'5;" 15a.41 tt to a point In 'hoe ...t 11M ot 'h. .a1d lot, .hloh 1. the tru. po1nt ;::':::1:n;9f!s l,a"E tor 42.02 tt .hu. tbe "'llIent &0.4' 05' a1.lJ'''' '0 the r1aht beor. , '9-1;''', "nlIonoe on 'he &1'. ot th. ..1d 4' 05' .ur... ot a J'.d1u. :f.~~~;4:/il~~ruJ:,.~~::a; ~~tt I:tt::'~a:~~ ~t, ftwnoe on thl aro ot . .,. 41' cur.,. to 'he lett ot . ~l~:r o~ 'It:,:~:t, thr9\lIS~t~ ;bZ~::l, agtC;,;lr:r ,0' ~5.91 '" 'l"bI'.... .("I~l,lol. tor &1,'0 tt to . po1nt In 'hi B&lano~ "'_ad.J' 11n. .oro.. the ..ld S.ctlon ", ThoIne. on lbo "'''''1" 111M )I 76'51'20" to. ~_o ~~. ~:I o~ ~'t::g10io,,4~~!.c:tJl '~'46~;~ ~:l' tblt 1'2_5 tt '0 'h. 'Z'IIVZ p01nt or Bef:1nn1nc_ DOIIIDAIS CI:RTJPICAT!: Inc a:J r;~-;~;~:l::C ~1S;::~:-:I:r1~:;~. '~~i6';; bar.b)' ...lar. tbat 'h1. PLAT 1. be.ed on an aot1.l11 .1.1""'1 .ad 'hilt ,he 10h ba.... b..n .tak.d and at>> .:Inl.:_nt. ..t .. .ho~. ~~ w. "'_ 'Ilz;MIIH fl! ."OTECTIVR COVBNANT 'f'hII 10110.1ns rl.trlo\1on. .,.. pla.N llpoa 'hi! lot. 1n the 'HlJIS 1'U'r and She1 I"Iln w1tb the 1.aal2 and are ..lad1,. upon ,tK 'IIOO...or., t.lr. and ...1Itw ., 'J:w lot "'O'MlI 1. on. 4..1111\8 bou.. ot 1~0 .q.:tt. or ..... 2. r..po..r1 bu.U41r1<<' aDd .t.d. It.1ted tc. II" ror t~ .:::~~:;':; :~f~r::-r~~~~':~.h ... ..In"",. .. .. .,..1Ited wUh1n ~ _D'he atter ~"k .-"~-::.::':r~r.rf1~~",~{'o:: J~t..~7.~1 C": or "bar '"",l"'rant ~11.dl~" ., be bu1lt . ';:-- lrla:~,::==a:l=~':.'011.t luSl1".. ....11 .. IIWIS4. 'he bO\l" and &hit .:tt1un' tr"-\ 'hea ~:UM J..~~=h.~:~~::ti~ "f:I=.:i~ :::h:~::r::I:t J.tr'I~on ~o~:::.~":o:::.. .~.:-~~~:o:; poult..". aU-.cs. 7. 'rhI". "roh.'h'. r..tl'1ctlol\l .r. to run tor .rs ,ur. :tro. ,hi- Oat. 'M PUT Jte "'lOrd~. ,,' -...-- .~- .--------.-----. DmICATION 1tnO'W all _n b7 'h... pr...nta tha t .. th. U""1""18n.c1 "Mr. In t.. "SlqIl. =btt: ::;:.~r:n :~::::: ::~:~;.~.:t:::. t~ :;:;1' a:.::~::t:r ':~~' .~:; ~b~~ ~::::~ ::~n::n:~~3n:n.:~ Pl:t:~~~.:II:~:::~f :i=o -:,. ~&hP tr:~: all -....1J'7 .10p.. lor eu,. or :tlrt. upon 'h. Iota. blOCk". 'ract. .to _...n on 'h1. n.., 111 ,hit ,....orabl. or1a1nal S:r.d1Jl1 01 all 'h.8 .tr..t.. a..nu.., plao.. "0 ohDftl tin-noD. mw o_oDd .1a.1 *14. lard. 80 _1th 'ha abutUns let.. 1i1..:: ::":=-:':-:;h lh-:.:.:;r;O~t'l~~:t 1 .;t~ :r~c:bl:ti~'f. ti~;,~~:Ok'2, d._ leh 1 " .2 'look' atad '.0 'racta 1I0rth or t~ Count,. road 10 th. .."t 460 tt ot .. ;:1:I;o~~' "'.reot .. ba.,. h.re IInto ..t our hand" and _al. th1. IS"" d&7 et MA..c:.~ 195B ....D. ' ~~ w. .. "1'1'141'1:1 ~;.W..~:tt. 1ttI;1IJ10I't'LBOOD.(E!fT ~a 12..~...... .AU en A. Banr :::::7 O~t~~':'Oftlas ,.,. ~J"J::.:;r~31:~:.~:ona~~ .P::~: :;:~7c:~,.;i~f!:hD;ad.,.~;::,~, t=l'~~:~h. bl. nt.. and All.n A. lltJc.l' '0 ". !mo.n to b. 'h. Plr.one whe ....cuted Uw :tor.... I:i: ~;o~o:o~t~kn:::.:~~.::djo;~~. t~~. -:=-:u:=.::'i~r:~ .:::t~ned. _1tn... ~ ham &I'ld ofrso1al _a1 "h. da,. and ,...r- 11r"t aboy. wr1tt.n ~~ ~ ~~~ ~(". ,,/i)'''1:.~~\ .., ~. or n. .:f. or 11 ;.. . 1 .."'~~O~.....'~ldl"".::."'''''... r.:':r~~~~~i ~;.\~;" .. TRKASURKR'S CJft'TJI'XCATI: I ~ AZ~ ~..- tr-.UlJJ'er or J.r~.r.on COl&ftt7,...h1l16ton 00 "'reb7 0.1'5,. 5 & J. . u.. en m. aboy. prop.r-",. ha.. ....n pud lip to .~ Ina1IMUnc 'h. ,.ar 1959 ~tnlld and '"preU4 on 'h1'-4-.', ot fuA~.J 1'15(1 tJLt<..) : ~or C,,"n., '"~"",' '~.11 ~ tUf'. au.r _ __.. ! ~ '_n { II!KCORDllfQ ,,,.., ror ........ ., 'no ro,.,.. or Do K. ""IdBh~' _ ,\"",, :.", JI"J' o'.lOGk on tt'J" J day of ... ~ ~-a-;;;~I'''~ .......1 nr, pall" ,~ "011.1_ 1..~ :it n.t.. I"o~, or .rrpr,,,,, :;"Llt't.,' ~",r.lr...t.,,,. .J-j"... l.s~ 'PO,! I'I1I1 ~Drrrlll" 11111' I11111I11111 rl'r~m 11)11'111111111'1' [llllllllll'~ l'III'IIIIIIIIf~ I .... 1 -...... 2 ~.... 3 of 6 !: I ~ t:: - - - ....... - - ...!:~'!: !.:i~'~=iii i:i:'S,LOT4 F"oU..D. 1lol"""'/..COfll.UilI-OT.. ,"OUND", I "'. :! UNPLATTED ~+ ~: .~~ .' .. ..... . ... ,;~~~ :2.1"> '~."Il'~.". ~ 9 10 1/ ~ lOCI' N .. I . M....R......"LT . B :L 0 .C K 4;3iz. .. 'C1C1'~L' - .,.lQ...I....~O:. ~-r. . IIfSflMD ~ .. ~ MJeI1 ... t ;'It~;::::-~ ~ ~ ~':. ..,. .' ",-09"O~"" ..,U::...,S\t!~t~ND~ ~_c ~:;::;;'~':~~;:.1L.m4 ~~&,..oc ~ '....11.1 t..5.......L._III "r.tl"'~ Itl ,: il ~:: tl_ !~ I: "'WA .w~ 'It': 't ~il I~ ::! I l'. .. ::: ~I l,o it t:' o i''!'H,'~!''Vnd - "l'. "- r - - -. ~_~.'!":~~~I!.. _, (.......... . .... If I ~. _.. : ~I \''. U,.!m ::10 ,;\..., :: I: ; ;-'f.:,. 'I I, .~. , t,.1 :~:~...: ,,; ,,, I.... ~~":..r~~ .. .;. ";''','',: ; : i I ....e.~.. '.:....,.............. h.., ,;~ '. ",t.eDIVllIOH or 5(CTI0,,-, 3_T,.., JlII'W~ "0,," ".~;~ ~~.. J I '~;:"lr:. W;I.C.......,'"'c J.4"4.N_...f ~W'l<".''''' ,.. .,,, ...u,......~...' 'f .s...""lIIWNTw,"..,"I[(QI.K>'W.....~1: , L.r 't.,....~ .-~!!. c.,"u._,Jon'_3JC.,......." ..,..."'.....l,......I_",. ....~.',.."'. ':r:r;.....,.~~o~ :~i~.&.:....;,rt~~~'; ;:~~,:,~,:;"......t.., ,,..t .1Jl1lf' r_..4 SECOND SHINE PLAT IN E.OJ'T LoOTS ~.~4 5i!CTIOH 3~Tz.&N.R1E.W.M. JeFFERSON COUl'Iry WASHINEoTON AUCD I,:r,. Sc.-.,..a:I-.. aoo...... DMC'UPTJOI 1IIIjlII plljllllll~IIIj1I'1 i 1'1'11 jlPjll'llllllt'llll 1'1 '1'1111 n jllIl' 1I{1111111 {IIII'll jlg\ I N'" 1 _.... 2 _ ~ 3 " 5 DlDJCAnOJl !'hi. S,oon4 Sh.l.n. Pla' h Uwt porUon ot u.s. :00''''1''''11.' 10" , al'l4 4 S.eUor. 5' 1'28J1' JU.E. ..IIl. '0- j"b.r _Uh all ~. ,'oond .1... \ld. 1.nd. ln rl'on.' or. adJ'Clnt '0 and abl.lUlnc lbnoon lhal 1. 110,.. parUololhr11 d'lCl'l~ .. rollO'll" 4. ~=.:~l41,;;.:b~l~~~h~;.:o o:~~'TIl~I~~~~ ~;' Itell'O;:"~:. 0'46. 5" 142.4 nl nlnOl 58911' '50'" J.42 rei .of4611~ 60.0 r'l Thin.. .89-1"50' W ~'l~l i::n;:.AO'~:cl ;Wo~o,g.~t, ~-:~III~!i'. .. .~.~, "I "'on.. soI41"~,, 111.l ". ".n.. Sa,;. "0.. .Ill.' '" ..._. ".,. .. "0" .....l. '" a..... .8"4~0" 48.6 fJI !be.... 10-46 ilb'"l: !!Z,.Z1 ~~;~.~...~'~~~,~~o:: r9~J~i:' -:~~; .,1- .il.. h.14 r'l t'h'AO' 558"01'4&'"1 1!.~ r, '0 'hi pchl' or .11D.aJ.QC. t! ..OIJfEE:II:IS CJ:ftTn'ICAn: I. ..L 8MI1>ITB. do bot_bJ du1.r. 'bat 'hi. e:: ~:':-:::k= ::a':~~~::;::r. .:t ,::t .:::n~ot. ~.s. PIt01W:1'IYI: covaQIft ftM to11owl11& "'.'rie'loGa ar. plaud llpon .~ 1_" 1.1, U. Ia::OKD 5BIJlK PLAT .~ t;b'J I'\ln .1'h ,bot laad and ,1" "Iadlne .poI'l ..1M .1I.....0rl. b.lr. an4 ...lln. 01 ,hot lot __"., 1. 00I:I.. d.. lilac "101.. or 1000 .q h or -'1" ;:-~::I::o:; f:r::: .~ '-b. 101\1 on ,be t111 It.-1ted l. Toapol'or'7 eU.41~' a.Dd .b.cb U.llaoc1 '01 "" :~n:r~:~~:E:~::!l*~~::~~~:;2~:::r -=:rk .-f:':..ir;:~.::t:~~0~.~~1:.:ir~ ::. e=~i::~O:'''Ol. ..ral' or ,'h.r 'PPllr'..,.nt tJu1ldlll1' -J bit bY1lt ..., &1" 18 .,..h.l.t.G'loIl'al barwOIl1. ,. All _tn __, .11lk. and '011.' rae'llIlI.. .ball '" h.ddl "ll~ booll.. and lbl .ttlll.nt tl'ao 'baa ~:We4 .~~~h.:p~:::':J-:~1~1;:~e a::ai~boD~:~:r... ,. 10 ..1_, IClal.. ._a. bo"... '1' po"l',.,. .ll_ed. 1. "".... pro',cU9' 1'..tp!cUonalroll"a .... ru.n tor ~ J.o"a tl'_ ,he d.lI tho rx..,-:- It r..ol'dad. e. ~'" 1. ,z II , 'look ,z and 10.. 1 II 2 "loOk I 'N a_.p'-.1 r"PIu~... ...'"loUoA' .. __, .N ...... nOM III .h. '0 'be .... ~b.1"ed 10'. aI Ibl_ 'la,. '!1I'Lf..50lllmt 'J ClU!'TI'ICAft c",,~'Cf;;;;u;;. ~~-,"-;:rtrr;'~~~ :r1 ",:~:='OII I:' ':. .;::;. r;;::'i:$ be.,. ....D pal4 .p to ... 1_1_- ~-.J')'" . LlG[HD OIR~ PIPES .CONt MON ,. .--.:::~~,!:i-:,..7.----i.~~~~~~., ---..~~~o ::., ..a..L.....CIOM(.."'['l(lillllolf. Know all _n b7 'h.aa p"1a.ah 'hat .a ,be u.n4.rlllnl4 owner. la r.. .lap1a .r 'bo laM h....", ph"ad, .....bJ' dlOh... 'hlo pht and. d.dlO1t. '0 'be u.. or :.a~lC"~;:P:;~;9:t.~11:':~:' o:9;:;';i.~1:~0 ,:~ II::.;~':'::;.;:;'': :::1; .tier ::::;I~r:~~:::.~;t .t:::~~::':~,:l:: rt~~~c.=~~~ rc:~:;':i:.o:;:o ..:::,:1~: ,. .b_n on Inlo P10' 1. Ul. ....onabl. orllh_l Ir.dlltl or .11 'h. .'1'''''' ....... 1.1'0, 1l1.c.. .1. ab_ 'baNoa. ........:' .::~~4~;.;:.:~d~a ~=:o:;.:l:~ :: =::':~,~o::,.:~. ~;-~: ~::. I:: :- '::0:::1 sr~ f:~ ::::P:'::::.~, i:: ~.::.I~.rita:r:r2 ,:.- .::. '::a~' W:f.:~Il:~~.:bok::~~b.::::: =: ~~\t4::~..=~.,=a:~"..~~. h:U'::n~. ':or:::::. .=. .:;a.~L=:.:I;~I:l.t o1'..:::..t;a:.::r:ia.-=. nt. -;: ~~~.:".r -.:11::: IY... \la'o ..tI O&lr MM. u4 ...la 'bi....L..., fill ~.,..T~.......... 195' A.D. ~~ t.1: . .. ~{!t; ':J, &&1" I~~ 1tt;Jll:IfOWU'.IlO&\ICY.JrI' Sbt. or .ah1ncloa) ~:'Ia-:~~~~~:lJ:"'~:, on 9i .., or ~a'r. 19-;9 ....D. bdor. _ ,be und.,. allned JIo,.rJ ""b{I.. r.r.on:"rI1'PPO'~"'l'ldl'h ~ "1'.11'" .'1'1'1151' b1. _It.. '0 _ '--'\ 0'" ,be p.r.ona .bo 'Sltu'ad 'h. rorllOlnc 4a41..'10D --.d ..IcD._ladSed '0 _ tbat aba, aliai'd aDd ..ded 'hi .... .. 'bell' ,.,... .1IlIIlI 'oll1n:~~.::' ';ndba::~-:r:t:l :!':':~ ,cr::;a:n:~~:~ n r~;=:l ::0":; .,.1 'CIa _.~ ~n ~. -=:r (j,.-. ..-:1~,'" r'7 -Iu~lO .,. 0 ;; I. .v' -"..hine'on. I 111 , . 1): .:. fr'-.J.;j ..-.I~ ....b1D.1!..OD , ,,,. / PROVA.UJ "'o..-1Md .nd .ppro.1'd on 'hh~4." of Jy-:/~ 19-;9 ~ _~~ ~.JL-> aual, -hi noliI' baa! nod .ncl app"o.a4 on thioMd.., or ~ j jlUlJt..u9~9 I Boai'd or r.ou~, C~l"IOt::) ..J'~~~,_ ~ z: v"<&'" n /"",. :.."q~ AT'JWS!' / / --;Pi ,)c<o{ /-!; - .II.A_ Arr"l'u,1I COlin'" Alia I 'or IOI:ORDJJI'O "l~ tor ....orlS .1 'h. roqy..t or W. K. ~r)dj~ .t~.lnul.' pa." ~.~.~~:;.". onJit,hSa~d:~o:~. ~ I:~~.n Cnll~~ ~::~rn:~o:~ ___'1.7,,, ' "'..4'oit;~- :0; no" (u.;~ .. ~ //it1; ....,/t.,~ "" ,.. . .. ~....... . ,,\" ." - " - ~ . - I (." f. ' '. . 0' . " _- .."", I ~ . . . ,_ _. . ' " ., . , . -:- - ,~ , .' '...' -~ . . . '.. . .-,', . ~-- ". - _._~._..- -""---' '.'.~ rr r r :'"] , :'(-""-~~':""..-.'~~~"-....-:'~~.e"~""-""'/"""'/""'--.....-'/~,~~~~,,-;"""-~~~~""""..d~~-"..~/.-<-"~~2~;-';..r..,...~~:.-',,:!:~~~_",^"'~'-';""".~.-/;.-'.....:.(-'~..,.,_-:c:.--:-'-:.-..~~~,-:~-'.-.-'.-~~':"-'.-:,",<"';";"'--~.-. '~,+,'. ~'~''-''',' .;~ .~ State of CALIFORNIA __} On this the_:J.~. dayol __ AUG.:!.:!.::'.._____ 19_8~, before me, ....;.~...l'.. ....~ 55, LYNDI\ BOLESCHKA '.~ ~. Countyef KERN.. __ __ .________ ________.......____.__ 'I :~ the undersigned Notary Public, personally appeared ~' ~' OFr~.-.::.,~~,\L A 1~ i: .'.....:...'.'...'... \ 4t~. I' MARY E. STIDHAM AND ,JAMES M. STIDHAM \ ,'~ ~ ~~~l ~ "o,~~~,<~) '::' 'K' personally known to me - .-.-.--..---------.-. ~.'~, ,:', \ "t.. t> ~~ K:"HN r.C'J:;7Y " ,Q ,.:\:; ~ \. ".~,~/ "",'/ conm P;J:~f'" f.iJ3 1, 1986 ~, X !i. if ','~' . ....__.:-....,;.....:,._...~...;.>-'..:..:.. proved to me on the basis of satisfactory evidence ~: I ,.. to be the person(s) whose name(s) ^!3~ subscribed to the ,~ .~1 ~ ::;It;~nEi~~~~ymhean~~aa~~aO~~i~~;I::a~ed that -THEY. executed it ~ <~, ;~ '" ,~' ~/ ~~ ~/ 4 ~/, ~ ::1:;1 ,~ (-- ~~~jj1~~ture (~"?"-\: "'-''-~'~ '_(]-..$1__ -.-- t, '~'! ~,_'.~....,._'.,..,'_~..--..-.-'.-.,_..__,.._._',--.-'._,J.,.-~-,..,~-._-,-'.-..-'.-'_,..,__:.-'.-.__'..._._......-.....~-'r":-~-',-'r.-';;.,.-'.-'.--',_',-'.--/...-_~.:"~~~~',..,__.'.-'.-'.-',......-"...:....._....._.-..~,__:_._-_.., ..,''--'. .".-;.,,:-,::~-,"_....-:,,;..-:~~."-:,..-.......-..-'_.)~ r.A IIONAI, NOl AflY "'~;SO"IA lION. :'301;> V.!nl....',; 6I~(1 . Woolil"'''l HIllS, CA 91364 ~~~~i1l.'IF~:rcll\\.'l!i"':f'::.ll1r'"""'r'''..F!'f'''#.'IA;.~;;;t'''I;;;1,;"e"\j\TI,:;,~""",;,;.f,,!m.'l:it"'1m~~~;: J!~~~~~~J1ii.~~_~~ ", '""'""-'~----~'-~'"'""_:-~~;!,:;' L --, -, .., --1 L ...J L ..d" ~, ~,..,. - . " ... - ...... - -.."- l\ f ~ 1i ' " ,~ l~ '/fj~ .., <" ' '" , " "i: ':~;', , ", "" ',,:" ,,'. ,,",. "'" ',':' , ' , : ' ': ::', :", .,. ;',,: , " " , , .' , " ,"',: " :",' ,'" ',': ':, ' ,,', ',: ,,'. " "',, >", ' ,', '.,','" ' " " ,>,/, "', ' :-, .,:', ..... i, , " ','" ::'" " ' , "',', "',,." ,';' c ""':':' "',' , "'.', "J :' ", ,C, /,' ",',' " ,:', '," ',:-:, '"., ',', ,: ',", ' " "," '".'<. ," ,:,," .'.. :,,':. :',' ;:',,: ,':",:':," : ':, ':." '. ';"'.' , \.': CRP. II ~;-29 PROJECT: ..511///;:: 0::" /~'./},<'3-- . 1 53'0 ~',).' 2 3 . 5 6 7 8 9 10 11 '2 13 .. 15 '6 17 18 19 20 21 22 23 2< 2~ 261-' 27 28 29 ----".0 31 . PARCEL No.1 OWNER RIGHT OF WAY STATUS ~ICE ~ ~' R~~~ W~~... Ui~~. ~~~ ~~bs I 2 3 < 'if' LIf' 7 B ~. ~i~:~~~ Rg~ ~~E 9 10 " 12 '",', " "'. : ': ,,,",::: ." ';!:" :, :;:! :', ,', ','", ,:"n,:,:"'" ':': ",':, :-.",., .'",,' .., ,',' ,":'; ,:, :":: /"", " "" , ',': ': :'. ' ' , ,,'. ":', ' ' ,.:' ,,: ..' '" ", "''::''', <,,'. "',, ';: , "i" : ,',', .. :," :,,' , :,' ", ",',' ',,' ':,:,," , .'" ","':, " " ' ': ,',' , ,', , ',: n' , " :', " " , . ,', ':". ',' " ,':,: :', ',', " :', ";.' , ,',', "', ,~' , ,', "'~:':--"-'~-'-. ,,' . "..., --~-_.....:._~~~ rr Ii If [I , "::'::'>:Z, ~--_.~..~,....~. ,~ EXISTING CO: ROAD y...... ~~s,~8~ ~~~P~I.;.~"N -------.7. "," I : -~S' - I : I .'''"1"''''- EXI STING .:ROAD TYPE "S~ "(",1'- O61t'of"FiAomif~I~E;"'~'i ALl.iVS OR UNMAII'ITAINED' COUNTY .ROADS ,..'~' .~"#,,, '~" .,' .r. " " .Lt:.::';' ___...__.___-:.It.F,.IF,TH AVE. DETA'L~"APPR'(j'ACH: STREETS 'AND DR~tV'E~lAYS "i<o'..:',.,,,, " .';',,\:,'.~,.... ',',":'j~',",:"" ~-...,;" .~'''f'.~_,...__.:~..~...."....", COUNT.Y ROADPROJECT.527 ~~~!j!I!!',l)ll~-~I'4'I'<il"~:'!!"!'f~'~\'Ii!I\1ill~Jl'lI~~i11"'rll~:'rAi\\"l''''''1'Vllill!...~.l'''''':'''P'\!<\l'I!~~~~~~ L .J L ..J ....J L . . .' . " . , .' " . . ..' .' ,.' . - - c. _--". . rr r If II , ROADWAY DESIGN STANDARDS PROJECTED TRAFFIC VOLUME! ( ....."',"'" ELE~NTS ENVIRONMENT 0- , 00 I 0 I -200 '0' 400 401 .7'5"0"'" 751,.2000 '00 1_5000 .. .0 nnn+ ~.~.....~~A.'li.~",~~J.i;,~"" . ., _, R'URAL\~'..'..:;';'. .... .40.~. .. .. 60,.. : .60.. .... ..C;",.~;,f";;lf"'" ~.;-;";6_0+.,~~;_" .- ~,_i,:,~~:6 0:+_,: ,:""'M',,._ ;;:...6.0.;+::...........,. RIGHT OF WAY WI DTH RF.:S 1 DENT I AI... 402 60 60 "SO :t:.'., 60+ 6'0+ 6'0'+ ......,~,'v ''I>',,,^,,".'J''~ .~..", .~~ "'~". i.,';,". URBAN"-- , 60 60 60 '60 + {.O + 60+ 60'+ ~.....__....., ."",.,.........~.., ' RURAL~....,...,.....,~,.. " .24 ... .Z8, . .. 'c' "2,,,~,,,. .. .,3.8._ .... ""~ .... .^..38.~,._,,,......".-~..... ......4,0_.",...,. noA:)','iAY WIDTH RESIDENTIAL '4 .. .. .3~.; 3. 3. 40 + ~,",..........,,~ "''''''''~'>''''''~._~ "URBAN"'... '.8 .. .. 38' 3. 38 '40+ ..., "." RURAL...~.,.....- _'b,.. .N/A" ." ". '2.. .. .... ....34~. "-',.,..-,."... -~.-.. .38"" ... _'~V'_ ".~,40..~",.,!.," ,....- ....".~..:'-"""........,', ,., ".', PAVEtvENT WI DTH RESIDENTI AL N/A .. .. 3. 3. 4 0+ _;.0":"':.""'1...<_. URBAN" N/A .. '8 3. 3. 38 ~'40 + ._..-....,~........" ,. ,,',"",~~",,'.' RURA.I...,-,;",.-- .GRVL I...BST LaST. ... . ~~ST~' ,AC ..... AC,,, ,,',"".' '. ~"',AC,,, ,,,,.,.' SURFACE TYPE RESI DENT I AI... GRVL. I...BST LBST La.~:!.~; AC AC AC '-.--,.-......-....,,~'"'.,"', ~".-,'- URBAN .. GRVL LDST LaST L.aST AC 'AC "AC ;--.-,-,--,,,.....-----. RURAL,:... 14% I 2,D/D I 0% ;...,t~O:I'.:;', .. " aD/D.",.. ,... .,,, --*- 7~/o... .. -",,^'" ~,,6% '"~''.''''''' MAXIMUM GRADE RESIDENT I AL I 2% I 2D/D I OD/o q>:/o_. 8'k 7% 6D/o ,~,...-----,................~-;,~...... . URBAN , 0.. , 0% 1011/0 ".:80/0 .. 8'k ... '7%- .'6"0c... --.;w~..;.".:..;.,,;.,.,<:,~, . RURA..................,,-o<._._. NO. .. NO NO~... I"" YES," n" .. V&:S.. ,...'''''' .. -~. YES ,."..~_..",...,.,..,..,. ,..~ HO-"~-'" a I CYCLE PATHS RESIDENTIAL NO NO YES ~-' .~ YES YES YES ,,~..,....,.,~lr' "-UJtBAN'-~"""""" ,. ..... 'NO NO . YES " 'YES V'l!!:s' .. "'"YI!:!S''' ..,','.' ~'" ~""VI!!:tr.,... '.'. ~~.-~,:,,";~-';'f...-,';:':" 'I'" "-"0 . ".-.RURA----....."l."'......... .NO. '" NO .. ..Nc_ ..... ",V&S,~ ,YES... .... ---"0 ..,~.._...YBB,.....-<'~................. -NO........-.~ ,':\'.':'''':') .~" PEDESTRIAN WALKWAYS WEB I DENT I AI.. NO NO VIES ..'''''ill,' VES _S VltS , . pm . ""'.....~~~'.. .., ""URIIAN'"'t......-..'.-: .., 'NO .. "VI!:S .. .'-vEtS". ... .. , ~"'I'I!e'II......'-.,-_.. ~YI!:S' "',,,.- .......'_.,..YES"...,.,....'..".....,~ .,...~...,".... ~~4"~;;;;;..,I?,.;..~:-";,,.,.:0i7;'.;.;.:.;..,..- _ ..URAI...............,.._~, "30,, .... ...4.0.... .. .. ....0.... "... ~,t;~~' s.o.. ........0.. ,,~._'--'" l;-,..7.tJ...;..-.'.... NINII<<JN DES I CN SPEED Rlr81DENTIAL 'SO SG SG 4.0 SO SG ~............-."\.....,.........~ .. """URaAN-'''''''''' .- '30' .. 'SG '" ... ~JO. ."',~. .....-4.0......... ... ......4.0.. ..... .. ~.,' ..40 .." ,..",._~........ ...lIG........, ". ~..., ,. .. .; .". .(!," " ",,;...' ;: i.f~;~':;'$!)].~r~;...,z.;~;E~r';04::'::i~0~~~~f2<~;:~7:;,j,iJ,;j' ~F;'> ~~~s~ ~, ~.-:;-' .t'<N/' ~(< ;":~h;.A~. If?!,: ,,:.:'~..>,.:..~2.;, ..;'..7 ~~~I;~E~~~.,I;~: . ...1. ." .... . 'f,.;;',ic"-" ..",,,'~ lb?~~~~,~~,~; t.'AD./UST.~~IC.DOU'IT BY tG'TOt FCR TRUa<S ~ IN~.IDCCE...OfP,;IO..~,~,\~~;" ,.",.". ""'~l.-::."~c~~.'~';' ~'~"'~~:~'~';i~~ ~.,!=",.!~~\"~~~IONERS '\.F,lII:II.LClIII:N1:.IJU.:;',.~.lI.G~.gftl\IEWAYS;..R NILE..~ . "-",'.'~IIANI.lUIEA' AHDCCM.ERCIAL/INDUSTRIAL AREAS m..tAL .' "'-L OTHERS " ,!,CiIH"..:." ,,,.;',';...,..,,,..-..t" F'OR LCING PLATS USE TRAFFIC COU\IT OF 101 /IS MINIMUM T,''''''', ""~.? . S-.../)"............... ....... ........ f;l\'Illml/l\llM~t;l'~,~'rA~!\'.l!!'!~\~.uI~M,,!l"lt~"'\jl""~.1;,~"'I';..r!',\\'<'""""\';"',"',"'(I':,n'"',''"'''''''''''''''I'''''':.,''',"'.")"1," ",,,,.;,,,,...,x.,..., "',...,.\,...".""","1"DATE "".' '"'.''.1''' "~~~f'!!il'i'i"""'F!~~~"I,~'~~~.~~'~ L .J L ~ L .-l , , . - ". ~ . ....: ~ .. - ~ . ~ I .". ,', j' . .....; ,; " '- -~-.....----~~ rr r I ~ L L F 01:':.... I?: I , ..,. ~:;::. Ck. 17' "".""_..-...........-~ II' :'J:~' 1\-:-;".. ........ ,.1. ..,RC>ADWAY SECTION '::1:; :~, '/;.':':j:;t-oJ'l:t::.t~1tf.'~II"t "::"~:';;"';"-~"""'''"~JJ( STATION~O+OO T(JS.!.ATI9,N 8<~5.o ;,:.~;;;:';::~;l;:j-'1?~-Si.~~ : 14' .;w~<. ~.f:'i!i,~~:,,,;,.,c .~. .<t. 14' -\'/' ~~ II' "'/'" .~.-,'. .,\~~;!~ihti~'~W.'f-' >"1 ROADWAV SECTION ..,..:-t.;Ji.-;nlia!'I"rll'~;;',;.;~~'1':"'l~' s'i"1TiqN 9+50 TO STATION L i:,',;,,',., ','\ 18+10 .J - If ..J -1. lIli.I.... .' ~ .- -- ., .L ',': ';~.i :::; ,:<:,:: '_-:> :,t~'(~~~J~~~I' ,.,~-",.,b'."..'" ""1 f I ~! ... ..... . ,'... . ',., ' , .,", -':;:"" . .' :... .:' : -, .' '. .,'-, , .'.., . .'." - ' , ." '.. " ,::-'. . ,..,. "" ' .,:-. ..', _..' : '., '~ . ..", ,- ", . .," '.": , .~, ..'. " '. ." '..', .' ."; ", ,',: ,'.: ' '. ,",' .,..:: '--: : "... ,." .','" ",' " " ',' ...:" ," ,- '.:.' :~...., ' " '" .. .',',: ,",' ,...,',.,.".. ,': '.. /i'. ~ "L:'-l.'U'..~:::-.~L:.~_ LoII-I/\H'IH.1I1 VI '..II"..... \.J,,",,"UIl ir.l" r~ri(ld_______ ...r.LI~T. 3 THMFlC E!lGlfIEER ~ CUMULATIVE SPEED - DISTRIBUTION CURVE . SR (;' If. (" C.S. 0ather~." . ( '. o"d Condition I).... Recorder ~l ocation. <;'~'.-.! /, /,joj~'7 f; r- ,,:.1'-1. L- /).' .... r-), (~ '.... Compute % of cars traveling in each 5 mile range, and add succesive increments to obtain cumulative curve. 851__ 80 /'.-- / I ~oo 96 90 100 !l5 !l0 .- .. 85 80 70 I 70 60 60 -.- ti' .1;' ~Jl;, 50 1- 50 1,0 30 1.-1--- 30 20 !-I-.--;I---"-- - .------- 20 10 10 -'1-, O'J ~._- 10 .__ __ L _ ___.___ o 20 30 1.0 :'0 _.____',___,__ 60 70 80 90 S['I;~U III !I.P.H. ':'y,nl_I'<':!-}c..s}?,!,!:IJ,..!~r A- fl,(u..!_____.IIUUlld Hound ==_ ,7{~:..~~~~=::: :;I:':;~;:;~"~i':~::;"~,.~~':~~j:::::: :---._-- .___~___..__ .____.... Hilll mllt.:J !;I't~t:d I{l:cordcd....... " ... .9J }'l:fLl:lltil'1 !il'l~l!d......... =~_~-=~2":__.".-_'~,~_'~_=... .ti~ J'I'rcl.'llti !L' !il'L:cu........ .======= ____'2..)._*__...,..__" ...... ./.v..'I.\gc :iill'cd.......... .-------- ____ _~_ _ _ _ _ ~__' . . . . . . . .Il('~ll ;111 :~pt.'l'O............ __ ___ _ _____........ .1l-ld,ll ~IH'~'d............. .......10 III1L! 1'':iC~' L1clit~....... ....,It:: t\~, 1'1'1 L"t'l\t 11c Sl'~"'u 1~. till: :'lll:t.:U undt.:r ""h1ell B~;: oC the C~lr!f w...~r(.! fuulHJ Lo C I . I \' ~ '1 . \u ;111t. P....cc j!. ll..... III nJlt! r.j"l:"~ Cot't:lin1flG lll~ l..,rgchL I'crcc'nt uf c.,rr.. 1. :'4;':- ~a2 (D.(,H) ,c. . "" , " ,.' '.',' . ., ,>. '... .'...,.,.: ".>' '>,' .' .,' . , .'. '. " .' : ." .,..' ',' ,. , ',' '..,.." ...., ' " "': ...: ":' : ,: ,,', " ' " . '.' "" '.:. ,:::., '., . ... " '. ,'. '., '.., ':i . , . .:,c' , , . , .< .. I It, I.'.."..'..:.,! ',; ./'i. , I I,.,.. r "., ; .';:...., ..>" ..-:; ..,. '... ".... .' .,' ' " , ' ..,. ,:-" .... , .. '. ....."'. ':.; '.' . .,','. ,',,',. ..',',',.", ":' ,.," ." '., . '" " .,., .,'.'" . ,'~' ..;>. ';.' '....,. ..,: .;,< .,' ,; ':;, ,":,., :"." .', .,'" :.......... ,,'..' ". .' ,', '.:' .,: '. " , '.,,". :..,'... '. ,,',' ::....;, :':'.:, .' '" ,'. <S r~-' ",- """,Tc...' L. '( Lo.:.,..,"'" \ ),.....1 _ . .:::-:.." AVt: /0 ~ ') ".'~;"",,/ I'J{ .~'i'r\ ~c-o..J"t;. ....." - ~.....}-f:-?k.. ,IU:,.'il. .>\..... O.'-(r.12.. ~!.-..,- I?On 1"7 j),.4TI; ~ 1,-'2.5- "~ o T'-,'''-'I: \Je \)~'e... 1/- 15 /6-'2.0 '~/-' 5 26-'-~ () '? ! -?. ':> I"! 00 19 ?, <, ,~ ) "2- IC,r .", /'-1 0 -:: ~ 5' J-{ I:. ': l. '2.5 L :, ,- ..' / 1/00 H..'? I I '-I , /0 2- 1""00 18 0 ~ -, ~ / /q.? ') 1:- I 0 / q "2- 2000 . It.. I 3 7 J../ 0 . 2./ 00 II, I -z. A '-I J 7-' n!') rz.. I 2- "2- " . () '2. :'0 0 /0 I I S- c-' 7 2400 3 0 /', "2- I 0 0\00 b D 'Z. 2- I ,.? 0'2,00 I I CO /) 'J ~ I r. "7. (',;0 I 0 () 0 / /1 I o q c. ',) n 0 0 0 ,:; _.Q-- i .. , 1', ! (,' I , I " (--~ I .. '- ( .., "".." "2- "\ , I I " .. , I , I : , ' , ;::, , "" .. i . -J, / I , : , 'J -J , ' / " ... ", /-, :.' (. / (] I .,. / :.. I' I ( 0 '2. .".1 1 3 .J " ~ . ,. L.'?L'.Oq. . '~ t I T -, I . I' -1--=.---. =~~~.=I~~-'- -=--~== --. . !=-___J:.--~-=b___::::_ J~-~~_~t _. ... _ ~_:~:I~-:-::-:: ,:-:- ,"., '2.\ J..-.;...._. I I .' .. A: I I ':;.\ ~, $, :r 1M I :; ....., -,:.,".:: ",:: , .:' .' ,,". :.:..'.. ,"', "'.:. ... ::: ~:. '.' . ,.":':." ',,',.' .' '...,,' .. ..:".'.': ". ,.. ". .... ." :.: ,., .,' ."':' ',:., ./' , : ..:: " .': .' '., .' '. ". ". ", '::" " '.. ...:." .:.'''' ,":, '. i': '.: '" .: '" ' '.. . ,,', . .' ',,' ...,.. ",.,..' , ': ' .' " ,', , .': . . ...' ' "':, " " .; " ~.~ - '!") o G o c:) c:; o Z / (';) o 1 o o c:; / .=> I / 6 o I Cl n o / o r-, o ^ ,'/ {:; i I i I I I ~. Co ~ I (-:-- U ,-:J I ~l " " I +- I I . ._. -- --------! '.' ,. , . ' , ',i" , " , , ,'\' "." , 0 " , ~ . . ..... _0_ i' ;. i~, ':. : :," '-~-' . ';''.;<~'.;:; -~.: "">.;-"";.,, ',' ;., :<:,,','~, '<-';':l'- ..~->-: ," ~ '~;' ',' . :~'\> " ,-:-'-', ,'I ~ . . ,. ..JEFFERSO\l COl.I"'TY DEPARTP-ENT OF PUBLIC WORKS P,PrH A llEI'JVE. FILE C.R.? 52...7 mnII1lJFST REQUESTED BY. G-A-R," i<.............\ F ADDRESS- As"'~r: P,,"'2.l,c. W...."K~ 1)/1!..~r7ne.. DATE, /Z//Z/.q-/ / PHONE NO.- ALT. PH. NO.~ NATURE OF REQLEST: ~IN PERSa< 0 BY Pl-lCNE 0 BY LEITER TAKEN BY- ,4 L jJ q- R, L , PERTAINING TO~ 0 OFFICE ...0_ENG/SURVEY 0 ROAD MAINT. 0 EQUIP. MAINT. 0 SOLID WASTE REQUEST FOR- ('J/4,uf.rEE j.J -r'fPU:.A( fln""r,o,AV 6E.rr'6~ I""'A.) PRO"~oI.~D '!"I'll At.lE C!.I?"v!.72vc7;o.<t/ LOCATIQ<- ROAD NME .-(-:DL- AIE3AJup' ROAD NUMBER 3/?! M,P, ~& 70 ~ PROJECT. PROJECT TITLE s:J2i.- /1'II<'/oh/6 PROJECT NUMBER- C!,.e,f>::) zB DESCR.PTIO'<- /e"", L!.L>,Jv&LsAr,,,,,..I ?U'P/ G.A,ey ;:&;"""e- /~.--?.2.4'.y; 3:tJrJ !'>/1 Jk- tuliAl75 -ry /,,,. "" ;?~'" 7> ",Ii Y -':>F-"'ltf).,/ dll A,ut;;=;- i) --r,;; .4 12.P' l<.J' DI/'! t-UITH 4 mlluA///I'iS/,::' r:.v,OT>, t::='~,,_ ::-7A'l'/Jn/ R+-S'D L'T': 'f-rRJ 1li r;'AJ]) nF /1J..nT?5"r/ 5T"i77n..J /g+/~J}tJ LI'" itT. , ATTACH MAP OR SKETCH REFER TO- "c/ ~ e' RESPClf'\ID BY. Aj/P RES~SE . REVIEWED BY. DATE. CONTACTED REQl..ESTER 0 IN PERSON 0 BY PH:lf'IE 0 BY LCTTLf,. CONTACTED UY. REc:x:JMI,E;NDAT,Q<. e/I/~A/6l!'.5 ,_"II C;'€" ,4/.-IPe" ,..,,,.; ;;I",/b F/)/"'T// h/I",J<' /1/../)) ~./",',o/, 7fe$ /.U,/'/ PREPARE EST I MATE "-01- -'--_.._-~ -,.,--., THE' ~.A,/~ / .. ..../~ YE- //.e~/(! i/.L~-rz=:b ROUTE TO- INITIAL. o o o o o o ADMIN ASSISTANT o El, o DIRECTOR CONSTRuCTION ENG. ACCOLl"<lTA/iT r/a~ ASS ISTNlT OIR PLANNING ENGINEeR ROAD SUPERV I SOR ....... , J ... ~'".''."''' ~, / /. ,."',: y . . . I " J ~...- 4 , ,:, :, ' " '.'",' , '",,;: ' " , < ",..' ",',', , "'::" , :...:':. ,'.::" ;',' ."i.' ',' .,., :' " ':, ,,' .",..., ,', , '..",.. .. .,:,..,,:' " , " '.. '.... '.. . ;'. '. ",,',. .: " ':, ,', ,. ',' : '.,.., ' , ' ',' ,",' '.. ..', ,... ,,' , ' .. :: '.., . :..', "", '. ';',',' ,.'" < '.," ' ,', ',".' ,',,",.', '< ,",. "", :,'"..'..' ,,', "',".,..,",:....;','; '..,; , . . pt . ',_ . , i\~~' ~}1~, i;;~, ..~~lNf~~'\~.~.,~.~ ~ 'fi.. ~H'.. r I" ... ~I'" .f?u.i' 'v:,., " " ,'I:. :..:' " I . ~J(n f....... L., ;~~_.' ~".'"7' ..,~... " JEH'EHS()N C()llNTY C(JUHTlIOUSli Jefferson County Department of Public Works COURTHOUSE PORT TOWNSEND, WASHINGTON 98368 TEL. (206)385'3505 r;idlurlAj III 01111')' ',ill I'Ll-I I, '.'.I.~II,IJ ,,'.;.',"lr,I,lON URIAN L SHELTON. DIRECTOR May 30, 1984 Puget Sound Power and Light Company P.O. 80x 3'19 8remerton, WA. 98310 Attn: Mr. Ray White Re: C.R.P. 527 Dear Mr. White; Jefferson County Public Works Department is planning to improve 5TH. Ave.,C.R.P. 527. This improvement may require your facilities tOiie raised, lowered-;- moved. or temporarily relocated. In order to schedule the construction, we would like you to furnish us with the amount of time you will require to perform any work that may be needed to facilitate the improvement. Include in your estimate the time requirement for mobilization after notification from the county. Enclosed is a set of plans for the project. For more information please contact this office. Very Truly Yours, Brian L. Shelton, P.E. Di rector / ~ Bruce Laurie Construction Engineer Enclosure cc: Corres CRP527 ...":,~,,.,..',,:.,' , '.';", '... ',':,' .:;' ,.,,:.. ,'".. ..',: , :: '",.' ",'.. ."... : ' ,'..,'.: . ":,".' : ",\ ", '.',' , '" '..',,',' . '.", , ,. ',,' , :::", :::':,: "'.'" '," .',." ,,' '. ,,'. ',' ",'-;".. "":' ,', ,,',": ,', '(,,' .....,' ,'" ": .',,'... ' ,'....',' " " ': . ", ,,' ' ." , .. iw.....'_ , .. , f" :'.., r;, ", " , ", , " " , ' ' " ", '~.', I ,>: 'i",'",,, ;, ,,'.,', " ' " , ' .." ',',,',' ", " ,',", , , " ": '....'., ",' ,', ,', ".",' '".' "".', , ' "> ,; "',',.'.., ',',,'" ',;" ,: ,'" '; : '.." ,.,", ", :'" ,;' l : ':,; " ,,' '" ", ' , ',,": ',' .' ,: '" ':. ", ), "" ..:, .' ":' , , "",'.: ; ,', i., ;,: ", , " ," PROJECT: L/';/:':::/ .- - , ",~, .: _-: .' ,--- " CRP. II 4.:;.. ,:..,;1 RIGHT OF WAY STATUS r.arICE ~ APPRA' Ri~~ REVIEW FED.AI CCI'<II"AC PREP. :S~~ RECORD ~!J!tl:E ~~:;s CCJf'l4ST PARCEL NO, I OWNER SAL AP~e' Ct"'~. CllNERS AGREE DEEDS , 2 3 . 7 8 9 '0 " '2 I f.2~ :.J0 / /("'<"',1~'),.u?E/I=/r/;;')/ .;.1.:/33 /~/.".':! 2 3 . 5 6 7 . 8 9 10 " '2 13 .. '5 , 16 11 18 19 70 2' 22 . 23 2' 25 26 27 28 29 -- 30 3' ------------ - - ---- ;;i " ",...',' :'.' "., ,<' , ,'.', :i;' ,,'::; " """;;',. ""."'" "', ',;" ;"",,' ",' ".. ..,': :,":" ".... ',' :'~': ".." ',... :' , ,: ' ''', ,........ .. ..".'" ',' , .',' ",' '.' : ."'; , ,'.. ' '''':', ',... , '" ' , ''':;'' ' , ., , . " n " . . " .\ '. . " " .'. ' '.: ' '.. - j .," . , ,",. ' - ", " .~ .~..'. ''''' - . - . " , . RESOLU\ ION NO. 27.83 County Road Prol".526 Before the Boar Jet. ferson County Commis- sioners of Jefferson County. Washington. In the matter at In. ltIating a county roa~ project designated os C.R.P. 526. It Is hereby resolved that the Lindsay Mill Road, State Road Log #33010, from Milepoint 0.37 to Milepoint 1.06 be improved 0$ follows: Ac- quire additional right of way and reconstruction of washout areas. It Is further resolved thot 'an appropriation from the officially adopted road fund bud. get and based on the county engineer's esti. mate Is hereby made in the amounts and for tho purpose shown: Engin- eering: $4,000; Right of Way Acquisition: $3,000; Sub Total: $7.000; Con- struction-, County Forces: 530,000; To'ol $37.000, The project Is hereby mode a part of t~e of. ficiallv adopted annual road program in accor. donee with RCW 36,81.. 130, The construction Is to be accomplished by coun. tv force. In accordance with R,C,W, 36,77/060 and WAC 136,18, Adopted this 5th dav of April, lQ83, Board of Jefferson County Commllllonen A.M. O'Meara. Chairman B.G. Brown, Member John Pilts, Member SEAL: ATTEST: Jerdlne C, Brog9, Clerk of the Board 997 ',13 crt Affidavit of Publication STATE OF WASHINGTON) u COUNTY OF JEFFERSON) FRANK \V. GAR RED. be"'g ~WQrn, SQY~ ho IS th" p..,bli!ohor 01 tho POri Townumd lltoJtlr, a waekly newspaper which hla boen established, p..,bhsl,..d in the Engl,~h longuago and circulared con. tlnuausly os 0 wtloktynewspoper in rhtllown at Porllown-.tlr'ld, in said Coullly and Slahl, ond for general cireulalian in !ooid c.;,unly for more Ihon si" \6) InoOlh5 prior 10 Ihe dolo 01 the lir". publica- tion 01 tho Nolice hOlolo auoched, and fhat lila said PorI lawn- roend Leod"r was on the 27th day 01 June, 1941, opproved IU 0 logol newspaper by the Supurior Court of ~Cljd Jefler$on County, ond lhol onnl!~cd is 0 Irue copy of Ihe Resolution #27-83 County Rd project #526 o~ il appeorod in Ihe regular and onlire ;hU" of rooid popltr ih.ell and nOI in 0 5upplltrnonl Ihoreol fot 0 period 01 one u_ (onu,(uliye weeks, beginning on the - 13th doyof Apri.l..__ '._ __.___, 1<83_._, 13th April doyol (I1\dendongon .he ,,83 a,," 'ha' "," ".w'pap" wa. '.'"'0", d'''nb"'.d '0 ," lubrou,b.." durmlloll ollhi~ pOllod Thot Ihe lull ornoun! 01 27.20 s has boom PO,'d In fUll.O,I Ih,l' ro. 1(1 01/3040 p"., col "m" moh 10' ..,h m'.I'~) , v9 }{<,;4lU. ,,';;'tt,~ Sublu,b.d ond Iworn 10 b..I'1,e mil Ih,. l~.~.~... doy 01 April " B3 .. -J.,L ~';\ ;,:,' ~{1 ~ /;;( (' /<<' ,; ~ t"o'oryp..,bl,( ",ond 10' Ih., 5101001 Wll\h,ngwn ",,,<1"'9 ot Porllown.llnd . " ~ '," o ,'''. '-',::,,',J,; ..J"";'" ,":' ':\:"'::,i , ...Ji, . ,I, .~ ,J. . ..... ....... - CRP 525 Chimacum Creek Washout CR 18 1983 pp 228-488 and Reel_0017B pp 1-110. -- : I ~" .. . F . 4 - J .., ~, ".; '. " '" r ~ - --- ~-----------------.---- rr r L L ~ L [I Vtl~DOR ;;; ~::=:i,,~~~~ ~/~fl~nSPOfla'iOn """ JEFFERSON COUNTY r VENDOR'S REMITTANCE ADVICE DATE OPW At.,1CllINT DISCOLHH ,. .00 .00 I~E! I: HE ~J(r NETDUE 66,146.74 9,114.21 I~VOIC[ ['., ~ ~\>'.~ I, E 11 ;9=-21-83 r.B.Nt 09-21-83 r. B. #l .00 .00 0122501~29C 0122S01829C TOTAL PAYMENT ENCLOS n $15,260.95 ----~ ~-'~O'I. ~ , .J -, If ..J ~ ....J' ' ....... - . . - ",': ~ . ,-; , . I ' - ~-- '" ,}\ . __ " ' ~_ :._ :.._~_,_,.__~ rr r Fr-. ....,.^.~....if\'-". . ~~:~~.l ?J.J ":'~" ~ If , FEDERAL-AID PROGRAM INVOICE NAME JEFFERS8N COUNTY DF~AR1.r~E~!" OF PURL Ie \dOF;I<.S ADDRESS rOljPTH~)11Sj--: pnPT Tn1.}r'JSf:'"Nn h'tJ, Cl~.l)()~: DATF SEPT. 21, 1985 d P,E, Final '0 R/W Final o Final Progress Bill No, Project Federal-aid No, FA-[R 33 - 0 6 (1) Ag reement No, r. r 7, 1 R Name/Termini TpnNr'lAI J:' FT! I t./t\<;H{)IIT ,~p 1~ 7n T~ MD 1L~ Rn Dear Sir: This invoice is submitted for work perfo'rmed on the subject proje~t. P,E, Local Agency Costs Direct Salary Payroll Additives Admin, Overhead Consultant Svcs. Non-salary Costs Construction Contractor Local Agency Costs Materials Equipment Labor Payroll Additives Admin, Overhead Construction Engineering Agency Forces Direct Salary Payroll Additives Admin, Overhead Consultant Non-Salaried Costs Other R/W Acquisition Mise, R/W Costs Agency Furnished Materials Utilities Mise, TeTAL FEll, SHARE $ h 1 r.'~ ',-, "; n,t;r.: ',', $ ') J lIll . 2 1 t./' $ C, J 1 11.;. . '2 1 ----- $ q ? 'i C ;' / ;' " 1. " , ') ~~ ~ , ') , ., t;) n " , , " . -r s (, 1 J 9 ~, " . ? 1 $ (1 1 . !)~' 4 .. 2 1 $ . 11 (, . .~ 1 -----.:.:...~ S "1 ~ :' - $ -.!l.-~'\..--"""'- $ S -- $ S $ -- S $ S $ S .---.-- S I certify that the work covered by this InVOice has beon complotod in accordanco With approvod plans and specifi- cations, I further certify that the costs shown in this invoico are true and corroct. the amount claimed is due and payable in accordance with the terms of the agreement. I QISTRIBUTlON Wt"'.-WSOOT HeadqUllr1.,. Accountlno G,",,-.R~lur" 10 Aoency WIth Warn", Ca".ry-wSOOT O'SI'I,1 51.11 AId Eno,ntlfO' Copy Pin" ~-O'.lrIC' ACCOUl\IIl\O 001".1\'04 -Agency Copy /' \, DOT :~:~~O~':-(41 -';'-'3- L L ~ ,., ..,..,.......,.......oL .., -,'. -('.{-, '. -'~-',--_._'---_.. PROJfCT ADMI'~ISTR^TOR .J ..J ..d" ~- L ~ ..... , " '\ '. , -'..' - - , , .. "-- ,- ,~~-~, '. Ql . ..' ... . rr r I ~ L ~ n 1~~ - P~!. ~~::~~!4~d '-"i - If , PAGE 3 OF 3 l ......,' . '~. FEDERAL-AID PROGRAM DETAIL OF FUNDS EXPENDED Pi. P,E, Final .",[8. R/W Final' o Fillal Project Federal-Aid Number .~-A FA-ER 83-06 (1) _1 tf.TW~~~YBY_ GC 73 r'8 City/County JEFFERSON Agreement Number and Date Executed PA YEE HADLOCK BUILDERS ,..._.1... SCHMUCK CONCRETE PUMPING .J '1 ;1 09/83 16227 JEFF. CO. ER&R - STORES :~ 1 09/83 15679 JEFF. CO. EQUIPMENT RENTAL I ofl }1 iJ ji '~ ~ -"'----- ,~ j ~ ~ AUTHORIZED TOTAL I F~~~~~L EX~~g~~ERES -- ---------- ------ --- -~- l P,E, 1 3, 500 . 00 v ~, I 1" , 2 1 r~~~::~~~r, '-; o;oo~:O'O'--_;;_;.212~ r~on", 1', 3 , 7 8 0 , 0 0 5 1 , 9 3'; . 2 1 ITEMP. "'~c'-'------ ~'Rf.J>AL'L .J . I'~~~~ -- - I --' ~ I i il ,~ 'lE.OT :~:~~~~ JEFF. CO. ER&R STORES ...... r ";- '.:\, Current Period PartiCipating Costs .-. _._._~_.._.._. .--.... -----------.-.-----.--- Progress Bill No, S. FENLEY B. LAURIE APRIL' 7, lq8~ Period 0 1/0 1 / 8 3 - 08/3 1/8 3 TOTAL AMOUNT FROM ALL SOURCES .. :~~~~~~~~~6 EN~~~~~jNG CONSTRUCTION MISC.' .. 9,114,21 ....'..--'..'....-..;/-, 4,212.53 ,1,934.21' PRO RATA % CLAIMED --:6+=.=-~- TOTAL AMOUNT CLAIMED ~,114.21 LESS PREVIOUS AMOUNT PO, NET AMOUNT CLAIMED 9, 1 21 :"t';-l'- -'r3-:-I' 4,212.53 51,93'+.21 4, 2.12. 5~ 6!,93/1.2) -::_~._,_. 17"7'.1 pis (f:-'o if -.--- -75-:-26-0~--"- --4'''-:-~- / 5 ~ 2 GO. 9 5 .H__._._......______...._ .~___ CITI'fCOUNTY ACCOUNTING INFORMATlOt,l oJ I:ffJ.:gS,Otj..C QI,JND:,.D U'ARI!1[ 'iL,...., OF PUl'LTr WODrs .(:O-U~T-H~"1US.+::..-,-- ,",Qc:~~..IQ\!~,~~r,~Q"",'ooJ..,,...? 'S,}J01...._,_,.. DIS fnrnuTloN """"Hltt_ W~OOT t1l!'lldQUArt"" ACCOlJr'I',ng Gfoon.. R"tu'" 10 Ago'lnc)' W,," Wa""nl ClUlill,y--wSDOT Olllflt;' Stille AId EnQm~llr COl)Y f',"Il-O..I",:1 ACCOllflllng G,llden,oCl__ AgQ1ICY COpy -',", ',":_";.';:'! ,~:'t L ~~." ~ 75,2 0:95 6f/. 'USE FOOTNOTES BELOW TO IDENTIFY MISCELLANEOUS ITEMS, EG, $2,000" ') R/W b) MaterIals Furnlshod C) Agency Force d) Uli/ities ~p ~' -e., 'J .J -1. L ~ ...... ) -, " "f,/: ,'" ~. ' t.",,' ," :....__ __~_-L._' rr r I I ~ ~ ' L ~ r ::;1:' . r" " :-..:..~~ FEDERAL-AID PROGRAM DETAIL OF FUNDS EXPENDED Sl P,E, Final "'l2I,.R/W Final o Final :...... ~ If PAGE 2 OF , l ~ M W I~';.."...' ,~ , City/County JEFFERSON FA-ER 83-06 (1) \ Prepared By S, FENLEY CHECKED BY- B. LAURIE GC 7318' APRIL 7. 1983 Period 0 11 0 1/8 3 '7 0 8 /3 1/8 3 Project Federal-Aid Number Agreement Number and Date Executed WARRANT NO, AND/OR VOUCH ER NO, 20188-2U224 JEFF, CO. PAYROLL PAYEE --"~~ ADD IT I VES ADDITIVES 15700 COTTON REDI-MIX " 09/83 15695 JOHNSON EQUIPMENT RENTALS ! ~~/83 16176 SCHMUCK CONCRETE : 09/83 15696 SHOLD.E)<C.AVATlNG ""~~'" ~/~.~..~~638 COTTON:'~E~I-MIX .. Current Period Participating Costs AUTHORIZED FEDERAL FUNDS TOTAL EXPENDITURES TO DATE G:~:t~~, ~~;, : f~on.l. k~--- 'I; I ~~~- ; , i 'I :1 <:~DOT ~~~~~~~ CITY/COUNTY ACCOUNTING INFORMATION ..J E f.f ERS.C,IL CO UN TYIlL::;,?' T11ct;I..__,_ OF PUP,L1C WOP.KS ..c.QUlUHOUS.E." "i".P.ll rIqWNJ'i ,~N[)" W,,,,.,. ~,R~,r!..L___ W""l~'- WSDOT HOJlr1ql.,ft,t,." Ac(:ounlll"lll ("NOfl-" Rtllur., 10 Aoency W"" Wlrtlnt C/lnaty--.WSDOT 011",,(,1 S'A'e A.d (.ngml"N Cory p",,-.Dl.lrlct ACCOHr'l,mQ (ir.I"'enr04-' Ag;,nc.,. COpy DISTHIBUllON I ,~:If:i;": ..: ;~ ~.:.~,., ' '.':".\<'.;:'.' . ,'.t~.~ Progress Bill No, TOTAL AMOUNT FROM ALL SOURCES :~~~~~~~~~6 EN~~~~~iNG CONSTRUCTION /,846,31 MISC.' 'CO 2:'/ t.'4(), '34 ,'y..o- ?Z;'T..1.(. I t I" <' " ! PRO RATA % CLAIMED TOTAL AMOUNT CLAIMED LESS PREVIOUS AMOUNT PO, ~. 'USE FOOTNOTES BELOW TO IDENTIFY MISCELLANEOUS ITEMS, EG, 12,000" a} AIW b) Materials Furnished c) Agency Foree d) Utilities l~ 'oQ:o')o , -I. ....J .' ~ ~ ...... , , , ' , . ' , V__ \l',) _ __. _ __~__....:..__ . , ' , rr r If F ! FA-ER 83-06 (I) 1 ", PreJ:lared S; "S. FENLEY CHECKED BY- B. LAURIE GC 731t AP~IL Progress Bill No, .]a P,E, Final "lill;,R/w Final tf Fi,!al , , . ~ I r ....{- ...... -' , -<--~,p~- FEDERAL-AID PROGRAM PAGE 1 OF '~. "j 1 ,'.1 :.;;J Project Federal-Aid Number 'E,l C;tY/County JEFFERSON 'if A'greement r~umber and Date Executed '",", WARRANT NO, ; AND/OR PAYEE " VOUCHER NO, : 182 18288 JEFF. CO. PAYROLL I ,t ~ I' '" '~-, "" ~ t____ ,'I Current Period ..5// l? ~ Participating Costs rb"r..zl_ ,; ,- AUTHORIZED TOTAL f~ _~l?~~~L __ EXPT~g~~ERE~ ; ~,~,- - -=--==.- -=~ . ~.~:~~-~=----- DETAIL OF FUNDS EXPENDED Period 0 1/0 1/83 - 0 8/ 3 1 / 8 3 7. 1983 TOTAL AMOUNT FROM ALL SOURCES : :~~~~~~~~~ ENg,~~~~iNG CONSTRUCTiON 1,578.~O MISC,' ADD IT rYES PRO RATA % CLAIMED TOTAL AMOUNT CLAIMED LESS PREVIOUS AMOUNT PO, Py), ~')o , f I CITY/COUNTY ACCOUNTING INFORMATIOIj I . I Ol5TR1RUTION Wh.IU,.WSOOT H,.aOQullrtor, Aecoun'I00 O'....n~RffllJrn 1[, A"l'Incy Wll" Wafritnl DOT 'OAM U()..O!!>J C~nary.., WSDor OlllrlC' StilI" A.d En~WU'ffr Copy ~ Arv H).111 p,,.,. - DllllnrT ACI;('lllrTt'P'lQ GOIO"'nfOd,"Agency Copy ,Ill: f'.EERS_QtLCQ!J_HI,LJ.l.E.MB..IMftlL___ OF PUBLIC WORKS J:9,lJR TJtQ~LS L" .."....___.._,_,___ 'p_<?R!, T,o..W/j~,~':[)! ,~~ 2~...2~,___, ~ 'USE FOOTNOTES BELOW TO IDENTIFY MISCELLANEOUS ITEMS, EG.. $2,000" .) RIW b) Malerials Furnished C) Agency Force d) Utililiell L ...J L ..J . ". - -. . p . . -' . , . " . . . \'. , I ~~ - _ . _ _,_ . , '"~"'- ~- .... '~..:~',,;'.,;';:;t:C <~.r" FEDERAL-AID PROGRAM DETAIL OF FUNDS EXPENDED Project Federal-Aid Number r /J - E /:.- ({.3 -- () G (I) City/County "),cF,C;c.r:.,::;,,,) Prepared By -c~ .coco,/." "J~ ;-;;9-"" I /JI'/J II. Progress Bill No, Period LJ,Jk/I~.:;-6d~/h.5" o P,E, Final o R/W Final o Finai Agreement Number and Dale Executed r::;c '? /9,5'.3 , 73/[( TOTAL AMOUNT FROM ALL SOURCES PRELIMINARY CONST, ENGINEERING ENGINEERING 'USE FOOTNOTES BELOW TO IDENTIFY MISCELLANEOUS ITEMS. EG., $2.0001) a) R/W hi Matorials Furnished C) Agoncy Force dJ Utiltlles ;j- 7"o""e:.s ..s 7O,e "':> KE....J7T'H... f ' AUTHOI1IZED FEDERAL FUNDS ';;;:-.--;?7>~ SOO, 00 'I ~:~:l~ E~9r ~~(.)O(J, 00 /----;.;:;;-7" ,t (;;,0 D I Consl. 7"'::;" I;';';:;;; - (,00, ,,'0 I~ .tfeftl~ ---.---. I Total '1,1/ 7'? ;;:;.Yo u ~) 1 Co,.t!..____ Current Period Participating Costs TOTAL PRO RATA TOTAL LESS EXPENDITURES % AMOUNT PREVIOUS TO DATE CLAIMED CLAIMED AMOUNT PD, ? / I' /..') 1 (7,.5 '?II'/.';!/ .- '?_71/,:;3 2/,1 ~~<;)P,~3 to / -=J3L!.:J/ </.j~ / 6/, '73/.)/ , 7S;;; (.,0713=--- --'/~,3--- '7~./CO,'/S CITYICOUNTY ACCOUNTING INFORMATION --"-'-"---'__0_- .___.____._________.__ -.-..-.--------.--.-- -, ---~.._-'-_.._---_.-._--~... 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' ;",': '{;,' ~',..."'." .. " Jefferson County Department of Public Works PROJECT TITLE IrOil Dal... C (, P~OJECT NO,C::U LOCATION ' W~RK PERFORMEO ByrTefJl:' -Co, P,,,,!',,,,, D<p T- V: "?'7~'1 "j 0'1 r: ').(), DESCRIPTION.PF WORK Equip. No, .6f5 63 Equipment 96'5 Cq 1 tln/7' C-/"qI1<:::. c7/-;(,,, j)"'4' "'. f3'1dr!fc..e (' ....?1Sr - P"ct tf ,.:;, f?,~-<- A'/,?d ~ ?;c..!C'I?' Lqdd.er 7rL,c.!<, , ~-r:-:r-: i::'h~: !,,,,.,.)/ ~ (}".n-r" /.!, / ~:..f /.:1, CJ 31 &t.,"} Hours 4(/J 1 ...... / V -ji,v ~r/' 1--/ ~, .. ""'7"!'_ ~aurlv Rale Lie, - ,;~,! - 1,,-1 . / '7", /17.::) 301 -- .';1' --..-- .. /175" ! '! I I I MATERIAL and/or WORK done by spcci;Jlisu Dflscriplion If". .s e.lllel' '.::J i p... '7',)' ~ /'l.ll.... :P1',n....' ~r>" ~,,'. h:.... i~' p,,~7S 30 - ,h," Ii/, ,., No. Unil Unit CO"" 'S'ID' ~ I '-"', I TOTAL COST OF EQUIPMENT. MATERIALS AND WOAK Submilt~d -ConlrllCtOf RP.comml'ndt"d.-Rt, Prol. n~prl!'~l!'nl"ti\{" Wil.y,Fi,lc Fo,m 15.5 , lii.r.. DISTRIBUTION: " ,.:; ,< , ,",.,,'. " .. , , , .' . .,.. .,'.',' ,."," , .. '"." ": :,' < .," ','''. " :'<<,. .'" ,.",',,'. " ","',:'" ;.',: . '.',.; ,..' ,.... c., ':,.:..':,.., ',..., ,.,.'.... ,e,: ',,,.. ":', ';" ,','~;,t"." ,:"'..',, CO"'?S T- 0/ _ &0// " EXlended Amounts.... ~.. 7';-;-! - 1<'" - J~I' - /'-1' - :]0 I.. "1:'~"" / </' .. ! , 6721 ,~,) :'-'P!\,10 i ...}~ I I i ,), ,-,', I DAILY EXTRA WORK REPORT RErORT NO. AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE $ ~ TODAY $- TO DATE $ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. DATE PERFORMED 4; - tj- 't):5 DATE OF REPORT c! r€-vV PiPe . P.A. No, Hourly Rate ~ /'" -- L<lbor Hours R '3 'fn1 uu::. !f.-ll"fI a.T. Reg, "5' 1'1 ! 100 I M ~y-e;' ,VII ;1!;'7,:-" a.T. Reg, ?6 0 IG : '19 __, z.. II : ,y) Reg,") /4' tic! 1'Y/6c.-/ar y fI-e,lr I' Mvtrdo - D.T. I 4'- "7C;VJ - , Reg. "l /(1 : J-8 C.T. , /(-i'./'J Reg,,9'/?-, IOIfi,c" O,T, i Reg. ..e;- /1 '0<1 )/.;;5701/ I; Jr\l. i 1'-- '~l~~'~'~~L Added Pcrc:entilQo-ISec ~pacjal Conditionsl ,~}//~ /} /)l)/ FI j/(.c.~",: Subsi$loncc No.__@'l$ No.._@l$ Travel Expense Othor_ TOTAL COST OF LADORI A ~ I 8 Extended Amounts I :?",f'!- , 0?1?4- ~ eL'O<) q 1'.20 I X'J.!:?D , 37l~1 , 5:ff Q:) ;?~!..2? /?..3 ,75' Z II) (t1'/- : I '~:J,.) I t.i ,-) , ~wK-- I , '7fo I I/.)o , , I 1, Proj. MQr. 2. Filtld Olllee 3. File I For Olflee U,a On Iv [Pd. on OSl. no._~ IChucl<.lId bY~ +_%ONLADORCOST (A) + _" ON EOUIP" MAT'L AND WORK COST (8) TOTAL THIS REPORT I q,,,;> X'i/l( (, ", , " " :,.., .' 'i .,:,." ' ',' "'" "'.' , ,. '~',', .,::, ...',,' .,...",. , ',". . '," :;' ',' .'.'..', .. ", , " " , " '",.. , .,....,. -,." "..'.', , , .,'" '.... ;,,', :, :', ..'.' :, "" " .. .." ,;- " ".... :" ' ,,:: ",. '" ,,<: ,"': " , ,: ....", :., .,',:,:;:, "',' '-: > '",,: :, ~'..' ,', :' ,',....' . ":' :'. ",,: ::.' :"..' ,C":;-".: r ~" , ' Jefferson County ." Department of Public Works DAILY EXTRA WORK REPOHT _u__.___._ - -------- _____.__u_ -~ -- .. ---- PROJECT TITLE fr6'1DrJ" Fcef 15-5'-"-03 REFoRT NO. DATEPERFORfy1ED AMOUNT AUTHORIZED $ - P~OJECT NO_! ').. 5 LOCATION rvottL)~ / :e DATE OF REPORT PREVIOUS EXPENDITURE $ ~ .7 _..f!..{} , CO G./ ~~W'l--V _ CON.>7' ~ r'- re..w TODAY $- WORK PERFORMED BY TO DATE $ o < ~ ~ ~(~_~O~~, CONTRACTOR JOB NO. DESCRIPTION OF WORK ~ CONTRACTOR REPORT NO. EQuip. Equipment Hours Houriy Extended P.R. L<lbor Hours Hourly Extended No, Aate Amounls No, Rate Amounts -q'!i'=> '1<'75 45" '/C1 - :; uu' - O.T. I I (.3 '$./ ?- 2VJ. - 7Ii f'i1 R Q Cf,t'/ll..fC/C Reg. 7-!//0.3 ~IOO q(( I V /Sl - ,1<\' - ; O.T. , I , 1" /17.:;- ILl: - /III e..y.r/0 Lv: (( / q..t-, .,- ,I//)O 1?::;'tcT.;z. 14' ~/ Reg. '?f./ '6 ,/ JI '75' /,/' - O,T, , I I ';j ! -t'-t- -)1 - ~-,-=, 1'1e.c:J'tJf' y (JCf rll( Reg. <g' I{ / '/3! C; I '~ D LL. / qt - -1'1- O.T. , I I , M,,~r-t.(Ie..() - 7C;'''J, Reg. "i ilit'-"- '" /i7.) !' I , ! ! O.T. I I ! ", Il/.7;-S;;"';! .::5d //':' .?<iOD I I IVi I~'d' Reg. I 56~1 (";)0 O.T. I I I I _~,~,;(I.;.:.i,':> Reg. I I MA TEA IA 1.. and/or WORK done by specialistS I P;l,/),'~c.t..,l- :?S g:5?7 Description No. Unit Unil CO\t - sua TOTAL I Addttd PIHccntage-ISce Special Conditions) ;'J/r A/)/)/T"IV/::'j /7.:1. L"3S' --l I I I Subsistence No._-@$ I ! Travcl Expense No,_@$ i I ! Othor_ I I I TOTAL COST OF LABORI A /). =i / \ l.,1 TOTAL COST OF EOUIPMENT. MATERIALS AND WORK ~ ~ I B 5:;':?!/?D ./ ""- (A) I DISTRIBUTION: 1. Proj. Mgr. For 011 ice Use Only t _'Yo ON LABOn COST I 2. Field Olfic" \;d.onen.~ + _'Yo ON eCUIP., MAT'L AND WORK COST (B) I Submit tt'd- Con t, IICIOf 3. File Checked bv TOTAL THIS REPORT lot?!/,,?, R!'conlmtlndr.d-HI!\, PrOI. Reprt'u'ntati...rt Wilev,Fisk Form '5.5 ; I " ",',!C." ....,'~.. " . '. ... ...'. ',. " . , ' , ,",," . ',':-' ... '." .., ' ,,' ",.' ", ", ',',', ..'" ' " '" ..' , : , "', .... ..".... '. -'- .. , ' .,',', ""::" ie" ":," ,',,' " ' ,'.., ,:' ">" ,'.' ,,',',' ',', " " ,. "",'.': ',:' '. :' : ,,', ">">' : ..". ':. '; ,:"..,,' '," " " " ' ":, ' ".: . ",",: ,,"'. '" ",. ," ,. ': ":: ..' ",:..:': '.:::',;;',., .:' , :... , " i,' :.:' :,,: t ,"" Jefferson County Department of Public Works :"', ______ ..___, .... .._n'_ __ .... DAILY EXTRA WORK REPORT --------- DATE PERFORMED <[' ~c;:: , '% 3 DATE OF REPORT PROJECTTITLE / ra t1 pc( -<Z. - F f ( PROJECT NO,n :).5 LOCATION )"'of7 0" /-P WORKPERFORMEDBY <f~(t. Co- ILI~'<I"'v D~f'-t- .-/1/ ..):0" 1/ '" /1 (,' ( DESCRIPTION OF WORK/,."r, 0 <l I - b 0 - ~ ~ v~... _ ConS i --- Q y-e, It..l , .. r ~/ << _ /I],tq / ~ (//'J()_$~ - c 1(/ :Ie.... ,- Equip. No, , Hours Hourly EXltlndcd P.R. L:Jbor Rate AmollntS No, 7 t..IO,- ,/ ?,z5T - 7 ., 3S! - ,-:)'15' - f3q If t>I qe..-:r o 71,.~. ''OJ ,',' 1!7~ ILl' - <;Z' , 117\-- ;V! - M,,"yer vV, /I,'1hl < / /17:) 1'1' - I I hf.t c1<'1I-.... .t.../~}r} I!. I , I , H,<tIJ?7t/ N , ,"(oel(, I 1 I I hi Cf: r<.f", - 701";/ I , I I I 5 {,'71 . Wa/-r;,d '1 '/J.s,f~ 1/ Equipment 7< (,,3 /"1; U/ <;';1.. q5!i - 'C" C.q r. 1.(1} i T - C-I-qn ,., , Co"sr'- ;:>0',,(./-::> ~Ol-< I~I,. ^ < -('c/, c, ,.), t1J~ :,1'>, r<:: - Cqr.v i, MA TERIAL iJnd/or WORK done by specinlists O",cription No. Unit Unit Cost - REPORT NO. AMOUNT AUTHORIZEO $- PREVIOUS EXPENDITURE S ~ TODAY $ - TO DATE S CONTRACTOR JOB NO. CONTRACTOR REPORT NO. Hours Hourly Rote , a.T. Reg. a.T. ~ / /' 100 Reg. a.T. S'" 10 1$'9 I I -;:; II ,~() Reg. O.T. i', 7t'1?'9 ! .<;" / IO~ I -,;; IT ~ <7 R'lg. a.T. Reg. O,T, Rcy. ~Oe:~'~TAL =:1.",/'('~/h::!1 ,/1~ /j.' :"~/' /'1/"(':;- Subsistonco 6ILI.s-~ ()~j< \(./';0 Added Pt:reentillje-(See Spt:ciill Conditions) P/l~. A r;;p~~,n';~:'; I I No.._<i.ilS TOTAl. COST OF I.ABOR\ A >- \ B For Qlliee U\u Onlyl to _% ON L^OOR COST (A) Pd.Ofl IHt.no.---l I Ch,ck,d bv---l . _% ON EDUIP.. MAT'I. AND WORK COST (B) TOTAI.THISR[;PORT '-$<It'ls-O If. c)/ Trovel E )(pcnse Otl1or_ TOTAl. COST OF eaUIPMENT, MATERIAl.S AND WORK ~ ......---- --- OISTRII3UTlON: 1. Proi.Mqr. 2. Field Office 3. File Svbmitt~tJ-ContlllCtO( n'~C:Ofllr"CrHh..tJ ._n...., Prol. fh'p'I'\l"flIJli",t" W,llIy,FI\k For", '5.!; ,,:' '.' . , ". ,,:,.,,::" ,,"! :,'., ".' ," .',...,: ','.''' , ,', ::.::,,":,:.;, ,...",,',;...' ,,"',," :' ",' ,.,,: ;: ,':' , ::,.:,:"",' . " , ,',',.' " "., ", " '. " " ' , No._@$ '.: ,:' E)(lCnded Amounts 1 X'l?0..:> 1 'i?'3q,,;l I -9/'20 I .?:-:::'9.:2. ! 9:2 '90 1 he. 10 c) , 1/7 S l,?<! 13;{IOO i 1 I '71;') \yt/ I 1/(" /,"J !tt. I I , ',:, .. >.:' , ,', , " ... ," " ,', ,','", "".., " ' " , ,,': ',:,. OJ: , ': ,,' " , , ,',',".... ,". " ,'. " "", ','" ':',", ,,' " , ','",'. " " " '>:,,"" ,',' ',~ " , '.. ',' . ',:.': ',:",: , ,,: " ".., , ;, '...' .. ' : ';:.' I [, Jefferson County Department of Public Works ---------- , , .. '.'- ' ',:: ,,' :.' " ' ' ., , , ' '. "..' ',.-, ~. / DAILY EXTRA WORK REPORT PROJECT TITLE 11-0 'l D Cr ( e f.. I ( P~OJECT NO~ :; LOCATION / fo /1 0 <i /.. . I WORK PERFORMED BY .r.2 f!:-, Co - {J.':7 0W1.Y '1)(r - C. 0 "15 r - C f- e. LV DESCRIPTIONOFWORK <<;.1. E"h?...d. "1(1)'''".... ':"'0- k/'Id ,,-0 3{ r~ e.~/{;~""~- P.,c:../( fll)..-i. REPORT NO. AMOUNT AUTHORIZED $- PREVIOUS EXPENDITURE $ ~ TODAY $ TO DATE S CONTRACTOR JOB NO. CONTRACTOR REPORT NO. EquiP. No, Hours Hourly Rate Equipment 91- ql - 'IJ. - ;<;1 - 1175' / ;7\- ~-6 u6 7::-7 V 2;/ <:f., ,/ <::;, 1- <:; -4- 31 15 1/4. d .5y,( d ~rtlP rrl d(, .;'",1-:.J.."",,,, r'r'fc.t -Q55.. r!...q -r: -;n:lt_ D<--I-~-r3",cl(J..!c<", C-o 1/5 r 7"': c..< .r', r;,<.,?>,...<' ;7,'",(, ,.:> , Ii.. ""I i_J"'~"" '- . /:-'J ~"'/";"'~. Cq,.ry /_/ I fJ I '1,) 6::1.. ?01 -- /1 JS l I I I 1 MATERIAL and/or WOR K done by specialists OQscriPtion No. Unit Unil Cost .. {;/4 t1 try "T<' 0 0'( - ()<I/ l_ ,p'M": J.l 'I (J-; Pit' _. /?'<t11 ',.-li-b- "J., ;100 Ii TOTAL COST OF EOUIPMENT, MATERIALS AND WORK DISTRIBUTION: S....bmi I1rd -Conti Ictor Recommended-Au. PrOI. Rel)'t'It'ntlltl\l1! W,lllV.Fi,ll; Form 15.5 Extended Ampunts .~- ',,~r- ') ;(()' - 2.()1 _ /L/' - ILl! - ;:/0: ... )Lfl - I I - ; ',"\"11- "71-"~-i - " ::-;< <. :?' 5"-10 , <. ~'oO ,1 1'-' I ! ~ ~-............ DATE PERFORMED <g -7- '1) .3 DATE OF REPORT P.R. No, Hours Hourly R;lle EKtended Amounts I ?X~ I 9.~19;1.. I y')19,,;l. I Qli1.0 I 9::ii~O , i A 9 th-</> 7jl9'1g :J ,J,O(,. 13.J: t-/.:90"'W I ,(;.''' I ' I 5'd'7'-I'7"o 1. Proi. Mqr. 2. Fil'ld Office 3. File For Olfict' Uso Only I + _% ON LABOR COST (A): I'Pd, on ...,-.;0,---1 I leh""d bv-----j + _% ON EOUIP" MAT'L AND WORK COST (6) I TOTAL THIS REPORTL...1.2.-? I.:,:L Lobar i "6';; 1/ 1:>0 I O.T. 9"'((~IN e ;lIfe" Reg. O,T, Mev.:!"" IV;/', :,VI Reg. O,T, rO'fn --r:..,. " l~rJ cJ: Reg. O.T. FI<:..~ Lal" U~'}r7 /1 Reg. <:;'\ II! 1-.- ._ I:;" f I I I ''is ; '" 1-/9 , , i -:<i' \ ~ \ :'/';J '\ I ~ .yl ~, j I i O.T. 1"H-~;:;I.?r'<.71 0 - 7c," R.g, O,T, Reg. SUB TOTAL Added Percentage-ISoe Special Conditions) ,//,.1 /1 I) 1).1 //0 =-:-:; Subsl,tenco fravol Expenso Other_ No.____&ilS No.._@$ TOTAL COST OF LABOR A >- 6 ,':',,' '" ':':., :,.."" ";, :: , .... ".., ",' '.. "", ',' ; ,,:, "',,'" .. :' ..'..", ".,-.^," ". ",.." ,',," ",' ':',' , '..', , ," ,,", :,..' ,. '" :, ' -. , " ,", '~ ..," " ,', " ; '. , ' " ',' "",'",'", ' ,',',' " ,,",':-.<,' ,: ,: .'.'" :', '",' '" ',',."., ," .,.", ,', ,',.': ,,' ,: ',' .',' . '.., .' "',": .' : , '..', .' ' ;", ' ," . .. ~ :, :' ',.. " .. " ','"',',, ','" ;': ':',. " ,....,.,..', ',,: ,-,., Jefferson County Department of Public Works PROJECT TITLE ! i"n" n ,-. I L, , PROJECTNO,5,~ ~ LOCATION 1f-I10 Vale. WORK PERFORMED BY r~Pf, ~, /J I')./'.."y DESCRIPTION OF WORK Prm.t?<:. d, C;~c"< ,,~,: . :',";; )r< DAILY EXTRA WORK REPOR DATE PERFORMED "i? -) iJ -<6 :3 DATE OF REPORT REPORT NO. AMOUNT AUTHORIZED $ PREVIOUS EXPENDITURE S TODAY S TO DATE $ CONTRACTOR JOB NO. ~CONTRACTOR REPORT NO. l)~.,." " ~D~,r- C-rek/- Yht.d f: (J (?~~ r,;'-r- w<.s{,~l ,rc",<. g":d ,.ca- u !-' II _ EQuip. No, '15 1-/ ':1:). '10 V'{ I~ .::, 5...1 Hourlv RaIl! Equipment Hours CT5.!> - C'f' .5\d D4,h,> (;-,<",/C 5'I./rJ D:';14/J ""'UC../ if."",j LJ'".J,.- chI.:, D<.y,"" /3cd,... /-16-<', ('. vriSt- r.'J .u,,? j:t-r-- .~ -1...... ,P:cI..... ..~ . .c;J-'i "n~ .:;;,.,,5-. C.~{ri'f~: ',.. <9. PJ L,k'j- _<;./ c~- ,-'1 ,/ "71- 7/ t-E ? () - .5 61- c: /' 7.S~ <:.( /17.'5" <:,' 1 I 7':> MATERIAL and/or WORK done b..... speci"lisU DescriPtion No. Unit Unit Cost - //",'/(" J10l--1 , li;-1 , ;i-;e> I ",~",,\.L.-GC, SC;y ;(Y I"';, (?; 7 ,~v, Cfo~r!... (J,,,,~y R;,J R"J, S'~df , ,~,J ~ ",..;".//.(j 1S{."e, .D , _f. .:;lro${~1 "'~?1,/",-~ '? ,,' " :,{{:.. TOTAl.. COST OF ECUIPMENT, MATERIALS AND WORK DISTn!SUTION: SubmiltetJ -COnlrltCl0r nl'com",cnlll"d-RCs PrOI_ Rtt",.U'I1Ut.,. WII.y,Fhk; Form 1S-!} Extendf:!d .Arv~nts j-8)1 - '7',,1 - 75' - ~;,,- 7<)--1 - / <./, - / <./' 1<-/' 1 1 :.',,/ : -f--"-~9: - , ~ ",,;-;;C P.R. No, Hours Hourly Extended Rate Amounts O,T, 1 I R,g,L<;) /' -:;tl/I 00 ?{'d'1 - O.T. ! "'''' J,." ,_ R.g,_a;'~-z,. 'i::11 ~: ~> 0;[_ '_ .3;;:- \~ t':l~ .......11, ,. ~1, $I? 1~9 -~: Reg. - '^ O.T. i l;~!'~~ I Reg. '~ 'All Ii" 9/)7.0 O.T. I ! Reg. '-', '1,~1~ ;?::l!ii'u O,T, I i Rl'g. ! I Labor B,'f//1I,dr, 1\ Iff/I, Mey.,;... ~t'i/I'~'i', J-~ ((;] /;'r' .. ;?c,e/ " /vi"C,.; ~~ /!.ilr ,\,,1) i hI:, "e.JI ,; - 7'.: /vl, I ,)/ ~i !/_~ , Add'd P",c.n",.-IS", Sp,d,' Cond't'on.} I ,()I(}() ~ 1SubSlSlencc ..2/ I:..;~" Travol Expense '( '1")1(,:1. 10th.. ~ :UJ'Iy"/. - ~ ./ v'/;' / ).'!:} I~,O SUB TO~"",?~ ' ~~ /""', ;;.07,0 ~~t3'1: 't(,j ..77) i No.____@$ No.._@$ , _.t...~.,dIL :),.C1(~'7. Is?! i , 1 ?~'7'1 TOTAL COST OF LABOR I A -..... >- I B (A) (B) 1. PrOj.Mqr. 2. Fit!!d Office 3, Fill! For OHico us~ Only I +_% ON LABOR COST prj.onest.~~ Checlo'.rd bv----1 .. _% ON EOUIP., MAT'L AND WORK COST TOTAL THIS REPORT , ,:." ;>..,..: .': <>;~ ',' ;,','" ":' <,..,' ,', ' .:.', ...,', '". .,., , '" ,.' ", '>. ,'., ',' .:'<." ...,:" " ,:',.-,' " ' ,:.. " ,,:, ."...." '..," '"',, ,:," " ' Ii.i.....i./ , , . "''','" f ' ,..".., ,', - :,', ".. " " ", " ' " ' " " .. ',,' , .....,','. ' :', ,'" ,. ,"., :. '.:,' ,.' , ,"...,', ", , ,',',' ", . " .' ":,' ", ',: : :.':: ,',' ",,'.,:', ',' ' , '..: C', ' ".., ""... " " ':.' ',,' .":' :.. ',' ',,' . ':., ::-: .: , ":<:.." , ,:", " : ':: > r '; ,\, ' ~, - ..-. Jefferson County " X Department of Public Works DAILY EXTRA WORK REPORT ____ __,4_____~ .------- , ----- .__.. '.-- PROJECT TITLE ( Y"DY! 0.,( B ,f;- II "i!..-/1-"J5 REpORT NO. DATE PERFORMED 'AMOUNT AuTHORIZED S_ P~OJECT NO, t:; -::L 5 LOCATION I F-ot;D'i/e, DATE OF REPORT PREVIOUS EXPENDITURE $ ~ T.~, rp . ~D- ).1 .",t, 4/'ily P~,oJ T... C. 0 71 5 -r - c.,;--e, tv TODAY S_ WORK PERFORMED BY TO DATE ~ ~ . CONTRACTOR JOB NO. DESCRIPTION OF WORK hi/cd. S a./l d i3 ~;7 5" ... 59'1d. 13~,"j.# G I- e.-::e-k , CONTRACTOR REPORT NO. EQuip. EQuipment Hours tiourly Extended P.R. Labor Hours Hourly Extended No, Rate Amounts No, Rate Amou n IS '/5 7Ss __ c.. Co -r rJ L,/"I - hkr!-=... O,T, .;p- i 1 /1. 'COI7J r- r: Jc I.f r-> ';} I !7S' 1'-/1 ... !fq,(/,r/'Ic( )L lit t-I Reg. "S. f{IOa l?g'\:J.:l &/ ,11:),'//1 I:,)h G/1c..t-. -?:c:-1:"'/ ) I '75" I".;' O,T, --r !.1.L1- ... ' .-:1,,' ",--7 ~ r-O;-~YllqI;S r.' c...k" /::J ~ /175' ILl! ... /1./ e.1~/- ~.V; /J : () /11 Reg. '5' r u -t'Pf- ~,;( .-),1, .ell,;/' <.. -..s - c..~,..t...v ~I/ <2: 17'( 1'/1 - D.T. A- I I , ... I i ,I.) e. '-I a,'/ jl.J. 4:....,li-'/ / "," l! 1 'toe q 1',;(0 Reg. I : O.T, I I I ! 1- :j/(i' ... /:, 10') Y .' Atlg. ., ) ; I (f~' 93 !5-..,;l. .. 1 ! i D.T. , I " I I Lc p.;: iJ';q II. ,..../ J ;..i;:. ./ Reg. ')' j :.: I !, .~/ 5? .3 '5 do I 3 3d ._~ O.T. I '::'J5" ! I I ,-'7'6!~ NOr'e./It; - T,; tll. Reg. S I': ! 4.-t' .<? .1170 MATERIAL and/or WORK done by specialists , , DescriPlion No. Unit Unit Cosl ... SUB TOTAL </...:l !j~ S~r]J })'7 q 's- 5'0'" I ~ 5' /65: - Addod Percentnoe-fSee Special Conditionsl -)/R~ /1 ,:n) ':;cj(hi~ .~.. ..,..j., ! Sublistonce No._@$ ;0:> 50 )(:>.O - ':;,11:/- eJ..~ ;-,.c., I ') J ~r''? c, / l:rd : Trovel Expanse No.._til$ I 1 Olhef_ , I TOTAL COST OF LADORI A '7~"'q!'I% TOTAL COST OF eaUIPMENT. MATERIALS AND WORK ~ ~ I B ,J.~")' !5?..5 ----- ........... (A) I DISTRIBuTION: 1. PrOj. Mgr. For Office Ute Onr., t _'" ON LABOn COST , 2. Fit>ld Ollied Pd.oneH.v~ .. _'" ON EOUIP., MAT'L ANO'WORK COST (B) I , Submltlltd- Conlnctor 3. File Chocked bv TOTAL THIS REPOAT <7,\:'..<10/ Al!'commended-Rl", Prol. Reprrtl'nl.llv", "'oW.V.Fi,1( Form 15.5 .., '.', ''''''''';', ,,,: :,:"" ,.,e,' "J '..;, '::',,:'" ::",,:..... ,I, , ':,.',', ,C,'::', ',: ,',i:'.."', "" ,:,', , ; '. ,."",. ,.'.. '.', <: ' ...'.. ,'" ", ."..' , ':'''''''' ,., . :.. :':",'.., "",",:' , : ',' .,,',' , ..,": ,,"'...' .',,'..., , ".... ... '..,' ." ., ._'. , ' , .',',,",' "', ',,;: ,'- " " " :"" ","':.,: " ,.' '" :,: : ' " ""'" '," ):'" ""':, ",'" , ",' ',,' ,'!' ,"", "",." " , , ' :-- " ,,':...", ' : ",' ", ',' ,: I' t I, , ~' ....-:-... I,' Jefferson County Department of Public Works " :,", "': ".',:' ,.,',..,',', , '..' ',' , " '...', ,':, '.' , ' " " , ',. ", ", " :",: ,',,' .' ,'..'': " ',' '~ '> .. DAILY EXTRA WORK REPORT PROJECT TITLE /./'lA:r>f. f) ~ . PROJECT NO,C: F,l. 5 LOCATION WORK PERFORMED BY Qplj , v DESCRIPTION OF WORK -P~( ':"'J - -, +;#~-- ---'--.--, /.A ,......, _,oc.-6- ' ~1,~.R..___ 0<-,4. 2.-vJ -~ ,;.,..,.,p~. REPORT NO. AMOUNT AUTHORIZED S_ PREVIOUS EXPENDITURE S ~ TODAY S _ TO DATE S CONTRACTOR JOB NO, CONTRACTOR REPORT NO. ii,' ,:;',':',"":'" ,,:f, ,::,:J,' ',:' "" :; ,.':, "" ' ,'..', ", ", " " :" ,:', , '",: ':, :,: ,".' ','., '" ",,'.', ' ,:, " :,' ':' EQuip, Equipment Hours Hourly No, Rat~ ')1f cr~5- C-...5-(, 9 '7"01- ~. -' /C'o. {it _ r? , .-. . ~, ---..:r! .. L,I'\ 5" vd- 9.....n~'" '3a 9' - IJtI .-Iv.:.! rJ,......"...,.; 32' 91 - =13 s;,d f'. t.c-,rt..~;..'. :z.v G71 - W.i2:v P..<->~;/, 3 I 1/.., ~r-Y: p , " L<.-..__. -" ....- / : 7.:;- , ~~ .3 ;--~ ~- P. _-_L.. .. ....; L J17\ ,5':1... ~ ,c-, ................... <!.~4V',. ,.., ./'/" ...:: .. 1:7:;- (,.( C-~ ?.~ .->:;. <;;: ,j I! 7"- II , !i yJ I!>C{/,:, , .. :(. "f '). - CJi - 40 L.~,. ", t:.. ...- In/ MATERIAL lJnd/or WORK done by specialists Description l'Ilo. Unit Unlr Con - j>':"i Ku-,.b-'1( IH:e:('/<i... ) '00 S.....e:~ 'r~'g..l. ~17o I ~ X ~c.. P~fZ)" /0 I '/.:1.. no x: 66 'p~ ~o/' ? '\1 I TOTAL COST OF EOUIPMENT, MATERIALS AND WORt<: OlSTRIBUTlON: Svbmi lIed - Con t r,'J(: I or nt'coll1m...nrJt'd_Hn, Pro/. ,~(!prC"t'nlal;~." Wl/OY Fi,k Flum 15.5 - ." ","" ' .. ',',' '" ,:" '.' , :. :- ';,', '. ", ' " :, ',", ... " ,.' , ,":-' Extended ~rnourits ~- II?' - '2'y' - -Z7~ - ;,1(-: - ! (Ii ~(' - IL;' - /((1- l?j - ~"7 ~~- 51? - , ,,~I .. ") ~;' 1',/(.) '(j l~'! '~ OJ /' ......3 I ~ ~ ............. 1.Pfoi.Mgr. 2. Fit'ld Office 3. File DATEPEAFDAMED ~ -/").- "53 DATE OF REPORT G..,:?-x-J- Q..~. P"f.;{ ~ fJ,;,;{ D,~.2...., P.R. No, Hourly Rate Extended Amounts Labor Hours D,T, 1- J !;17 0 I/,'c;,) A,g, --;< - / / I () 0 9, '\00 D,T, J (..'~ n 1t7,-t. "':>7u."_<<--4 /<J/.~/(:.<:"" A-;;J! ,,'it? ~ 9" I~, O,T" " f ~, o~ /,J 'an. A,g;, !~'lBf~' 9'< ltf' 0,;0: I.. I",f> 171/0 R,g -=;.. /; 1:(0 q (i20 C>l-t', .., /0 I!$ft ,,26 i9){ R'g, ..,..- ! /; I~':" 9:'1 i 'i?() o.r, 2.../ (; !"7'9 ~ I 1-)6 ^ .1-0-1-44, -Ul-iJil,lf r..'~1 1_ SIt{.....:rlIt..~r9 '21 15b ((]6'ig~'AL 'N3 +-~ Added Percentooe-fSeu Special Conditionsl /J#' /t Ii/) - ....;':'~"'....\ ,~., .., ?3L i90 Subsistonco No.__@$ /Jlh;:R';1 }, -- b:5I&~ Tr,Jvel Expense No._Ql$ p//Z-- P'r;') . I 0 t~ . 1 [5"'.......'1..'.-'-.,-( C2{:h-~ c- t.--- \ I~t.~ ;~, ?~//l!..c..~.... ..l-:..,r.."'I--', #"';50>7 :"/...Lr",o..('J n}...c-~.c.. )<:_",y,_ ..!~4.,.t.~ ~ ',.If........:.._ ? ,(, - ' . ,C ,_...!'; t-/; ,. ;., OthOf_ For Ollice U\f!' Only Pd. on 1:". no._~ Chocked bV~ TOTAl. COST OF LAB~:ml A >- I B (A) . -" ON EOUIP" MAT'L AND WORK COST (B) PI? <,151 5'/7:/) I I i 13.t'~1 ~t. .. _% ON LADOR COST TOTAl. THIS REPORT "... ,',', ",.' "c " ,."', .. r I : ':",' , , .- : ' ',', :<::,' ,:", >.,::' : ' , ' " , '" '.. ''', :,: ':<, ,.,,' ",.. ,,' '. ": ,', ",' '" "",,': "" .,', ',','" ,,' ", ",'.,.,:,' '< . ,,', ',"."., '," ' '" . ,"; : ",..:, ';. ',' , " '.' " ".' ," , ,'", " , , " :, Jefferson County Department of Public Works '. DATE PERFORMED DATE OF REPORT ~_ /5-153 DAILY EXTRA WORK REPOHT PROJECT TITLE 11"0'1 Da/e. _ fr flY P~OJECT NO, [;::l5 LOCATION 11'0~ 0'3-1" - I WORK PERFORMED BY J...f?lJ. Coo - }J ~,.~ "V ',y' 0 <!." T- C Q'JS r- c,...... 'U - DESCRIPTION OFWORK~,Ped- wat~~ Pt>'. ~,.., "'* - B4; I~ - R...ri ;;., ,,.0103/...5 :4.- REpORT NO. AMOUNT AUTHORIZED $____ PREVIOUS EXPEN'DITURE $ ~ TODAY S TO DATE S CONTRACTOR JOB NO. CONTRACTOR REPORT NO. EQuip, No, Hourly Rale EX1ended Amounts P.R. No, Labor Hours Hourly Rate O,T, I Reg. g ~ II 10 " O.T. , Reg, < - IOlyq O,T. I , Reg. .ct- (I ,'II> O,T. , Reg. ~ ~ 10 iY '1 O.T. I Reg, 'K 10I'3,."b O,T. ,- Reg, G 10'L,C. Equipment Hours ?6 'f55 - C. a< ~ -- "16,- q,,?O' - Id. co~sr- f.-d:: """, 'b -- I !7<;' 1'-11 3, Fo""l4n'~ 1": ,;;;,." ~ ,..... 1175 I'l' - !>,~, en :;..,....r.f O:rJ- .>, <{ ~ 1'-"" 11./! - 'Dc) S~4P 7__ e,.'( '8 - /17.) IL/i- J~~~ PU"",t), D;~ .,;,;,~ ?,j I , ! ~'l," . ,,,.,., 'P,,~ {), ~cf I : If''1r.l, j" -rn(~ P~",?l ~ f) ;""w. u, '.. ),l7A, <Si, j Iv. ,~h-o ",r<<l, '3" fr,"/' "',,~(J, A, o ~ :rJ.,..,...... '~> <: ... < ~, '" ,I....".::>"J.!.::>,cf I I I ,3}!,i' I I '/~'?--:z.:..!/.~t t1M'~ <.K A lI~n, Me.v",... will lOW, Mc:..ehc" ).1"~rl to"' r~. I~ 0<'):' M 0 r..llo - -JM, 1f!J.S) 0,/ - J;'er; MATERIAL and/or WORK done by specialists Dl!'~c:riplion SUB TOTAL No. Unit Unir COS! I_A.",-, I i f(~I'>;'" "C V....n;/,.I;,.._ 011 'P,qC/( /.L./i?- JJ- Lh. . u ! ! i I I r~' )1>) Added PerCOnliloe-(See Specinl Conditionsl Subsil10nce No.____@$ No.._@$ Travel Expon5o 0lhot_ TOTAL COST OF LABOR I A >- I B TOTAL COST OF EOUIPMENT, MATERIALS AND WORK ~ ------- ----- Extended AmOur'" I -9:71" D [ Y=';'''lY- I qlbc I .z~'9~ [ ,f'3 !5'f 0 (,"'i?!qZ I ''/9:;+''70 13710':< I ! I I '73D I f(.:J.. Llj71~ DISTRIBUTION: For QlIice Us!'! Only Pd. on 1111:nD,-==-=-l Chc.'cked bv---{ . _" ON LABOR COST (A): . _" ON EQUIP.. MAT'L ANO WORK COST (B) I TOTALTHISAEPORT //t8':.;lC, Submilll!d- Con I r ae,or 1,Proi,Mgr. '2, F H'ld OHic"., J, Fir., n~eomiT'e"ded-R~s Prol. Rl.'D'f'H'~llll'\..t" W.r.y.Fi,k Form lS.!j .. ;, ,',., " " ,',., ,,', ,.\, . 1.. ,',' :,. ""'" .' ,.:'",. .." ,.,. ..' .' ,,' ,.""".:"," .,." '. '.' " : . ," "!, ' " ' ':, ", ",,": " " "! , '. ", ,.'. " ,'..:" / " " ' ..,.: <,,' ." " ";, ,;", " "". , C'. :" ...':.,:' ,/: ,',,' ,',., , ,... . ';,: ':':, .': : ': ';" .', , ~ ,: "'" " ,,' ::, ., ",' " ,,',",;..', , ' ,,:,,'" ,;;' "'.., :' ':, " .. ,',', "',; ,:'-,," , i, ,':, :" ',; , " , ' '.. " " ,:,'..-,' ::',", ,co:::: ,/ , , "."", " ,": ':,' " ," ',' ,.. " ',: ,;': ,:,': "",'", ': ,,", '; ,.-.... Jefferson County Department of Public Works DAILY EXTRA WORK REPORT ?': (I PROJECT Nc6-"?-~ LOCATION /1"0/1 Oql",. WORK PERFORMED BY J.dJt,~. /J.,~ 4 """J' Dc~ r: C.,t -nS -;:.. DESCRIPTIONDFwoRvf)_.7~1Lc.L6yj:;orlil1"5"' /3~:lr- 1(.'p 1?'lP. 6 , .,~ Q - S' _ PROJECT TITLE I rOI1 Oerle _ , DATE PERFORMED ~ If, -'t 3 REPORT NO. AMOUNT AUTHORIZED S_ PREVIOUS EXPENDITURE $ ~ TODAY s_ TO DATE S f) ..I.(,c_ .B~ Lit., tv<-w c~ Iv~...t: ~~~~::~~~: ~~~~~; NO, -0 1J1 ':..rc.<v DATE OF REPORT EQuip, EQuipment Hours Hourly EXll!nd~d P,R, -- Labor Hours Hourly No, RaIl! .A!TllJunls No, Ratc ?( 9.<~ - C., I ~ "/Oi - ~- D,T. I k .l'.;;" [Joe e..;.~ /Jqd(/i. " , 2:'/, I,,! - 'S 3-1rt- J5qf{",,,c..k. Aile" Reg, 'b'- II 100 3 - Q '..I'. P'MI J'?- !l't,t -I I D.T. I Rut/(J 2" _ ?;..5~' P.uuP, ~l/ I .'7i.41..,/0-- M <,,V< r - Will/I! M. Reg, "i\'- 10: Y'i' 3 hroe I'tq-tS f':",l:; It"" .:tV' ;17S il). - D.T. I 1 l<:r c.cH~T P:d""" '8' ;1 7. I- lL/I - ,TOk"So" .J,'/V1. Reg. "if ., /017"1 5':2, t?1I-;:II"e,.~ I!",,,,,,,,, ~/I -n / 175' ILl: - O,T, I / ! A.. ,.... 110_ /dlVl R,g, <5 /0 ,~ I 'b ! j'" il .~ O,T, I I '-?;,.(j-"fb IMt:.c-/ary }..Ie.-1t;-Y Reg. "i\' .' II I~O I G;"fv<. ~f'''' ~If.. .A<U(~v-"''f'', J<.fr I@ ~ /0 !'7t./ I ! No',,1 T i s~;r 7 bill - Jj",TUl, Reg, '6/ /0 !77 Extendl!d AmounlS I ;;?)?/OD I ?,<i9';:!' I S?/ l '{.~ I I I'?I !",c, I I ! 7 !;1(, ~)luO I I Added Percontaue-fSco Special Conditions) PI"' SUB TOTAL /) I)') q/I;/'O ';{7'Sd;J., y(J/(.. I I (, () S 19.;1 7,cOI5{'/ I i I MA TEAIAL and/or WORK done by specialists Ph..,"', ;>......;a , DescriPtion <;" S- 0:( No. Unit r;.~ ~ 01, , Unit Con - SubsiSlonce No.___@$ NO.._$$ Travol Expense Olhof_ OISTRIBUTION: ,. Proj. Mqr, 2. Fll'!d Offico J. File I For Office U~(! On IV Pl!. on ~Sl. 1l0.~ Checked llV~ TOT A L COST OF LABOR I A ~ I B '_"'ON LABOR COST (A): '-'" ON EOUIP.. MAT'L AND WORK COST (B) I TOTAL THIS REPORT' / J/?7./-eJ., X"9b!7C, 390L3b' T01"At.. COST OF eOUlPMENT. MATERIALS AND WORK ~ ------- --.....:.::: Submi ft~d ,- COntracTOI '~('com""",~ndcd_AI'~. r,oj. Fl~pr"~I~f'1t"tj\l"" Wd..,.Fi\l!. Form 1~.!j :,t" , " ,':, ,,', ',': ", ,,'0 ",:,:, ",..'.,,': ,';" >' ,". :'d."< '. , ,";' ,,":'" ",::, '".." ':.,.. '''" , ,.., , " ,', " .:, ",,' :.. , , ":.,:". . '..... . '.".',:.'. ' , ' ":' ':. :":' , " ',' " , ..: '",";' ".." ,',..', ,,' , ',...; :, ,'"" ",,', '," :,:", "',"'..", ,:,'" , '.' ',,::.., ," " ,,;, .:::, ,,:,: ",:, " - ',,':':,',,:' " ',,'.',' ",':, ,,' ' , " :;'.,',', ':,:', "" ',: ,:', '-: ',,', ,":;', ", , :' ",' ' ,:::' ',< :T'\:': ,"\ ,'.. >: ", :::, ':, ';, '"., :,:,:,: ,:,' I .' Jefferson County Department of Public Works OATE PERFORMED DATE OF REPORT ""6 -/7-'03 DAILY EXTRA WORK REPORT PROJECTTITLE I rof! OcJe - F; (! P~OJECT No_4;2. 5' LOCATION 11-011 Oa./e . W~RK PERFORMED BY v"""'<.Pf.co.. f1,)~ IVqy !)-eJ:1/. - c.O,,~ r- DESCRIPTION OF WORKg""P'/,,~ Credl'_ ;y~. j3,,;JJ I,,~. LJ:/(e- _ I 1Ii!. c....r"'<u EXq"",7i,,~ P...E.ST- r;.71n,;;. EQuip. Equipment Hours rjaurlv Extended P.R. Lllbor No, Rate Amo.vnn No, 76 "15'5 - c,,, I . Q. Llq _ ,~! - l'i C-0'15T- p:c.Ic~p. ,'if V 1 !7.) I'/! - PqQI1(l<c.t IJ-Ilu/ t6'J en:! :/1el-r fl:c.k l(~ ~ /175' IL.J 1_ :> P.""",,,",,<: P,'cr".:> :LV / 17':> -r-1;- M<..ve.... I/VJTT,'q/II;'J . )...n; '.1,2" f) :Q"~"''''' P"I11P. :l'f I .,-:1'..'3''; '':;; ~ J. I -r; ..(7 ..?' ,,_ p, ~7' I ,?':I'/D Mu:.-h....Y' !./.U/f'y .;>/1 [) /Q"A;4JU, 10"",0 :l'T I I I I Morello '7(; &. N~rr- . SJ:{:/ /j: If . 134 TU" c; ,.~., yc.i '1'1' Sl'f!~ A~,J<~,.. M'fh .T ef:,V, MATERIAL and/or WORK done by specialists Oflscrlm;on f'uM '" Q,.. $' No, Unit Unit Cosl - TOTAL COST OF eOUIPMENT, MATERIALS AND WORK /., I-I ! ! I ! ~ Subsistence Travel Exponse Olher_ ;11/ I 9, '- Addud Percontage-ISee Special Conditional REpORT NO, AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE $ _ TODAY S_ TO DATE $ CONTRACTOR JOB NO. CONTRACTOR REPORT NO, Hours Hourly Rail! O,T, ! Reg, ~ ,~I/IO iJ O,T. I Reg, q ~ /0: '1'1 D,T, , I Reg, "b'/ II I~tl D.T, I -<' Reg, "iT 10 :;t..o O.T, I Reg. .:t, /0177 O.T, I Reg, <( 10 ''1'1 /1" SUB TOTAL {-11/;) EK.tended Amounts I 'ir')(IOLl I 5i'''! 'f1 d. I Cj/').O I ;;;.).1;5'0 ! 'VDlt::. I ,f 7ls~ I 5'/91 &,D ,?LI9: "'10 I : I 'It,,q ic;o -1'9.i.1!u OISlHIi3UTION: l,~roi, Mqr, 2, Field OHice J, Fil~ For Olliclt Usa Only I ... _% ON LABOR COST \Pd, on en~~ + _% ON eQUIP" MAT'L AND WORK COST Chocked by-1 TOTAL THIS REPORT I 11<" X"lc. I SuDmi tied - Con t '..C1 or Ht'co'"rt"lr.ndcd- Roo" P,oj. nep1t'u"nltlltVl,f WiI.y,Fisk Form 155 No,___@$ NO,,_@$ TOTAL COST OF LADO~r A >- I 6 (A) (6) "',i ',:;-' '., . ,.', ;,'. :',: '::,;.. ,",::,.';':',:" """ ': '" ,.': ',:',::", ::,:.": ,:"" ::"'' ,:" , , ',' '.. ',I", " '"" .,.,',' '. ,... '.',. ': , ,..,., "....'."" ,',., ,,:,'," .',:'.'," ,', ",'.,. '"." . ' .. . ..., . "".. " ,'. . . ' .. :,: ,', ".' ,', ." , ,', ' ,: '..,'"',,.. ,",'.",,' i/' ',,' " ' ':::.,"':,:' ',..,.", ' ' " .. d', :; . .,",' , ,," " . .', ,: " ,.." "",: ',. .. '., " :', . , ' ,", ',. ,',:'-' ':,:..,', : .,'...,'. ", ":,'.'" ',." '.: "", " ,: " . '. '" ,:." :', '.; , " '. :,' '" ',,:". ,.,,':, ,'''' ...',' " '; ..' .' ""..', ,,', :'. d'" ,,:', " , ' , , I', .~..... Jefferson County Department of Public Works EQuip. No, Hourly Rate Equipment Hours ?5 q,-;-S eAf" ;t-g rJi!JR" tJ"q-r, 09d/J(f€., II t) p.1(1( L "",.I.u-. ~ ~ "~' f..iZI:t"JJ ,,:? p~ 3".f} .//. f'~, ;r3 5'y./ LJ-., ~ 1'1 .1'"./ p,-",~--A. ::J 2.. 5y./ /)... 7',-,..-<, "7< vI n 'M/l. -r:.,.c.k. ''-'1. 4... e - 4",,,.., r,..c.r.~,.. - I :{1" - r,...: /~,... -fl.9 ,3 ---- -If;~' :1..'1 " ~ !}'f '~'/3 ,1.0, ""F.?;c, S~ 2.~ i..-....' <(oj IS! - .xi - I I nAirit' ,...1- c,; - cii- c,!- "'Ii. 3si - 5. ~to;....dliloQl:IJ.l..b..P-"--:~ ... \ ~i OISTRIBUTIOf-l: Submitted - Cantr.., tor f~t'CO,"~'l'n~..d-t~.., Pror. Hf't)ft'I(~"T;!I.v'" WiIOV.FI1Ic Form 15.$ , ':, . ,:. /",. '. , ':"" " ..,'" ',: , ".,'. ':'.',: ~ .-, > DATE PERFORMED DATE OF REPORT '75 -/'t-<(,3 DAILY EXTRA WORK REPORT TOTAL COST OF LABOR I A 13'1')!;;.12 ~ I B //20 k'i' . _" ON LABOR COST (A): . _% ON EOUIF" MAT'L ANO WOHK COST (BI_L TOTAL THIS REPORT ::J5J? :S~, REPORT NO. AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE $ ~ TODAY $------- TO DATE $ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. Hours Hourly Elltend~d Rate Amounts ","", "O~ II 100 7Y!()O Reg. ., /0 If{'=j -3'<1;< JiI;><, "6 - II ~o ''0/'"}O Rog. "5 '0 : :t'O,s 1;;\0 &.'1', -tv lo~l. ..,f.:f-q'i;. Reg. "$-;;;;;; "'011(", x:'l ,;:::< &.'f-, <5- Ib ~~. :?GL"? Reg. c;,--;'L (01'1'9' ~ ...., <t " 10 '7 7 X'~I/k> Reg. -;;-, IOl1T :? 7!s"..2. O.T. ~--..../ 0 'S''' .:?'''I !OO Reg, I I Ph" '1/) ( : /(.' SUB TOTAL -<7W-'6Y ... I ,> j) 4-")7.'; . /-fB-i6 PROJECT TITLE I rO}f Ot;.(.. r; { r PROJECT NO~1. t; LOCATION I rOil D;o./e. WORK PERFORMED BY J <t',e - c. - (J ::i-I; <+-1-1' [)-~f_ CO" 5 r- , DESCRIPTIONOFWORK EXavQ-(:I1.: f:'trY E;'l,r Fo.Tr..n~- '-'" .3 _ nr-e.N.,,,S PIc1'':<.I3__J/ '1 'f ) '7,', "'/~,Oo /4._ e'''St- P.'c.(,.",", ~ ~ /1';" /l/i- :i~. J:f.~:h""'rS CArI-Y,A/', a i17' I'/' (p....p ~ , !;, /' ? I 7!,:Y:; ~ Q'iql"~'" {(I./'hl ei I - \/d.~"I'::.J .~ TOTAL COST OF eOUIPMENT, MATERIALS ;'\NO wonK ~............... , ,', No:____@$ No,,_@$ .,. ,', ",". ,... ..., ...,", , ',.".: .>, :,:-e" ".:"" "~ ,; .,...".,.. , ",:', ... "',, " , ,':', , -':", , ," " ," ',. ,,", ',,! ' ,', ..': "..',: ',:,"".' " ",' "''- ",,' ",' ,,':",,>: ',:, " ,',: .,' " . ,...' ," ;,':, ;",':: , :':::' :-, ,'" , . " ' . , ...: ,':.', "" .. "'" : :,:' ,:," " ", , ' ,:: ' ': :'" " '" ' "., ' ~ re-........ . fh"d...,,~, /7JHff'.s r,,,,/ ElltendE!d P.R. ft,l1).Qun!!.,..o No. - 'Labor .~- 7},,"'_..J: A-Ile n. "15' - A.-1............ lVi/I:...u X'd - M~U",,.v I~,...". ?'7'/w ~ ~cj.~/.;;w. f?;,dr;:-q. .111'>1 , 3?~1""( f'/ds<J" - LLovd, 1/,r:;:;: - JJ<lSS ,J-~n, -'l1/.,-c",; I ,- d'o;'. sen, :r; "'. '77_t,.,,,:, I !I'~\ s,f;{:'r I?,." - B I( rc.l., "jej..',,I<,-la,.... '.5";lr .J.~j(u'r\HJ1, .T<L:.f' 70: _ shlJ.;]'o /'n /0, - Added Pcrcerlt<JQD-ISco SpcciiJl Conditionsl Subsistonee Tr.:l....ol Ellponso Othor_ 1. Proj. Mqr. 2. FIl~ld OllieD 3. File For Olllcf! U\l.l 011.... I Pd, on ell, no.----i IChrckt!d bv---1 . "', ',.':':", ;:". " '..'. ,':, '" , , . ' ',' " " ",' , "" ' .. ,r ;\"1 .',""" , .~.,,:,'.,', ',".. ", < " , "', ' , " , .",.'" ,. ':', , . ":"<: ',' '," ," ,> '" ,'" , y ,"'".,"" ,', '.i", " , '. .. ", : " ' :' '" ',', " ",', ,', '":,, ': ,',".. ',..", ..:' .', ',';" ',.... ".;', , ",":'.-":, "":' ,,' " :', ",. Jefferson County Department of Public Works PROJECT TITLE I r~J1 tJ~. ;::;'/1 PkOJECT Ncf.2::t~ LOCATION /;-,,'1 t)",!.-Z . W~RK PERFORMED BY .r~IJ(? C.o - (..I')AlV~}" D41I- DESCRIPTION OF WORK f"IIff'''''.7' w."rC-, ~ ;l.Y 4_ Ii Equip, No, Equipment I 76 "?5"..< Co f. 1f4 ~7'?Jkh CJ"..e;.._ ~d:1./6-e. 3 R,..e. /f.-z"""S P.'c.k l(,q (L(; Cn ~<'-r:.. P,ci: u.-? ~"w"a,. ~--A. ~'~r). f, w~r,;... p.. ...,t). :3' V;<(j1J4". 7~"1a. "t-d '3 ,Cl~ ~_. '''~'' 'I.J S' vJ O~II1" r;...eA:, 7 e{ S vcJ /) "'" _ 7":.,..;C ,..:z.. 5 yd 0"",,., 7...~c./' '/3 ~yo (J .....p 7,.....c.i:; Ifo IJ.~~~ t..o'@'~<(;".: 5'1 J:-H.:... ._' /~ II , ~~ i; ~, ('Ii< r:;y i"~'/)'. P :!'.,--:: ::..:.::t:- t/,?:z.?:5q<J~""" 1?oc:.J( Hours Hourly Rale .:?-8 '/61 , c. 1<;' ! - 9,'~1-'!'" / '7.>~ :if -5.' ; i7<' Ci.,/ -+- :z.Y I .:1. 'f -j- :::I.". I q: L/ q!_ .. ~ ql-: ~ ./ <il - 'ii'-'~-- '-1!- 'f!: 20- . - _-w- Unit COst ... I /1, / i I It:;./ IY<k.' TOTAL COST OF EOUIPMENT, MATERIALS AND WORK Submitl.d-Contt/tClar n~eomnl11nd,:,d-R"'I. Proi. Reprt'$l'nlllti\('l!' Wtl'V-Fi,k Form 15-5 ",", , ", DISTRIBUTlON~ ,",,< ;.... ;:", " ,': :,' " DATE PERFORMED DATE OF REPORT q: -/;:T- ?3 DAILY EXTRA WORK REPORT C'..sT- (!.re"v ~. Clehh""" tA911d j-." {b.1i"1S - RErORT NO, AMOUNT AUTHORIZED $ ~ PREVIOUS EXPENDITURE $ _ 1;ODAY $_ TO OATE S CONTRACTOR JOB NO. CONTRACTOR REPORT NO. EXTended Amounts ~~! - c/O' - Ie.} - /Lji -+ .,qt/l'i -'- <'::\'",/ '77' .-' ~}?' - -;:Li .. Dl - /LI ;tOO- ! / 0' ~/o , 1/7/1(;,':, I ~ 1.Proi.Mqr. 2, Field Offico 3. File P.R, No, .AZ/ L..bor Hours HourlV Rate B'''l'frl/ "cle. /LIfe" __ "iS~- !I'OD ~c.Y~r tv: I 1,,,_ Reg. "? " /6 11'7'- /11 c r:../,.,,. ... Ikvz I- Y :9'!'0': l.<<JS' fJ ","0 /VIor...r&:, TbI'1 Reg, "i 10:~ ~/d5oH LLo...J, ~, <6, I'/) :s-~, /j.",,., ;raft " Reg. ~ ' /0 171 Ohh :> 0'1 '[,'11-1. -, "0 /0 'rl1, f .. eJ<:: to - d."., Reg. <;roo IO:~, 'AC,,/(.,... {>f'f" J'(f'/=" -, 'if ,- /0'1<1" (3 .. f I f?"n...4 Reg, ~ In;?? .. IYl "'C"-A P ,I --, 2. . 1';'/0 I Reg, I sua TOTAL q.,5' , )-,5 Added Percontage-{St!e Sptlcial Conrlitionsl p II -'. /'j j) L)- Sub,inonce NO._@$ /" "t- Trellal Expense No..._Q1$ f) I /"-.. '-, Othor_ TOTAL COST OF LABORI A Extended AmountS -mOO >:3:,q,;l. c.j / i20 ';(.:2.,;;,<:> ;?4T ;c, o '32 :7, i.",;l, ~~ 9~ '50< Q/ 1// ."1'-1' 76 , :5"1(' 7t: 0 ie,;>, ~;;>:~- "';::'0- ,;:-r,/'l I /, 'i' n l<Oi'l / l./J 71 f?"7 r- For ClIke UVI Only [Pd. on en, no.~ Checked bv----! >- I B '_",ON LABOA COST (A) i ,_", ON EOUIP.. MAT'L ANO WORK COST (B) I TOTAL THIS REPOAT .:(?'-?S:fj',s '."", ; .- ',:, ': ", ,", ::: ,'" ',' ':"':': ,""', ',-:, '.... ."." ',: ," ' " , , ' " :",',", :,..',:',: '-":", ..,.., "'..' '. .' ' "'" . '.', .".' ".. ", . :,: ",' " ,','.' , ,.', " ',,' :" ,,:' ",.4 I, I f ",' ,\>,; ~ ;, " ~, '; <'. .,' ',',',," " , , :';"::'" , " , ':,' :. ':' ,: ' " '.' u " . ,:,': " " ';',,', , .':, '", 'u. u '" 0: ' :;' ", , ',L <:,,:, , , . ,', ,',; " ','... ,"',. . "'..0" '.' ',.'." " . ,<': ,', 'I.', ':.: ": ,,' ..: " :',. " "" ':., '>.: ' ::.:. ,,; '. ,., :. . ",: .',. Jefferson County C?epartment of Public Works .f:( /;/'-' , '" "3-;U-~3 DAILY EXTRA WORK REPORT PROJECT TITLE I t hi 0 ~ (~ . PkOJECT NO 5:z..,5 LOCATION W~RK PERF~RMEO BY..sI -<:.f-I - DESCRIPTION OF WORK -5 ~r7','~ ", " t>.~ r (Jov,S T (!,;--e 1</, (d~c.k..,,~ PNk'l1 if7U!!ff7$- REPORT NO.__ AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITUR.E $ ~ TODAY s_ TO OATE S CONTRACTOR JOB NO. CONTRACTOR REPORT NO. DATE PERFORMED DATE OF REPORT I;-Of? 1Jfj f~, Co - f./' ~ IV",V '/,r~ pJ4"'J?~- I Hourly Extended p.R. Lilbor I Equip. Equipment Hours AmounlS No. No, Rate 75 '1/;,5- {to ( - 1./ 4'0 90'""" }..1{r~jfJf'Y j.J-enr.., I /n()I00 rv. '5 R; 1/ 'R" Tc:A . I f"if ..:J->tA~ 'i\<~<- f3cckflo p, ,",v /<; I 3 1=0 rellt...", p. c:.f " p. 'a, t. /17' /'-/'- I I", " W~-r<,. P,~",~. ~ -J I R.,,-f"; J." ,;:;-;j .nu~/), 'J.'i I ..,C)I/b I 'ff...,.,z. 3" l':."'/h'a~ p.~h?t7- ~'I T ":') '3'1 I ~ I 3" .0: ~"i..'~_ I:Jw,."" -1' I I ! , I I I I I I I ,? 0 I i"/'I Hours O.T. h'I'7'/D Reg. ~- IO!IJ? a.T. ! Reg. I I , O.T. , Reg. ! O.T. I Rt!g. I , O.T. , Reg. I O.T. I R~g. I MATERIAL and/or WORK done by specialists . Oe~cription No. Unit Unit Cost fl,..,a. (.l,." (,~,p' ,I), I i ! ....J!.1b Added PercQntago-ISee Spucial Connitionsl SUB TOTAL pit" _ /)D) SubsistO'nee NO.____$$ .....,,-r NO.._@I$i'// /! ') Travel El(pense Other_ : TOTAL COST OF LABORI A TOTAL COST OF eQUIPMENT, MATERIALS AND WORK ~ -------- ~ ~ I B (A) + _% ON EOUIP.. MAT'L ANO WORK COST (B) DISTRIBUTION: r For Ollied UIll Onlv /Pd. on eU. no.~ Checl<ed bv--j .. _% ON LABOR COST Subm; I ted - Con lr ac tor 1.Proi.Mgr. 2. Fit>fd Olfice 3. Fil~ RIlcommendt1d_Aes. Proi. ReprUl!'nflli..." Wlley.Fisl( Form 15.5 TOTAL THIS REPORT '.' -:, ";: ,'., ..:,:, .'" " >':"'':,i'" ,"<, "', '. ''".i, ','..'" '.. .'...,.. ,."",' ,',..' , " . " , " "" ',:.... ..',..'.' ":"::'':'' ::: .".',' ',: '.' ,,' Hourly Rate El(tended Amounts / /);:( 'CU 9t.T/i7 I I I --l- I , I I I '?b'/c" /'//135 //)~I(,C) / i'll I r,;! Lle,!~ ,~D I , T ! //5<)' !;>~ f " ;:?";.:/;:- .- '~,".;,\'~\,^, ";-,' .." ":",;i ;, . d,. " 1 \ . " , " . ~ , "(. ':,'i;' ""'-J'-~"'i':{;":"':-:;'; >,_ :~~";~~:~':',:,'~:'t. ,_. , " , ,':, ", ;', ',,', ..,.. :' " :' '.,' :' .'" " ' ."', '",," '> ", '," ' . "" ' , :,: , ,'. ;'" ..' . " ;,< , " ",.".'., f. r-' Jefferson County Department of Public Works :' . , . ' .','.'" . ,,' ,',: ."" " ...'. ;,'. ....'".. . ." '" , ". '. , , ,', '..' ,:: ".. " ....".,,' ',:;' '.{ .. ," ~ ____._, ... .___ DAILY EXTRA WORK REPORT fl' I ( /7' ~ I?l <73 REPORT NO, DATE PERFORMED '--(\ - cr" U AMOUNT AUTHORIZED S_ PROJECT No,('~5 LOCATION J rO ~ O'i(;> . OATE OF REPORT PREVIOUS EXPENOITURE S --"-- TODAY S WORK PERFORMED BY ~r<!(2f!. C". /-J:54..,e,V JJ(~1- ('''"~'- - r.yew. TOOATE S DESCRIPTIONOFWORKr (40A t'l1'" (1 f'~ -e(( ~-j,4..n...1 F'or. '!i.'n-"n ..5. %"';71>:119 tv"r-- ~~~~::~~~:~~~~~~NO, ~ PROJECT TITLE I r a'" 0 -a (~ . EQuip. No, Equipment q&;<:" _(- ~ -r ,roU" /)./2.<<-J.< TJqc.I?f.!df!, Po.....,.,. ~~ t?,.c/cu.o'/ r,A"< r _ -j,:,c.(Cu..:7 ../ fA" .-v.or. Pl1mP. ~"();qiJhrq", )/>f'>1P' 'R'Ar" "h '7"_..'/ "'uwl/.7, ~?--:r,AI '}I' -r_~" ~,n,,_.o, /,.... I........., D,. _'...,.-_ t- 3i'k"d 0 "_A r_'d J; "t'!J . '6 yJ D ~"'t' r,"I(u.. "lIT '') ,J ~.. -,;",,,',,K I./S. $ D>4t1f(. :7"..'"4<-< " ~S -:i ~ Tr",-,/c 4:-. - "(gj.Ji.~aJ<.. '7&5 i.J4. ~ /4. c. ~'~- Hours HourlV Rate }//r;, L/(]- ~ x1- ").tJ~ / '7':;- '1\ v 117S ~ LI -I, ~ 1./ _1_ ;). "I , ~U i 6>./ c),_ "0.../ <" I -'. 9./' 0'- .5 .... '::;1- _"5" ......-- to' - ~~ ~ ~r, ~S1 ? L,I- I 17/ f./c;.& 16S I ,+~-Oi~~arV'Y Roel( u\?"7 -~(T^L COST OF ~aUIPMENT. MATERIALS AN; WORK i :f' ('. l SubnlilU.tJ- Conlt"Clor R"c:omm.~ndt!tJ-.~I'\> Pro,. Hrprt!\f'"l"""., \'/;10'1' Fisk ro,", 15.5 DISTRIOUTION: exlt~nded Art;lounu :1Kd qol - 1/.;2' - /LI' - ..:-. -~ J':/ /0 ::',-;;.'3'/ 7.')' -7 -:?I - ... "-1 ,/51 - r~= ..., :9'0- 7i.? C, I ',. / ':;-"1 u '~ ../" -........ ..~i~,;;.~.., .';. :' ';" P,R. No, Labor ::1,,>, ".C J,lt-7/san - .1"/>1' Ma v~r /7/:11;0,.., '1'1 0" J "''' ~ J./-{ ;::"Ol/nTflin IC/JJC 1V.../5011 LL.o" J . t..:Ske - Ton y r7'~".rI~. J'I'l1, '~we - FLov-l " ,^~.a. P:<../( ',,_1.-. r ".~n ~ePI- a . (( _ B" Tc {., <(5 v 1/ i 60 ?VieJO..... CO./ ,,,! 'I '7-1-- 5?3 !q"Z , Cf/I-:J..O Y"-A / (_ 9'<,1, I " 'X'<{'/G ~i-'1{'?'- "",,'.,;, "'" ..~Ji~ _ Hours Hourly Rate Addod Porc:ontllge-(So~ Spoc:lol Conrlillonsl Subslllonce Travel Expense Othc,_ ""'" Reg, tr.T, 'b~ II! '10 Reg, '6 - jo:5~ lH', <l; - J 0 15'2. Reg, .:; <~ '/ 0 ~ c;u;, ..$b-5 ..JJ) '5' 'l. Reg, A"':.,.":; I D l:S";;..'.l;' tr,l", ?5":3 I 0 ,~ Heg, <;>; </ J 0 ''fit 00'1", ~, 1'1> '7'7 I Reg. SUB TOTAL. 1,'lp /)/)J)/,/J(_-oC" Extcndl:l1 AmOUI1I~ x 7'5":<- 5?G. '/(. , I E:-:~14(-' I '"I-4-/,'-'l~ ~'-I' ~9lf, I' c;,) ! TOTAL COST OF LABO~r A !. 393\30 ~ >- I B / tl?9!/O ,_"ON LABOR COST (A) 1 . _iii ON EOUIP" MAT'L AND WORK COST (B) I TOTAL THIS REPORT ,'):?3 /!90 1. Proi. Mgr. 2. Field Olflco J. Fill,! For Ollict! U~l,! On IV jPd.Or1CIl.~ ICheclu'd bY--1 No.______@$ No.,_@$ :~; '.'1 ',:,,:, :", .. . ',.. " '" ~:';: ,'.. . , 1 .' . .'.. ' .,:.. ,,' , ,.... ',: "" ,,' . ',.., ".,. ",' ' .'.' ':'.....,.'. ",':'<. "':'''':. ......"..,', '',;i, ',: "';" '. , '.,".., ,,':. .... ':",:', ,:",,' " '.' ....:, ' " , ,.,',.', ' ;' '... ,', '/:':'" 'i~ ' ".". ", " :> 'I .", '"....,"',.,:, ,':', " . ': . ',,'. .\,,' ',' ", "'.. ,.' ',', .."', . ','.,;,.', ,',' ' .., "',".' :" ' ',', .... .'..': "", " , ':: ' , ' ' ,'," ,"'" '. ",'..':'.. " , ,,' :' ,'.. , "",' .'.', ,', " , ',:, '" ", "..' " " ,,' :',' . .. , . ' " ' '..,: " : ':' ,'.,' :", : ,,:, ",. ' :, ';' , ',',.". .'.,',' ,;.:.. .: ,:",' , ::' .,: '::, ':,-' I' ----, Jefferson County . Department of Public Works' ..', ...... ,: " ",' DAILY EXTRA WORK REPORT PROJECT TITLE 'I'" 0 '10",1... F: II --- :13 - <( 3 ,- DATE PERFORMED l'> - PROJECT NO,t{::L!!: LOCATION Iron [).,,-(e DATE OF REPORT WORKPERFORMEDBY I"~.fl'-~.AJ /1,~hOv"Y P<.P T ('~ - ~r-e..W' DESCRIPTION OF WORKr.t.J/Al1oeJ C /"e<<: ~ p 1.(1/ ~4 j'T(d;/~ . M4 'N!;-q" / - p~ t ,'", R4tt,k- ..,..- . Equip. No, Hourly Rate Extended Amounts Equipment Hours '15 95s5 Ga,t', '" '6 L/OI - ~!- Lf.:r, T;/''l f)e~I-e (?oc.,k;..Jof'. I"! LK' - :3 f-brell'fq4$ P'C.!C'-fP, .;1, '-/ 1'75 Lf;2' - I<;{ Can<;7' . e"c.lC~;3, ~ v 1175 /L;i- "13 ? vd IJ I..th/P T'r'feJ, '0 y" qi - 7'): "7 '5 vel 0 l-fIr!P T,."ck, 'i?./ "11 '7""/! - ;l.u-'1 :f'vd J9 <-tM/7 -rl-'fc/( "..{ C)', - ,) ,; "]I;;' i - ~1SP;( ~vd. D",,,,p T""cl:' ,<('.::" ell - nqg!' :2.2. ..-"d f)~",n T;.,,~ ~ '5' t-' c.::;! - 7), i- 7'S 5'vri D....~"', ..........c'< $,9 =) I -, Ii'>":;; - .53 7.e.r'(y "'-I- , ~~'-;,.2 01 '" ,/ 1- J:l7 t;A,e- r,."c..1D;.. .l.olVIJey 3'" "/01' /~".O! . F ~ 1/ vz,'t r.. f). ;,n." :< $I ,,^-.. 1'1 " .,.,."".,.... lJ :~ Ph ,,,!I/ -~I' """'-!:n,,' :t'1' ^--. P."r ''2 If "..,51 P""f P' ;l. Y I :?'1!~ ~....r .:J. " -r,... <.4 PuMP, :J.. 'I' I . ~ J '.=;cj (/,-.. \:J ') t. -Vd(. QqS'_ I 'f' II?I "'~r;:/c- v!..50,,lQ'19"I'Y /'i'~C/(_ 'Ii?? G,',/t)SO 52. E<<~lfl......,." Cqr/,/ A/I /'75 /'-/1- Q,q-s. 1.':;'41 I,,,'.' --........~ TOTAl.. CO~T OF EQUIPMENT, MATERIALS'AellO WORK ~~ REPORT NO. AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE $ ~ TODAY $_ TO DATE $ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. P,A. No, Hourly R.:Ite --LOIbor Hours JolJ'ISOIf .T. n. -&.-r. ~ -"II 100 };]~J/-< I- WI I I!'qi1i ' Reg. -il / 10 1'19 ^" c.C I'""'" u IJ ~n . 'w ~, }1l II 11{0 AI/hrq~" r? 0 c.ft . Reg, '0 - It:> 17~ ,'s'l(e 7b71 V -, ~-F1t:> :$" '2. ,'<c..~.''(' . T;JI->f Rog, 51: :3 10 1G""2- I-i-ow-e. ?I-o~..{ 0.:1', "6,-'101G?- 'Vtoc,.e. o let Reg. 4:./ o:~ L.M71! IVI" ~ ll-erb, ..,..., ,4~~ /0. I,p.:f-- fit,S -g.. II 13 " 7<..p. Reg, ~, 19,.7!, G,..s . A.<!...k-el- M~I/ .T"~, oisr., -.I, /10 I," !rl or~ll" - 7(; WI , RC"g, ~ /0 I~ .3:> Added Perccntaoe-(See Spacial Conditionsl SUB TOTAL ,ph) F'II}j.) Subsiuence No...._@$ No.._@IS Travel EKpense Qlher_ Extended Amounts ?t?'1 - )>3'9'0\ ,9/'d-O 0""(1/(; Wi/Co, *4~ MI'! (<-fIll ~ "G'ib ? 5,;1 :;1.'YO , , /~ ~.(',! Ow -~!5b '~7P' 4')/..,=>1 : TOTAL COST OF LABOR I A ISle;, 1.3'; ~ I 8 1{,7C;!t/c; '_%ON LABOR COST (A): ,_% ON EOUIP" MAT'L AND WORK COST (8) I TOTAL THIS REPORT 3J /,;} iJ'6 DISTRlounON: 1. p'oi. Mgr, 2, Fll~ld Offico J, File I For Olliclt Uso Onlv Pd. onesl. 1I0._ Check~d by_ Svbm. tIed - Con tr olC lor n"COlI\ll1Ct1dCI1-Aes. PrOl. AtpH'Sl'flt.ll,\''' Willl'V f Ie Form 155 ',: >,,::,',,' /,' ".... ',:, .,",: ,:',-. , '0 .'.' ".'.,.., ,; '" '.. . :, " ',': ",' ,':J! :'>".'., '..i . ;" ':", ,>,. ". .,' "",' , ,,'. ".,. . '.,~', ',"'- , :' :', : :" " , ", ' ", .- " '. ," ',::' :" :', ',' ~ " ' , ,.' ..,',," " "',"""', "..,.. ,,' , ,', ' " 'c ' , "..,'" " ' , ..;::,",:, ':'.. " ',:,' ",.', ,,' , '", ' ' " :,' ";,",, ,;' ,,': '.,' ' :,',' ',' '; , ',"" ',',::' " ,,' ',:' ',: ,,' ';":: :,', ',,' ';'.'.,' , ",;,,: : ,",,'; " ',', ;",' ,'.' ,:', :'" "', ,'.'".' i", ,/;1 c, " ....,;', Jefferson County Department of Public Works ..... DAILY EXTRA WORK REPORT PROJECT TITLE I ran 0'2 / (' . ;:::. / f PkOJECTNO,5?-? LOCATION , rotl D''J/~, , WORK PERFORMED BY rJ'" f.f. c. 0 - J.1.';.{ WilY f)...P 7'- DESCRIPTIONOFWORK e,Le-<1n-ed. J"..c-k .{>,I,m'i<f;Tq{"l@ a -e I- . REpORT NO. AMOUNT AUTHORIZED $- PREVIOUS EXPENDITURE $ ~ TODAY S TO DATE $ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. -- .-. .- -- - -'--~ ._- DATE PERFORMED "6 -~ y- '63 DATE OF REPORT COH:5r- ~r';"'.r M~r;.r'" I p~,- ,. n R~ck P,R. Lobor Hours Hourly No, Rala ,Ttlhn6.n..rlW1 ' ...,.,.,- 7/- II iO'd j,',,'N''''' W:/I,'""" Reg. <;;v II I~" 7.T.. L1 eh;.-- A. J::/I?F, 'h- Jl ''10 O,:?-e MQ'1 JJ~rb Reg. <{ /0 T~ '0;;:;;110 7i J4/ ~, ~ /0 i~~ 11v.5 r:?;(( -/./r,(,J",,d, Reg. 4, .. If) ,ql/ q_S' 0.1( €r ".,q" :r If! P{: ~-d.." ;017'1 Reg. , , Equip. No, Hours Hourlv Rotc Extended _A(11o.unt<; 05?'O! ~ 301. "-12' - /'-1' - 7'08: - 1-:"/' - ~. I ?<j I/o 3,~ '3"1 I (, '/ / L/'/ 0.1': I Reg. , ....., ! Reg. I EQuipment ;:l {"- 1/...0 s'" }16 tlul- ~v' /5'1 - '",/!if ~ / 17) -<;2:" 1 175' .:r .<3 L/6 I - "i3 / 17$'" :/-1.{ -r 11-'1 -r ~'f '! fL '1' I I 1 I '1S -q?5 c -:i r. 1/"- -J'irj/l-f),c.<,~ 'b~_... -<,. 1=='"0 r~ iVl~n" p" ~ u "'. 7l ~~''''. '0: ,J. . ? - en-. ,,-117,'f/< ..,...r. CAr.rl' MI ~" 1v~1'oI,. *"" '^ L> 3" ;J..... Ah ;0"., fluhr/ ". ?....#, ~" ,...;;;...J ~ '-" "'?.A~ ~ MATERIAL and/or WORK done by specialists SUB TOT AL. '(JII' "i>^ Description No. UnIt Unit Cost ... \ ! --:I''?C:. I I ! ~ 1............- <:::::: r ravol ExpensD Othe'_ TOTAl COST OF lABOR I A 57'1'?\& () :>- '\ B t, YX'! 70 Addod Percllntilgo-ISee Special Conditions) Subsinence No._c@$ No.._@$ , fl1flfJl. (,. a~ 7; C.r fi.?/ 'j ! TOTAL COST OF eOUIPMENT, MATERIALS AND WORK E xtendt:d Amounts 'R'?[ !Do 'i?X' i 0 "1/' 0 #\&~ 1<..)\ C) <;C. 7 k,l 91 lit.. I to 0 '1 !;;,! -:'1 q !1.q6, ;4 s DISTRIBUTION: " Proi. Mqr. 2. Fiuld Ollieo J. File For Qtlicll Uw Only Pd. on ost.~---t Chcck.e'd bV----i .. _% ON LABOR COST (A) I ..~%ONEOU1P..MAT'LANDWORt<COST (B) r---- TOTAl THIS REPORT ~'/?.3D Subnlil1<ld _Conlr ac1 or RtlCDmm~nd~d-R.., P,ni, Re-p,ut'nlllttve Wil'V.Fi'\( Farm 15.5 , ';>".., ;,""::,"';'" ';' ',"',,':,:', ",::' ,', :'....'" ,'.:: '....." ".',' "C, ';'::':: "':', " '..,' ", , .. ,,:..:': , " ,','.. ,';-.;: :, " , ' ,',' ,..' .., "',' :>" , :".' ',,' '.' .. "",,', ,: ,'" ::, : ' : "", , ',: ',:' ",' ,.",....,:, ,',':,':.. ",': ''', ,,' , ", ":' ': . '.', ,,",.,,'. , '",", :,,,, ',', ",: "',' " I,' ',,' "," '," ..'" ,,:,' " " ' ", .", ,:.. " ,,' ", '. ' , " ' ' ,.. ..', ",: :,' ',' , "', , ,'" :::, " '" ,', " ' ",.',:. ,:' " ,:,:,':,' ' , ,." ,"":,..,.. ,','~' "',, ", "" ,'; ,:: ":'.: J,<: ::," ,." '" : ',':: :,"" :",' ':"': ".;', ... ' ' , ,,':': ',:", ,,: '::, :,' ;" .- ......' :.,'.. ---, Jefferson County Department' of Public Works o ' " ---------.. --- ,---~. .-.- .._-- DAILY EXTRA WORK REPORT '7 - '-S - <6',5 PROJECT TITLE I r 0 If D ,de - t; ( ( PROJECT NO, 5';2 5 LOCATION J;.o 11 071. " WORK PERFORMED BY ;r",fl (2 , eel /1,''1 ~ ",a I' ;),(!""T- REPORT NO. AMOUNT AUTHORIZED S_ PREVIOUS eXPENDITURE S ~ TODAY $ - TO DATE S CONTRACTOR JOB NO. CONTRACTOR REPORT NO. TOTAL COST OF LABOR A >- I B For Ollie.: Us!: Onlv + _% ON LADQR COST (A) \ ~(~~~2t!~i~vno-=---1 .. _% ON EQUIP.. MAT'l. AND WORK COST (B) ! TOTAL THIS REPORT 1/<17:Z! 'It? DATE PERFOIlMEO DATE OF REPORT GO'75"T- ~r-e,-</- DESCRIPTION OF WORK .. Labor Hours Hourly ROll:.' do41/:501/ (fi In <T.'f': 1: ..../1 io 0 ",~f"'''' 14':11,'1"" Reg. '5 /1 100 '1 c.<!..Ja J-j' J.I""~"/ .h. ""'1', <g- '/1 11,10 Or" /10 /0"'1 Reg. ?5 10 :>!-y_ Co f... ,- t:/'I'1 J"fP ci.T, "'5 /'tJ i9?' 7' II /J o-vJ q,;.d. , Reg. '6 10 '1:i 'e:T': : Reg. , , {H', 1 Reg. , """, , Rt'g, I EQuip. Equipment H.ours Hourly Extended No, Rate .,l\l'{ll,l.unts 75 '155 :7'8 '-/0,- ,,/ ;to I - (~tJ 7 - Ca- .6'8 tld - 3~'- /<; c..OI?S r- p,'ci( u"'-, ''7T ./ / '7::'- I~t. - )/'t _ICA'! D..cu- e. P, 4- (J( /-f, ." :3 ~ /SI - .;1..5" - 3 h r< ''''',';5 p..d~,J. tJ.'l /i7~ 4';1.' - J · IV. r.~ p,..",I", ~'1 -I- -+ 1..3 i, D ,'qO,{",', ?'.II'''P- :tY .1- -l- 'r~";f.; ~'i~'6~1 P"ma ~'1 1 :JC) 1 I'D f{e,;G/ a/I r:-.-J p., /J1 V .:2 7"' ! <::2.'~'/ ..5"(). I",. ",./,//.. "",S Ctlrr-/ ~/I ~ I !7:;- l'/i - I I I 1 I ! P,R. No, q.,S tv,S MATERIAL and/or WORK done by specialists DescriPtion No. Unit Ur'lit Cost - V W (;.qS - /1;:>/ I 4-0-1, 0: ( 41loD I ! ! Added Pcrccntage-(Sl.!c SpeciDi Conditions) )* SUB TOTAL /;OP -7!?h (,1'(;,-) 1 1 Subsistence Travel Expenso O,her_ No._____@$ No.._@$ TOTAL COST OF EOUIPMENT, MATERIALS A'NO WORK >< DISTRIBUTION: 1. Proi. Mqr. 2. Field Ollico 3. Fill! Submillrd- Contractor R~comml!nd~d-R~,_ Proi. Aeprt"ent31;~'~ Wiluy.Fi,1( Form 15.5 , './ :.":.',: ," '" ',:' :':,:i : ',:: ...- '.: ",:,~:":': ",.', "',, ,." :::': ..," ',",' ,:' ,:', ", ',,' ,,:: ", :" /, "',, " ',: \ ! : ',,:;:;:, . ,:....':::" : ..... Extended Amounts 0i' 1 On , j(git"\o ,0/1;20 V.?O X'71S'.J 7";".3 ;:l 1 ! , , 1 I I 5.2. '3 :9'1' ? o:i'7TLj.j I 1 1 rJ75 L<y 70'7 :'70 ,--.;l ..- .. .. f " ' .< , iJ ,. ',' I '.' "..,' .. " ' :' " I ' ,'..'..: '..", ,'I, ,,' '" ,:.., , ' " ',,' '. \ ',..' ,"'>", ! ',:., " i, ",_, ',,' ,:, .,"."" ',':",' ':., ,,' '>, ",:"'" ,,",' ~ :' ",' ""."....',',' '" " .' ~ "','" ": , '.., . ',,- ,,':", :", ,,: .' ' , , ,: " , ,.- -, _4____._______ -",-._--- ----._------ .-- .- --_.----. Jefferson County Department of Public Works DAILY EXTRA WORK REPORT ----------.--.-. ~._. _______ u -.-- ' .. PROJECT TITLE I rOIl /Jq/e , f.'(( DATE PERFORMED 1) - -::l C, -'6'3 REPORT NO. , AMOUNT AUTHORIZED $_ P~OJECT NO, ,,{}. :; LOCATION Iron Pale DATE OF REPORT PREVIOUS eXPENDITURE $ ~ I TODAY $_ WORK 'PERFORMED BY 1Tf'1';.'. c"o ;J i~'W", Oc.o r ' c.. ~ P/5I- Grr;'i-v. TO DATE $ I ((17$'.// f.lh/e;..... kc; r~/ CONTRACTOR JOB NO. DESCR IPTION OF WORK ('.LVfr7 .,) C.;-~"{('dr -,f. Pil T ,,,, R r) c/r. CONTRACTOR REPORT NO. ,,.u .(1, W;.;,. '-';- ('-:-J::~.??')~;;.rl""/ '" ' J<ld ;/ 'I ~,.f/.)- ~ Equip. EQuipment Hours Hourly Extended P.R. Lobor Hours Hourly Extended No, Rate Amourll5 No, Rate Amounts 15 Q5S- C9'f &0 ,/01 - ,;;,/01 - ,l'o/i? fa f1 J','111 tY.r.' <3 1/ '00 iFS10D /.0 '7 - C"I' ,!'P PJ t.;:2' - .-,:<';(01 -- M"-'/er W:/I,QF1" Reg, '?- 1/ 100 X'Kioo II~ d~lt-1 O-:J_ -U- e 8q.J;-I"e, 3./ ;<:1 - '1S" - M(1~/PrY Ii., ".... .4, '6:"f, "3 " J/ ''1'0 ,"7 I '-10 /4, r' 0;/.< r a: ,-,,Ie <( '"' '6 ,- /17S' ILl: - .I..~ ,;7"/11'1'7 jj~~b Reg. S - /01'19 9< 19'c2 3 hI rt! (:1.", ~) Pic..<:'rP. ').'1 . /17':> '-I~: - A'1N~(lo - ;~/VI 0:'1', ~ J" : {f-o "i..JIOS 41. E /'/ p,i 17 - ,'r" C-?N'/. II : / 3 I '7.,- 5:).) AI--.ev W:/i: ,(,II Reg. '2.. 1,/,1';1'3 :;<!!'8'(.. f) I. ~ 'V.I .-".... P,(,"P, (l.!I : G! .!: Ll c-ko,.",,,~ ,r<" C'f? ~ (7 1 ~ 'lZl :i? '? l~)';<' -r 3" ,) , 'i Po? "qd/ Pit.>?? 9-1- I I.J;;..~ ~, ~<"Hd Reg. , I -I' , ,,<,,, r.'1 a.' I r'1.:..:i? ,p ""1/ P a,'f -~ ,:y/ I/O D.T. I I 1(,.0 J.' Tr.,~ r'''nP ~" _1_- "1;;>'3'/ Reg. I , I I a.T. I I I I I : Reg. ! : I MATERIAL and/or WORK done by specialists I Ol.'scription No. Unit Unit Cost . SUE) TOTAL '-1'7'7'!.0- I" djl a.,;5 , I!J I 71,/- Added PerCenlage-(SI!f! Special Conditions) /'/,-Z r'': 1)/) ?,,~ 71 '?S' J .../ ,.,: / ,hn o-/Iuo Subslslonco No._._l@$ : I I : Travel Exponse No.._0S I I I Othot_. ! I TOTAL COST OF LABOR I A 73 / 1'25' TOTAL COST OF eaUIPMENT, MATERIALS AND WORK ~ >- I 6 fo'7:r:Q,;)- --- - + _% ON LABOR COST (A) I OISTRIBUTlON: 1. Proi.Mqr. For Ollie!! U''l Only I 2. Field Office Pd. on l"t.y~ + _% ON EOUIP., MAT'L AND WORK COST (6) I Submilt~d-ConHactor 3. FHe Checked by 1 TOTAL THIS REPORT 1'I:'t))':3' R.,commendltd-Ato" Prol. Rl'p,l'st'nUti....fl Wil.V.Flsk Form 15.5 ,'" , .... ' ,: >,,' , """', .' ....:, ,,:" ,.. ',; " , . , ,;"....;:, ,..', '", , ' ':' ''',' , ',"; ..' ,"', '..,': ',' '." "'(.""-' , ':""" ': ,': ' ',.' ':',:,' ", ,,','." ' ,,',,' .. " " .. '"",..' "":, " '.. .i ,: , ' ',,' , , " ' '... .:,' '.. ",','::" , ' ...' :'" ',." ", , .. . "' ~ .~ - . .'f. " " ':. '., ',' ,,'" " ,<:;, ',.. ' " ' ,,' :.,,',,'" ' ' ....,,, ' "" " .. ' '" , " " ,'" '," " " , , ,', ,,' "..: " .,. ...,: '. ",:,,~:,' ,', " ..'" ,'", .., " , .. " " ,',.', ',; .. '. , .. ',' ,', ",' .. "';>< ;, '" ..; ",'". " ..,',,,, '::"" ,,:" ';' :';:- , ' ',"',: '.." ',,' " Jefferson County Department of Public Works PROJECT TITLE If{o)Jf)4& r:=,LL P~OJECT NO, ,0):.2 ~- LOCATION rKDA.' 0.4/...... WORK PERFORMED BY 'JKr:,KpA.,,C'I' cJ ('1(' A iT\J I DESCRIPTION OF WORK J?F/'-Ir.I''; /1 A/~It."'-'/J.{J'/ q, EQuip. No, Hourly Rate Equipment Hours '?,' - l:/q .;2.... v "/0- c; -I Y; -"01- 5i'~ ,5' 7;' -' -r; ./" S 7.5- (Co q.,-r;- I' ,.-..T "7'J ,- '? ',.. 4- '-t- '''?';;.LA.//,,'on /'0':4.....1 :'.$ o /1O<?,<~ '/hu<lK '7I-u.c/e 17u.(Ij( I<J'"U.'),: ~<.tr' . ',1:\".... -'" ~,-' .i I~ti' L \.,:;:w" ~lcLM<)-) C;'" I I I ! ,,3 '"i:? '7'-1 '--::'7 ~,,- '71 - "71- 91 - '71- ...:! MATERIAL and lor WORK done by specialists :~ 'IS ? ,~ i..:> Dllscription /<," ~ (l r No, Unit Unit Cost - -'1-~,~ '/'l7 , -;,,,0, ,'(.I c J i.:> I 2'c-(,j, Z/!J I "?C' ,;,.' ~ ,/ c'l !..:>, " 1 , TOTAL COST OF EQUIPMENT, MATERIALS AND WORK DISTRIBUTION~ S..a..'d;ued- eonu,ctor Aflcomnlt'ndlld-Rl's. Proi. RflDlfl\flnt3flV" Wil'V.Filk Form 15.5 .. , ,:. ,>': ~f .. :' , "',:- '.,:"",,,', .;"" DAILY EXTRA WORK REPOHT AE~OAT NO.__ AMOUNT AUTHORIZED $- PREVIOUS EXPENOITURE $ ~ TODAY $- TO DATE S CONTRACTOR JOB NO. ,r;;.'7;'~"'J-; &bY"'''JTRACTOR REPORT NO. <;;?,-:!..y- (f S DATE PERFOnMEO U OA TE OF REPORT )/,r:/~ (.'..4 LI f2..;~'- , I . "<'1,,.,W;-...., J - .,....~Jli ~ 1 1;.(/"{I I..: /.1) Hours Hourly Rate Extended Amounts .3d- 0 r::;- ;?ul - I P.R. No, Lobor ~ "''G -Ii,' Of' R.g, Z //!,..." ~ I<-E'q(, / 0 I "'/' '? R.g, - -// :o~ "<p.];. ../~ : ~, R.g, - / /" I~.i. o:r.,... -. //1 ',:5',2 R.g, - /,' 1;'.:;;> -O=J!i. q~, /() I ''''/ :}~ R.g, 1- ;0 I 77 O,T. Reg. SUB TOTAL Added PercentZlge-(See Special Connitionsl /)//" /1 j};.) No.____@$ No.._@$ TOTAL COST OF LABOR A >- B 1.rroi.MQr, '2. Field Ollice J. Fiht For Olficlt U\e Only IPd.onflU,~~ IChp.cked bV----\ + _% ON LADOR COST + _% ON EOUIP., MAT'l ANO WORK COST TOTAL THIS REPORT ,'. ',., , " ",.,: ..,,',.. :, , ,':. . ::.: ;' ,:;', , '., '"..<", , ,'.., ", ""," '," " ,,: ":'''', : .., '. .",,' '., .... .'..; ,..', .. '.' ,'.," , .. '...'.. . .. ',> ' ...,.,.,' ',,', .,' " ',",:', ,,"." ',.,', , ' -;(...0' - 7,):- 7.:) ,- , '7:2: - '7:1.\ - ,j"'lI;O .,;Z!.;'<j I I : -'.r.:'''lU.' 1"-'''- AL'! ~.....) /'-'J.c' '~ /",/.,/!,-;;,.., /-/ ,'/J ~.,.. t:L:" ;/-J)/-I '/ ~:k~ ~ 0"".' /-/NI'., '-;7-/.- ~ -' A'wr.h' ',T-..",..{""" ~a ,'n, '- , r'{;'''(f ~.. ,..lrA ,_ P ,,'d' i, <oJ) 4!/,f-o,,,,,,,.JAI ;,G FP f:~ / J }/....1I.' <I,....,..J "," IV!..! 7S /,( 7'/0 11-,,,,'7;:- /.2Yf/O 1 SubsiUorlCQ Trovol e_penso OthOf_ ~ ./ ...... E.Il.tl!nd~d Amounn q?iLJD ~ioD ,~~i"7..2 " S?.?10Cl -- .,.....-- '6 '-/ /(":- :<t/!~ " '/ It'~i ;:; '~.LG~ . /;;7'152- c:(. ! /,0 , I /,...-,( 7~?,'/:~"'" .+;J"if.'btf '370 :20 i I / () /3 1/1 ;..;' 79:1'1' (Al (Bl 1 , , ! I ?3~12!}..?' , : ",:,,: ',' , . ," ':,..,:..";'< " ,". " " ,,' ,,','.'.:',. ,'".. ,',';',',.',; " ,,',,'," ,', .., ':', ,:.. ' " ':. .,'" , , .' " .'" ..", ,i " ..: .: ,," " ' , ,,'. ' , ,.", " ;/:, ' .,: " J Jefferson County Department of Public Works PROJECTTITLE:I~()W 'D,4L: F ,// PROJECT NO,.s-:2 ") LOCATION J:::-I?,>',l/ {),4i;;- WORK PERFORMED BY ~ Fn'"K '<;:"'.0 (1,-,., A "Tv I DESCRIPTION DF WORK&""'-iat-- "(/y, ,'1{ ""~' '.',' , ", , , ",. .',' :' '" , ": , >,: '.' "';:'.' .- ': :,:: , , ';'.,;' , ,,' ,',,:''', , " .. ,..' , :" :": :, ::":.":,,,,: d ~~~Wgl~ I . ' DAILY EXTRA WORK REPORT g::: -:> ",,/-7 REPORT NO, , - >;.-"-,?.:5 AMOUNT AUTHORIZED S_ PREVIOUS EXPENDITURE $ ~ TODAY S - TO DATE S CONTRACTOR JOB NO. I5q.JcoNTAACTOR REPORT NO. DATE PERFORMED DATE OF REP9RT 1-1/ ,:;/.i. ,',/-/ n~,A. T; , I A1'--:",,.;o,,,L -r-- /01 lie!'" ;"{!"('/::.A /4:' :>'1/;,,(}\ EQuip, No, Equipment Hours / /'") ./' /-IQ - q V '-/d- 9v' =1- .;r-5 q,- I...... C?i- ? V ') DI - I V ell. ;==;- .- :-< !- (",,0 O~7 r; 4" :..?., <7,<5."> n del T -:?"'/ Tr..l{(lir 74 'T'rc.U.;.... '21 T recco A- q,., ).....,;..,,.,0". .., :-r.r-f: I<: Pa.f" oJ, ') Fi.-u.,.... "7' ,J5 F;-,;- / ' J... fi v..;r,.t. ji'-t<'O:.. <.. H-c'-i :51 L~tlS J:,';"'- " I'd' /l ,->, /Jl'llJt::":'r .~~. MA TEAIAL :Jnd/or WORK done bv specialists Dc~criplion No. Unit Unit Cou - T j / <I'?'! , / :i, <L4~1 ,~ ' ':'" ,/' cj ir7 ,<' ../;' "'~1 / , H ~:, '~.., 'L ,( ( ( ( l( 7'1 '{.5 TOTAL COST OF EOUIPMENT, MATERIALS AND WORK DISTRIBUTION: Suh."ill~tl-Controlc lor R"comm(~'HINS-RI"" P'OI nI.'P'r1~t'1I"'I,..e W,IIIV-F,.\!, Form 1G-5 Hourly Rale Extendl!d Amounts tlD~ ,- 1t.",1 -- ';1/ I lii-'ilr' - "'7' ;9d - "11- .;:>'1!ID ,"I ).,;>./ 1 ) Q S' J I DS I : P.R. No, . Labor I,) ;( !/D ') iL3:;- A'::.)?!iT '2/ I ~S I ~ ...-/ ~ "J~;~,,,,lhA,'f..~ /J..1'I"A!' /1//",,'(/ ~-.i- c,'/'//,//-/ i/-fi-,(~ FZ,~..) -;:;'/c.-(l,{'P ',,'C:..L,>,<: ';tic, <;, _'.< I I / ,,<;/-,,, '1"7,,,,-,' v' IA',-.;J<;,..,.I1 -t=..U"j ,4/1 1(',,- r ,<.t~~.' '-:J--;; 1-;:;- '-r-;-,I/ I-/"'I'! ,.4.1";' Addl1d Pcrcont3oe-ISee Special Connitions} SubsistcnclI rrllvel Expensl! Othor_ Hourly ROle O.T. /C.J~-~ ~~,,:':'. ~ RMg,/I'1.5" :rl':,~ O,T, 7'/, 1 f! !~f> Reg7?L~r: ~;;:.:.~.;. o.T.--f IG\J! Reg. 'Y '- 'I ~ I~cr; O,T, /- 1,;'7/ R'" Cj" Jllk'? 'I O,T. :?'(, /D177 I Hours Reg. O.T. ! 1 ", .;.: ,,! >>'.:' ,', ',' '..'.' ,;:',: :,.,.,.:' ". ":." "'.'.', ,..',".' ., , , ...", "..' ." ' " , ,: " , . , ,.' '.' .', ,.'.. ,'.,. "'.".." " Reg. "j; ,1! SUB TOTAL I)/)[;) No.__C@$ '" I No.._@$ /, T 1))1) TOTAL COST OF LABOR >- 1, PrOI. Mqr. 2. Fitold OffiCI! J, Filt' For OllieI!' Ustt Only! ... _% ON l.ADQR COST ,Pd. on ll11. no.~ ICheClo:ed bV_, ... _% ON ECUtP., MAT'L AND WORK COST TOTAL. THIS REPORT " ,," i "<>:', ,'. ,,'. .,':: , Extended Arnounts n i'6''.; 'l1 i~,~ >(~( ?~~< .' '<-.>c"if.;, , ,'~/ 'r~ Ie'" l -' :.s ",r.,3'" c. IX" /~17':':' c{ <;;'?I;>,;;J.''- ' kl..!/(. ! 1 1 5'';;;' ,:;;,<1 ;!I'~iqq /"1 c/: I.P ;:l ~ 10(, I A /.1.;1..71.4'7 B '2~I<!'/<,I I 1 (A) (B) """ , " :, ~ ,''. . "<'. ,. ..'.,", ' ,','.: " ,.",'.'; ..,. ", ~,\ ,>'. ,,.,,.., "'... .'< >,...' .:':" .. , " .", ,.,' ", ,'.' ".,.'."., '.,.,,'" , ': """ ", :'" :,' ./ '" ,,': .,," >: /""', Jefferson County Department of Public Works . ":,, DAILY EXTRA WORK REPORT PROJECTTITLE ...l-!?())JChis. FLL DA'!"EPERFORMED ?~3/- 83 P~OJECT NO.s-:;;?S- LOCATION ~If'C.;U r;::;~t& DATE OF REPORT W~RK PERFORMED BY r)e r=-"e:;;~A'.scu/ (' <?cvuTj/ fhj?4&t//l)" Oc:~7? DESCRIPTION OF WORK...z21S'~/~y k,r/-ts REPORT NO. AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE S _ TODAY $ _ TO DATE S CONTRACTOR JOB NO. CONTRACTOR REPORT NO. EQuip, No, Hourly Extendtild P.R. Lobor Hours Hours Rote AmountS No, ..y,../ Z!q - 100' ~A/f..AA{././J/<:' It:S6 - I ~ _.9 / .. ',//.'~}'" ...... -~1:<? I I 5 ./IJ,~.J' , ~ f,~~"','?A/ H4r>k;'-;':', O,T, ~~ ~.Jo'ij I I 4~ I()_ L./CSS yr.:../. -I J ...;If ~ ~ ~-, J '''': I I ~~ J~o~ /41...7l:=. to>a I. o.;r.. l'E I I ;;;;:, ki:J?A;r .4L') CJ.f.:FP" Reg. ~ I ,J.;' 10 'J;... .// ,LJrv,/,"'''-.i O,T, I -? ;2,'-:f cJ >vJ'-',,,-,,:L.I~ -r;:" .1--1 Rug, ? 'f I O,T, I I Reg. I I a.T. I I I J 7 1"/'/ Reg, Equipment Hourly A<ltc ,e.r c..,.... 12:::2i!./J-/ I I ~: <:'4. IIOr:f. ! I O!/. ; 1:~,:J; It /4..7F ..., ~''''< -;;.. C;',,/,.. OcL,;V7/;; J MATERIAL andlor WORK done by spociolius No. Unit Unil Cosl I Description SUB TOTAL , ,,),.> ! I I I Added Pll'rcontll9ft-IS~e SpeciDI Conditions I P;l~ SubsiuonCll Travel expense Olhof_ NO.__@$ (") r No.._€l$ " 'i / ~ ,J,-) Extended Amounts /.<?M, ) '3/,1 ;~X /? it; /.s II- '>?i.!<-o , 9=" i..4_ I 6'<9:00 30'-17':< L/7\~ ,'U '/,.10-/ 1 TOTAL COST OF LABOR I A >- I B . _" ON LABOR COST (A) . _" ON EOUIP.. MAT'L AND WORK COST (B) TOTAL THIS REPORT /'7/ F'~<,{) TOTAL COST OF eOUIPMENT, MATERIALS AND WORK ~ --- .......... DISTRIBUTION: ~orO:lfiCO Use Only Pd.onelt.~ Checked bv----j Submit ted-Contractor 1. Proi.Mgr. 1. field Ollie. J. Fire Roeomm.,m.fed_Rn, ProJ. fl"lJ'~u'nt"l;v" Wil.V.Fisk Form 15-5 :/')';:.i\';.: :, ::.'(:1 '.' .'., .';; " '. ,',';,,;,' ',....': "";' 'i,:'\": :,'/", ." '.'., " " ,;, .:' "..', . ',,, , :"'" " ",:", .,......., ," ;', ,:' .. ,',,i' , ,: . ..' "," ':: I / <,Iq'7i,O~ I .:;>,~ / :'1'1 i 1 : - l~ff(( i'i. :/,); ..'.,.', ..,.'".."'.',l.,: ,Jii.\:' .'.,., "A,/ '" ..i....,.,. ,... ...:: '. <, 'c"" \:; 'i...' :..','i.'.' .: ,",':' ...'/<:.i.ri!.. .:.:....:.,..... (: .' .'" ",idi:'..." :/...",. , .',' ".',' .." ','. ,...'.. ;:,;,'."""".,.:F ~ i : <wi VOUCHER ,~ COUNTY OF JEFFERSON 15644 i PORT TOWNSEND, WASHINGTON 98368 WARRANT NO. I RCHASED BY ROAD FUND OFFICE OF COUNTY AMOUNT AUTHORIZED DATE AUGUST 1983 lO" Tt or ..u ..e... ~~ I ACCOUNT TO 1:51:. CHARGE.D OF 1.'1 C t:: TO HADLOCK BUILDING SUPPLY OR, YOU" "'RM ",.....t , ADDRESS P. O. BOX 395 ST. COUNTY OFFICE USE ONLY CERTIFICATION HADLOCK WA 98339 I, the underSigned do her~by cenify under penallY 01 pequry, that the CITY STA TE materials have been furnished, the services rendered or the labor per- formed ilS described herein, and thai the claim is a just, due and unpaid obligation against Jefferson County. and that I am authorized to authenti- TERMS cate and certIfy said claim. Signed hille) NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED, AND MAILED TO COUNTY AUDITOR, B, COURT HOUSE. UNIT i DATE QUANTITV DESCRIPTION PRICE AMOUNT INVOICE# 113115 20'X50' POLY 4 MIC 20.25 '::::>~..J (J L.,o ..s .2 ~ TAX 1. 58 21.83 INVOICE# 113157 12'X50'POLY SHEETING 10.13 ==-" TAX . 79 10.92 {J,e,o .s ~.s- 33'1'0 /1 ~ ~~,,- ", < ~. ~ ~ ? 0' Tll~ INVOICErJ; 112374 4 4"Xl0 PIPE 18.00 .,-'7'1'-> 1 PLUMBERS TAPE . 8 5 ..: 0<., ."'., ~~A ~~J TAX 1. 32 18.29 112338 ~-5-A - "33 .,IS- (t~~ n.; TAX .84 11.64 ~vJ2:~ .. " - ~ ~.' -! C. .:> (7.( TAX 1. 58 21.83 ~. $ CONTINUED ., j; VENDOR lOR SELLERS) SIGNATURE NOT REQUIRED ALLoweo /";1"'-" dc. z... BOARD OF COUNTY COMMISSIONERS DATE ;ii, ~, COMMISSIONER DIST c~ COMMISSIONER DIS1. .~< 'f. CHAIRMAN OF BOARD ~.I " '. A_turn All Cop'" ~. to AudltOt. If /< , <i"'" "','" ii"\ ",,'.."] .,;,!,'i,', ;. ]" ;""'.\"i ' .'..... .' '..'"... '. ,',<:! ",", ..',. .ri'. ',' ", '.. ...,..,..".i.'" ....,."..'..,... ..! .,.',".' ';" i...:.!! "..,',',> ."',."...'/..;,i/ !\. '.', :: .,..... ;.;';i, ii.,' .'..' .;,":,/: .:,',., /....,.. .,..'.'.". i::;".:.<;ii. ":',(::'. ";i".':: '.," .,..',.' "'ii,, ....'. , i" ...,)(. '" "., .,",..,'./ ' ....., ',..",,".',.,.c' )..,... ,.i ' ',,',,'. '.. ,'.".,:i:, I;;;?, :..-i:.....,;,.: ..,'...:X.;(, :..;,.,.".'..., ' .".. ,.'" "'0" !i i.i;' . m~,i:! ..."..,t-,,-,~:: '....,I VOUCHER COUNTY OF JEFFERSON PORT TOWNSEND, WASHINGTON 98368 ~ // 15655 WARRANT NO. PURCHASED BY OFFICE OF COUNTY ROAD FUND DATE AUGUST 1983 AMOUNT AUTHORIZED /C..:.J S . "-(u. ['10 u /3 Y 5'-1':<, "'CCOUNT TO 13E. CHARGEe /-/ // / c) 9,C;Y /' ':;;YS'Y OFFIC !;: IllATl 0,. ..u"C....,$Ll HADLOCK BUILDING SUPPLY DR, P. O. BOX 395 ST, COUNTY OFFICE USE ONLY CERTIFICATION I, lhe undersigned do hereby certify undllr pt!/lally of pt:rjury. that the materials have been furnished, lhe services rendered or the labor pc,. formed as described herein, and Ihat Ihl: claim is a just, due and unpaid obligation against Jefferson County. and that I am authalized 10 authenti- cate and certjfy said claim. h 2.. SIgned ~a ~ llltle) HADLOCK STATE WA 98339 NOTICE-TO SECURe PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED, AND MAILED TO COUNTY AUDITOR. COURT HOUSE. Bv DATE QUANTITY OESCR IPTION UNIT AMOUNT PRICE 12629 PLUMBERS TAPE .85 DUCT T_AP~ 1. 69 110586 ,('nLr~ @6.59 13. 18 11303" 21" BLADES - ~h'" ('<nt L"-{ 9.38 VENDOR lOR SELLERS) SIGNATURE NOT REQUIRED ALLOWED BOARD OF COUNTY COMMISSIONERS DATE 6101- 2- 7J z..- COMMISSIONER OISl. COMMISSIONER DIST. Return All Cop.., to AudltOl. CHAIRMAN OF BOARD :'/', , ,', )' '",." , " ,': '" ", ", , " ,', ,: , :" "";'" , ,,:, , " " ,', :', , ',,' ',' ,','" '," , , , .' ..,""',' ,..',,' ,":',,:..' " " :.' ',,", , "", ' ,"', :" ,~:' ',", "', ,": "':', '::', :,", :,', ,... ' , ,,(, '. .': " ,', .... :' , ',. '" ..... " hJ./(]O-=S / J ......... ~1f VOUCHER '-) COUNTY OF JEFFERSON PORT TOWNSEND, WASHINGTON 98368 15615 WARRANT NO. PURCHASED BY OFFICE OF COUNTY ROAD FUND AMOUNT AUTHORIZED DATE AUGUST 1983 TO MIKE SCHMUCK CONCRETE PLlJl1BING DR, 1.360 luG SY$; 2::D:3 / I.CCOUN T fa bL: CI1AIHil:::C .../ / OfOF,CI' (IlA'L or ""'HC"A'H' ADDRESS P. O. BOX 386 sr. COUNTY O'FFICE USE ONLY - t, the underSigned do here~~e;:i~~C~T~~NpenallY at perjury. that the materials have been furnished, the l>er\lices ,endered or the Jabor per. formt!d as described herl;lin, alld Ihat the cldim is a just, due and unpaid obligation against Jefferson County. and Ihal I am authorized to authenti. cate and certify saId claimh a 7) SIgned ,..(./~ . l'<i>~.-- hit leI CITY KINGSTON STA TE WA,98346 TERMS NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED. AND MAILED TO COUNTY AUDITOR, COURT HOUSE. BV DATE aUANTITV OEseR IPTlON UNIT PRICE ,AMOUNT INVOICE # 5329 /~.",,,,, CRP 525 24 CUBIC YDS. PUMP ~,,~~~~" clue I lI"l~ @1.00 "",.uu TAX 24.00 < ~~. ~~ 24.49 338.49 t~ l' ~' ~', $ ::f.;W: if 9 VENDOR (OR SELLERS) SIGNATURE NOT REQUIRED ALLOWED ~ I. f, J' , BOARD OF COUNTY COMMISSIONEIiS DATE CDMMISSIONEfl DIS" COMMISS10NEfl DIST. A.lu,n All Capl.' la Audllor. CHAIRMAN or OOARD ...:.'..', ' :'" · -:: ,.: .'., ' :': ,.' ,',' ,,<,:'.., "........", ""!' ;., '.'.' ":':";", ':'('.,i :': , , ., ,,-:,' ':' " ".' "', ". ".., ,.., ',",' ',:" , '::, ':" .. ,': :" ',',',", "", , , ':.', , ,-': ,: . ''', ,:",:... . ':', ' ..., > ,'" ','. " , ".: '.:' ' "'0 :.,' :', ,,",... '.' '. , '.',' ,....",. ,.",' '.. ,,: ," ',' ',.,' ' , " " "',.'.. .', . ,.., ,. ~ "- -- .~ - ~',. " ,/J - VOUCHER COUNTY OF JEFFERSON 15700 e 'jj'q 3 CJ / PORT TOWNSEND, WASHINGTON 98368 WARRANT NO. PURCHASED BY ROAD FUND OFFICE OF COUNTY AMOUNT AUTHORIZED " - /uD S~ '7' C:'S/ ~ DATE SEPTEMBER 12, 1983 /'10<- ,~" T l.. 01- "'u "C.."!'Ol j ACCOUNT TO "'L CHAI-ICI-:D ..-/~-- UI' ~',C Ii COTTON REDI-MIX INC. TO 'O""""''''''''''..l OR, / ADDRESS P.O. BOX 447 ST, COUNTY OFFICE USE ONL Y CERTIFICATION HADLOCK WA 98339 I, the UndtH~lgned do hereby certify under penally of perjury, that the CITY STATE materials have been furnished, the ~ervice5 rendered or the labor pl:!r. lormed as ddscribed herein, and that Ihe claim is a just, due and unpaid ob"g"ion agai,,,, Jelfe~nlY' and Ihal I am au'ho'i"d '0 au'hen.i. TERMS cate and cerlrly said claim. . ~ Signed af...-'? C! C~"'--- !tulel NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED, AND MAILED TO COUNTY AUDITOR, By COURT HOUSE. DATE aUANT ITV DESCRIPTION UNIT AMOUNT PRICE INV.# 2629 44 YDS. STATE CLASS B MIX @41.00 1804.00 C!.LI' 5.51.. - lAX 1'1 U . 11 1 Y'I'I. Il PO/06'7 1----_ $ Iq~~~7/ VENDOR lOR SELLERS) SIGNATURE NOT REOUIRED ALLOWED BOARD OF COUNTY COMMISSIONERS DATE COMMISSIONER DIST COMMISSIONEfl OIST A.turn All Cop... to AudItor. CHAIRMAN OF BOAHO__ ;,";,,','-'\' '" '".0 't\' ,<,,'" ;,' ~",; , " . '. ,~-, ' i, :- ; , " "iI' , ' , ,:' " ~ ", ' <. " '-'.', ...... n,,'_,,', . i',,' :;-,'::,.:,;" "j' '-\ " ,,~, <,",: ,"; /,<: ' '''1 ;:.:':.:.;.:: :~~:!.':~,'..'-,( ':'./';"-.', 'i:!,'1 " ":',:,:\~::</';:" ;',,', ",' > ':', ~';, ,\. -.''', ':' c, . ,:,<",:,,~., :',' ,~:r . ,:;','.',:,',:' '" -"t 1-'" " - ".' ~ '""'.. .- -- ." ".&:;;. .. , , ...., , , , ,'" ',',,' , '," i ;", ;, "".. ':, ' ;.., c;: , , , ,,' ,;;, .. >', , ' , ' '" ,," ':','" , ',', ".. "..,', "',, , ':, , .' ,':.. .~;' .' ' , ',' ' ' ,>, ,", J , ' , ,,:,,' .. ',' ;.'..,,<; ..,.. ,', "~. ,: " , , ,: ," , , , ' ,,'," ":' .. -- /J VOUCHER -' COUNTY OF JEFFERSON 15695 .. ,]'" 7.5(1(}(j PORT TOWNSEND, WASHINGTON 98368 WARRANT NO, PURCHASE 0 BY ROAD FUND OFFICE OF COUNTY AMOUNT AUTHORIZED -- /JbU /00 5'15 '-/C.,3/ , DATE SEPTEMBER 12 , 1983 IU" n OF "UN~""~t_l ACCOUNT TO al. CIiAHGE:.O /' 01' Flet:: TO ..JOHNSON EQUIPMENT RENTALS INC. DR, / ~ou" nil... NAMl. ADDRESS 3360 HIGHWAY 20 ST, COUNTY OFFICE USE ONL Y , CERTIFICATION PORT TOWNSENDSTATE 98368 I, (he undersigned do hereby cOrllly under penalty 01 periury, fhal the CITY WA materials have been furnished, the services rendered or the labor per- formed as described herein, and that thE: claim is a just, due and unpaid obligation against Jefferson CountY,and Ihall am authorized to i1uthentj. TERMS cale and certify said CI~ .2.. NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN Signed 1"-7~ t2 ~ (ritle) TRIPLICATE AND ITEMIZED, AND MAILED TO COUNTY AUDITOR, Bv COURT HOUSE. DATE QUANTITY OESeR IPTIQN UNIT AMOUNT PRICE INV. fi 17771 1 3" DIAPHRAM PUMP 90.00 -- , ,- 2 25" DISCHARGE HOSES 18.00 , ~ . TP,X 11.84 163.71 "'II " ,,,, ?" 1 25" DISHCARGE HOSE 6.00 TAX ~. b8 64.68 .. ,~ ~ I d ~. JI.. i~ $ .:<~ =~ 7' VENDOR lOR SELLERS) SIGNATURE NOT REOUIRED ~ ALLOWE D BOA'~D OF COUNTY COMMISSIONEHS DATE 1; COMMISSIONEH DIST I " 'I COMMISSIONER DIST ~; CHAInMAN or UOAHO.____.__ r R_1ufn All COIJ... to Autll1or. ',' ~,\,.""",,, '.. , :-: ',"" ~:': ',' -: ": " ;,..,:., , , , .,',,' ': .' ':;,,' ':,', , ,:,' : ' , '" ",,' " :'. " ',', ',',: , "",', ,',';' "', "', ',,',:,,', " ,<" ' "',' " . ' : "" . ", , ,:: ;;':,' ", '.',: :: :.' ,," " "',' " ", ' '; , ..' .',:" ,:, ,.",:,: , . >', "'" ' '",' ".. " , ',' ,','~ ".'-" " j VOUCHER ". 1 76 / COUNTY OF JEFFERSON 61 Ii lJ / tJCJ3 PORT TOWNSEND. WASHINGTON 983GB WARRANT NO. , PURCHASED BY ROAD FUND OFFICE OF COUNTY AMOUNT AUTHORIZED .. DATE SEPTEMBER 12, 1983 /3f.o Iou SYS, '-76 ./5/ .uATL <.H "VHc>'...:..d ACCOUNT TO ~L, CtI...IIGIo;O .. OI""ICL MIKE SCHMUCK CONCRETE PUMPING // TO DR, >Oljll...".........t..L ADDRESS P.O. BOX 386 ST, COUNTY OFFICE USE ONL Y CERTIFICATION KINGSTON WA 98346 I, lhe underslgnl!d do heleby cerrify under penally 01 perjury. thai the CITY STATE materials have been furnished, the st!rvices rendered or the labor per- formed as described herein, and that the claim is a jusl, due and unpaid obligatIon againSI Jefferson County. and that I am authorized 10 aUlhenti. TERMS cale and certify said c1ai:..:4 _) NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN SIgned ~ (/ ^~~ (title) TRIPLICATE AND ITEMIZED, AND MAILED TO COUNTY AUDITOR, By COURT HOUSE. DATE QUANTITY DESCRIPTION UNIT AMOUNT PAICE INV. n 5360 44 CUBIC YDS. PUMP @1. 00 44.00 F '-'Ie" 5'li LlVO jM~ ;~~.uu .>~~.~~ "c. , c - $ 4-r;. s. If, --- R.turn All Cop", to AudItor. 11L..I, -" VENDOR (OR SELLERSI SIGNATURE NST REOUIRED ALLOWED BOARD OF COUNTY COMMISSIONE'~S DATE COMMISSIONER DIST COMMISSIONER DIST. _______._._ CHAIRMAN or UOAHO_____ - '''''-, - '" ~". ."." .'....',.,', ..., ' '. .'..,. " , ..,:> , ,~ :' '... ,.'," '. < .. .',' ,:.', ' , , . ' ' , ' ,'.., ' ", '.....?, .' ,'., ;', 'c', ',' .. '. . ' ' ',' ' . '.,..... ,,: .. ,', , . , ',', ,':., .'.. :' ',' , , , "1:';;I;~~~JZ~?~J~~~~~$~Z~1?~~~~;~ " ss-t/c C) (J II ,- VOUCHER ~ COUNTY OF JEFFERSON PORT TOWNSEND, WASHINGTON 983GB WARRANT NO. 15696 PURCHASED BY OFFICE OF COUNTY ROAD FUND DATE SEPTEMBER 12, 1983 AMOUNT AUTHORIZED /06 .s,>,.::;, <..,I'0'.':?/, .//77'-- /3G'-' /O() ~-'-IS-, 7u, 'VS /' /,',;,/,0: ACCOUNT TO lJio; CHAHQt':O I / Of f.,CL / TO SHOLD EXCAVATING INC. DR, ADDRESS P. O. BOX 145 ST, COUNTY OFFICE USE ONLY CERTIFICATION I, the undersigned do hereby certify under penalty of peljury. thilt the matenal5 hal/e been furnished, the serlllces rendered or the labor per. torr.lled as described h:c~rein. and, thai the claim is a just, due and unp.lId obligatIon against Jefferson OUllly, and thai I am authorized to authentl. calC and certify said claim. , 0 ~ Signed ~~l'/ ~"'4A'- hillcl CITY HADLOCK STA TE WA 98339 TERMS NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE ANO ITEMIZEO, AND MAILED TO COUNTY AUDITOR, COURT HOUSE, By OATE QUANTITY DESCRIPTION UNIT PRICE AMOUNT INV. # /~''''> l'- 3862 8 YDS. DRAIN ROCK (1.tP.&J_s-.,;1,~ @9.00 TAX 72.00 5.62 77.62 /...,...""., DUMP TRUCK RENTAL t'A/~~L K~ ~ ::. l..' ''- ...' 18 HRS.@50.00 -... 900.00 7;'~~ . ^" {, f' Fe ~! lji *,'.-' ~" ';4 I"t ~ i;~ ~'\""': $ / /,~ J',~ VENDOR (OR SELLERS) SIGNATURE NOT REOUIRED ALLnWED BOARD OF COUNTY CO~MISS'ONEIIS DA TE f: ,~, , ~. COMMISSIONEU 015T ____.________________ COMMISSIONEli DIST ___,____ A.lufn All CO~)I.' to Auditor. CIlAIf~MAN OF (WA~iO__~ /,', ",'., ;,.'",:<'..,: ": :' ':.., .'.. ': \.. ........ '.,,:.. :,', ...::. ", ',' .' ,':' ',:> ,', ,; ;' :.,'.::,..'..,:,... '.' .. ::"'.: "...., """, : ..:" ,.." " ,'; ,:', '. ",' ...., ','. , ,",' ,",' ,'., ,'..,','.' . ,...:, "': ":, ,'" '.,. .." '" '::\ "':,: ',':'" ", " ,.', " ",. :' .,"'/," ," ... :.' , '. ".' '..' ,",. .>," ",:,;,., " .." ,. .. ; "':" :.. . , ' , " , , I,; ~'. I c, '" ,,' "";":'..' 'o' '; '. '.' ,",' ',',,' :..,' ..' ',. , : ,. .," ..'" , ":,: ,.,....'.'" ".' , , ,',' ,', ,'," , "':'" ' :' '".', ,",'.' , .. :"'" ,..,.. " ,,' .,' .: ",:" " , , ,....,.... ' , . ',' '0': , ':.:" ':,: " " ",:, :: ," : .:: ',.:', , . , ,',:', '--- ;:)c.?c(')() / \.-" VOUCHER _ COUNTY OF JEFFERSON PORT TOWNSEND. WASHINGTON 98368 16226 WARRANT NO. PURCHASED BY OFFICE OF COUNTY ROAD FUND AMOUNT AUTHORIZED DATE SEPT. 1983 .IS C. 0 / 0 <.:0 _L)'-t:.S: ,?,'u. -,~r/ ACCOUNl lr) tH;. CHARGL:O / o')f"'-ICL ToTe. EQU [PMENT RE.~,~ ~,:" :~~D DR, ADDRESS 5T, COUNTY OFFICE USE ONL V CERTIFICATION I, the unders;oned do hereby cerllfy under pen<llly 01 perjury. that the malerials have been furnished, the services rendered or the labor per- formed as described herein, and thai the claim ;5 a just, due and unpaiu oblig,lIion 30.ainst Jefferson CO),lnIV. and thai I am authorized 10 <luthenli. care and certtly said claim. ~ ..... ~: Z Signed "..fl/C,,;/ '" C--<.,,-,,---_ !tItle) / CITY STA TE TEAMS NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED. AND MAILED TO COUNTY AUDITOR. COURT HOUSE. By DATE QUANTITY DESCRIPTION UNIT PRICE AMOUNT MATERIALS FROM STORES FOR USE ON THE IRONDALE FILL CRP M525 100 ' ALUM. STRUCT. PLATE ARCH $18 865.00 Al-'l"'l:WVtl) ,f:..UI-< /- "Ie I~ I $ 18,865.00 VENDOR lOR SELLERS) SIGNATURE NOT REOUIREO ALLOWED BOARD OF COUNTY COMMISSIONERS DA TE COMMISSIONER DIST COMMISSIONER 0151 Return All Cop... to A~KiI'ot. CHAIRMAN OF BOAnD ',',.. ':, ,,.' '..'. :. " "." ,",'.....,,'" ;:" " .. ',' ., " .. ,:.. ..:. ',: .,:'; .... ': " ',', ;:'':'' ' " :',', ", ,":',;" " , , " " ":"'" ... , .. ; ".", ..' ',;: .'",';.:. ':,,:."'. '.":>,.. ':'.. '. ::, '.' .. . ,', ': ''',' " ": , " .', :,', :':, .:" , ;, .' '.... , .::. ,",:;- , '.', , " "..,' ',::",: .': ;~;\: - ',-::' :: ",.,;': , , :' , ,"" '" ',' ',' ,"", ,',.. ": ::'.' ,,': '. , , '.", .. ,,',.' '" ,', .'"",.,.,'",',.'.'.' : ' ,.", :' .,':, ":,..",-' ,": ",",'.-' ',....'.. ",,',::j ~ ::, ->, ':, I", f' " ' ,,' ',:' '" ,:', ,: ,,-,,:, ,," ',"....:, " , ',',' >- ,':", .., ' , :: ' ..,....,- :Jt';J.,{i()(i ,/ VOUCHER COUNTY OF JEFFERSON PORT TOWNSEND, WASHINGTON 98368 16227 WARRANT NO. PURCHASED BY OFFICE OF COUNTY ROAD FUND AMOUNT AUTHORIZED DATE SEPT. L983 13G0 /c)D SY..s-: yc.; ,,5 / ^":COUt~T 101::11.. CHAI'lG!it.J /..-'" ro..T(!., EQU I PMENT R~~! ~"~, ,,~,~ND ..__DR. ADDRESS ST COUNTY OFFICE USE ONL Y CERTIFICATION I, the undersIgned do hl!ft1UY CllIt.fy under penalty of perjury. that the malefials have been furnished, the selvices rendered or Ihe labor per. fonned as descnbed herein, and thai the claim i~.. just, due and unpaid obligation against .Jefler~~n, ~ C unlV. <lnd Ihal I am authorized to authe,nlio cale and cerllly said c1ajn~ (! ~ Signed ll"T ~. /J (.>-C....__ hltle) CITY $T ATE TERMS NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN . TRIPLICATE AND ITEMIZED, AND MAilED TO COUNTY AUDITOR, COURT HOUSE. By DATE aUANTlTY DESCRIPTION UNIT PRICE AMOUNT MATERIALS FROM STORES AND PITS FOR USE ON THE IRONDALE FILL CRP-M525 61.7 7.0 lOa' 300 10 REBAR AND FREIGHT GALS. GASOLl NE OUARTS all 36" CALVo CORR. SP. PIPE W/BANDS SAND BAGS BALES STRAW 1. 21 1. 00 10.46 ,< '. <1 S '08.42 74.6< 7.00 1 04< 66 1n< nn ,< 10 155 686 YARDS PIT MATERIAL (PIT RUN) YARDS SPALL~ 1. 00 4 ~, 1<<,00 ? o~o ~~ APPROVED FOR PAT1'1!: N I $ 4,750.05 VENDOR lOR SELLERSI SIGNATURE NOT REOUIRED ALLOWED ~~ ~!' Si I~:' BOARD OF COUNTY COMMISSION[ liS DAlE COMMISSIONER ()IST COMMISSIONER ()IST Rl1u,n AU Cop.., 10 AudltOf. CHAmMAN OF UOAltO ::':'.:::.' ',., ':: :::' .: ':: ' ':' ::, ': ': ':, ,:', ' :-', :: .' '.',," ,',,' 00: ,'" " '. 00 '0 ',"0 ' ',' .'.' ," ,I' ,,',;, : ,\1' ' 0 '0',' ,." ..,.,' '. ,0 ',: 0:0' : , ' ," 0 .', ,,' 0" : .' ,', :' 0 '.,' ' .' '. ..,,' ':,,, :",' ..' ..", ',...-, ,:,: " .': ',' , : i', :': ",".-:,: , " ','::;'.':'0':...' ,'" "', 0 ,': :",." ;' '" ',::' .' .. .. '. '" . ~'.. .. l.' ~~ / . ' ~{~ F- F ~ b b f ~ · ROUTlf\iG SUP I :<(;'''1['/0' t.rlG PAS:'; ON AS l""Oh;ATED OAt. __ INSE~T DAtE W,~fN p.3.SS1rH, ON j?;,::(~~t~~' ~r-'-~---'" ~ ~,~ -I -.,- 8 ,,-=--~'3 ~,"~~= RETURN ro . ~, ~ ~ ~ -d -d' -. . . - . , . " ,,' , . < '. : " ,,', I F =t I F ~ ~ f ~ I I I . ROUTiNG SUP RC:'1IE'N Ar~o PAS~ ON AS If\;DI,:A1EO OArr __ ._.___________... __..__ INSERT DATE Wt1E'N PA~~SINCi ON , I .:(.., I ' , 0.," -___....kf/~__i~Z,'Z. .~..:~.. ,;-,; 2 -13tz;.(~ (~________ !~!~.~.__ - --------------... ------- 4 ~L===='_-~~_='~=.-~,:_ , RETURN TO b ~ k ~b -d, d" . , . . ~ - ...... , . -, . ' . '. -, . ',/j/ - ,". - :,' ,'. '. , " .'" , , " ."',,' '" " " '", , ',.' .", > ' ',', ',' .., ',', ..'...',',' ,< ',,' ',' ,.,::, : ," ,','," " ',,',' "..' ," ", ," ',' ",' ,,: .', " .......' , " " '.'.',',,'" " '... ,: ,.~ )~~'1\ '~ '~' ."'~ '~~ " ',::',',",' '..',. :' """,', ".., ','.' ,".' " '. ,,' ",,",.,'.. ", , ,,' ' , Eo. _ 45liOO I ,. , , ,,'.: ;::>:, ,: , '-'1 Dist. Lab. No.: ...s C',l'!' r.'~ Hdqlrs, Lab, No,: ~a"?'_ ,.:l;li..( L-l~i-J...f.!.:L~ C. ~~./~:-:;.i:.:s ~.: vZ..t:J qt;,s;FfNo.: C:::;.=.:s~/;C'7 ",,,,J. ,___.._ ID No,. _______ Section' ~lJ (J/.lc..r PILI _',1101 Sarnnfl: No.: _~__/~_ Field Test No.: F.A. No.: ~,J!.(.? 'J- - {"I.. ( I ) .,rtlfieatt! r4o.; ___ Truck/enf No.: C,S. No.: ~ ~,~nt. Repll:~s~nted: ..___~ Produced to Date: _"_'_ County: ,J r=-I:::'''': ,..,I} ~.3H:)^-..l j~;:t:!Jates: Washed _____ Scalped ___'__ Contractor: / .::\tt!.I~ !Jt'-1 E ,,)(;knile No.: __~_____ Pit No.: ______ Subcontractor: '~,'d at: Sta _ __ _ .. .___ to 5t11 _ Place: ':!lIpterlITf!Slud by: Organization Code: "~lPJed at: _.__",-,~~..:.~j ;-,~_ Forwarded by: ;~It:.!; Sampled ~.~'L~/~h ~estl!d 3 SPS No.: Basod on Fir2::st N~:t, ~j)t Design Desired:' _~_:~!.. /. ,'~:d: Acceptance _ _:'~__,_ Rejection Other ;~~~r(II.,:es~_~esults :-~fr.port alii sc~e~ens used: fwASPhJlt in M~S DeSi~~SCCllallci~lan Fiel: Extr~~:t,~ % ;~,dO "'Pan -r- -- - - - I~urll fl.w( ::~.:~t. La~ % PaiS ~~= --=C,~ __.._ ~= _ __ _ _ IlEActum Course: .:=>~"='~_~_~__,__~_ ___~!.____ _,___ ___._ __ :-. __.-_ It;and Equivalent: ;j"m~;Lbs, Removed by District Lab: __________ ___(;;)_ ~icl,/in!l OWel 0 Dry 0 Wet OofY t.(:ilHH~''', _ /-'" } /:/~'J 1...-'-_~'_~~.~~=_~-~.:_~_~...~-~~_~~_~~(~~~~JJPtj:\tE~gi~~-~~: _6~/C2 Lh.t'~ 113;- WASHINGTON STATE OEPARTMENT OF TRANSPORTATION fl, ~,'t'TERIALS LABORATORY Date: .$~yhl- '1- f rEST OF ASPHALT ~1IXTURE m l~:0~~j~~~~ 5 i Phulw: (SCAN) .- -f7e - 7c~4 HQ U1H S E P 1 9 )U Sff' ~:l '98~ . ",tJ'I lOT r OhM ,',I, O~<.> III V !'~I t I H/~ 0 WillI' 1."1'. ....'lIl 5,1'111>1'_' V,'lt"...... f .-P'i Io.H P'OI, f .I('~ f '~, ~~ ~~,' ~\. ~3C,3cro J labNo,~~ EXTRACTION ANALYSIS LABORATORY COMPACTION .,., I'ASS ....,-, "..---,- '--.., :ll""<J".lI' ___ " I:--IO_~~=--': " 'II:, ___]33== , ,," -6..4;,_ """-~~ __1..2 _... ,,_I..L,_ '.' '... ,'''0 5 '" ",'"."-'L,~.':::"~__ ._;{:;;{-- CLASS E ~ssfl:) CLASS RESUL. TS RECOMMENDED RANGE 100 90.100 (,7.8(, 60-80 St.1bllolnt'tef "'1"'''''' 100 90.100 75.?0 COhe,lometer VOid, ~:~~~~aled '., III ,IO.G::! ~S-40 55,75 5/5 RAllO t,.4 .5.:.$ -IO:.~ 10.23 C.-I,' 32..18 11.24 Wl./CU. Fl. f.-IS MAll, Denltlv (ntce) :,.<) 3!>1 J.7 ..", ...- .\,0.7.5 ~.tIlC(t.lt (1bHI~~~t specificalion reQuirements" except where marked I '1 I.." J'~;~f!7"'...s."J.l C~ .l,\."t.) D^t. _~~p 2, ~,~~~ Bv ,~"t;;~ T-'S7 -9-"" --. .,:".,,,, ~ , <I' I 'If \. "'.It'. I "<t' ~'o, 'Oft.. "0060 Hr""'I.t1 lOl" , .'"," ,':,""" ......, , .";>,, "'..'..,, ,', ".,' , "", ,." ',' , ,:, :", "., '.! '\: , , " ' .' ;,' " :.' "', ',,::, ' :'" '., '" ,'::, "':":':, ' ! ".:, ::', '. , ',.,.:"" '. . ,'. ' .' ':.,.',:.,.',..'.. ,'., ,. '",' ,,', '.. ,', ,';:", " ", ',-':, " ", " :'.' '/, ',': "i" ':",:,:"" ,:',.', ':,' " . ,'" , . , .' ,',,', " :'~,,>;,., , ,,',,' ,';,' " ..,'" ", '. : '" ,', ", ,: ,":-- ,",':" "", , ,', " .' :," ':'" ',' i ", :';'" "; ,: '" :', ' , ' ',' , ", ' , ..' , ',',' ',,", :' " '" " ,,", , " '",::' " ;, ',," '.. ;' " , , " ',.:' ',',', ", ,',..' ," , ""', ' " ': ' ", ," "',, ""',, , , ' : '" ',';:: " " , , ,: ;-::' ',' :,..,: '. f f,' t f 1 0:- '--." WASHiNGTON STATE DEPARTMENT OF TRANSPORTATION tJ. ~/tlTERIALS LABORATORY Dist. lab. No.: ...s ",:' /:?Q"H~:lJ:.r...,_~_c.,~ .,I~~ 8 G6S,'~:/P:6" 52? Hdqtq~~~:: ~1 " __".._.._.._ IDNo,' ____ Section' i/.!cIJ lJt;k I' FI('( . ,:c: So;i!l~p!e No.: ___/_ Field Test No.:____ F.A. No.: --E6"c.?;~ .('f.. ( I) :,;,~dicate t-,I.): __~_~_____ Truck/Car No.: ___ C.S. No.: ,~.rL Rcpr>::s,:nted: ____._____ Produced to Date: ___~_ County: ,';;;t:Uatt:s: \Vashed _.._____ Scalped _____ Contractor: ~~):~kp,I" No. ____ ._______ Pit No.: ___~_ Subcontractor: ~.:d at: Sta .. _ .H ______ to Sta __._ Place: 1~",rrediTeST'Jd b...... .______ Orgllnization Code: -'ll;)ed at: _.,~..~~2,~i_. .___.___ ______ Forwarded by: :'t(:: Sampled .~'.!. ,-I:'" .3L..-_ Tested SPS No.: t :x Design Desired: ~~_~~-"...:;.: ,3 ;',:d; Accepta,;c, _,', ,_____ Rejection ..,,_ Other Based on FI~:O ...;~~.~':::=I',Pi::,J~, _li,m~.!i.~'" ,.: ,.:~,.~% ,'''''''' Lb" Removed by D,,"'ct L..b, Q' :~ ."~,,,,,~~ Ow", 0 n,y 0 w" 0 0<> :'''''''.'.. ,/' ,< j /'I';l:'.''".:-~=~~-=~=:'~~~=':~!~J-\~;X~:;:Uine'e;' ~(C2 LI".-llr..- lOT :;;,~:-;,::.o:).'o '(;';'..,~::.;~::~/..g: ~~o":,",';", 1 Phone, ~ '.,'7~ - 70 ((, 4 5 rs3c. 3dO H~f~Bl:Nfa~191~tjq r" ~ ) F I":: ;:= F.::' 6dA..l I ,:.\~..:... ~JI"} t..-=- Date, ~~ -i' f TEST OF ASPHAL T ~IXTURE FlfL:)~~~~f~ Lab No,B~_~_ EXTRACTION ANALYSIS LABORATORY COMPACTION '_,'l:Vl ~ ." PAS5 CLASS E ~ CLASS .---- - 1"<'\)<1,1'" --- 100 ,,,,,,. ..... ')0.100 Slabllomelnr ""'."" " ,,[QQ., 67.8G 100 Cohoslometer .'.'.<1,,". 7.6_ _._ Go.ao 90.100 TeUed ..'1"-'" " ,_133.___ Voids C,llcul,'lcd 75.<)0 ."1"'''' _"G_4_._,_ 40.62 55.1~ 5/5 R.llo ., <" "" _3.1..._ 25-40 32.48 '" _, J_":L,_ Wl./Cu. Ft. lo.n 11.24 ", 1/ (~.14 (,.15 M.... OcnSlty (Rico) ,.. " ' \~,l .'" ,~]---, 2.') . --- ", " .l..!..~~'..!....::-. ---.. D , 4.0-7.5 RESUL T5 RECOMMENDED RANGE C-..:.9_ ~~ \1.lIcn.,1 (~~1 specification requirements.. except where marked II'> I ~"I\}lH\N .. "1 101", J ~ D3te_~,EP 2 111984 By O~"W~ 7-/57 -7~ Phon. No, 234,7107 ~ ,,,,. :r"';~~"'1 -'''' ,>\,..., "," '""<,1' 0,' '.1,,'.' 1 "<I' no, 'OHM "0 0.0 "rvl'!u.o 10/., :"" ", ',; ;:':" '. ""'" ',' ': ", ,', '," :'",", :." " /"i/>:,;:', '" ,'" ,,' ""."." , " "..,'., ' , ~:,.' ,'",,', ", ," ,',', ' ',;"..., ':' ",',', <' ',' C,' :' "', .,", ..' ,:,,:" " , ' ", ,'" ' , .. ,......, , , ,: l1li ii .i t ., .) . f " .. . " . . I \... 'f - . . I ' . ~ ~ f ~ ,< ,1-# ;.,> v" I.. 2 .n~'1(- __,/ ~,:.. ( . - /2.;I'~ ", I.rl"y,., _ /, ,",\.1 3. ' '. '1-;.'.I^ ~i; t . I{J}ptr- . /'" _ r-~/,4-- ~ (:.- d~~ ~ ~ k b ~ d, -d" ~ ~ .... - - . , .... . I . . . . :.".' .. ..' _ \.. . J F. F f ~ j~ ; "1 VENDOR ~} JErFC.:S~~;\ c..JL~'JlY JPh .:i....' f.-=--='~ -:~;_'N ~ ~.' Cf_~,,;s["~.,' r.~'E F ",,. N c' tl o7-='~i-:;~-p :;~ ----;rJ-- :~-#-4-~---- 'T'-0- 62-;~}-=-1-~J:)1) ~l c 1 I .~ ITCT ~L 1':. Y~c,i" HCllls!rJ ,~ I :~ .- Y7I ::::;:,,:~on~ ::;I.:napo<t.uon .. VENDOR'S REMITTANCE AD. C-Wi0~H~~_~-.~~~~--~ I I AMOuNT If,VOICE .J ;) r,UG !;:; i~2.' ""C-FERSON COUI\ir t":.i'IGINEE;RS OFFI\-> j Q 1 ~ \ ~.\ i "" ! ~ lj .... v , .. b I -hb/t? )4 ~ I ~ i t r f a:: ~. ~;'. t ;;l'-' b" r i t r } ~ i d -=t ~ d: -d" :.. .' :. . .................' <. '. , ';i. . I" '. .,....> . . " ...:,....... . '. . . ..... . .' "", ;.... ',. . I . . .,:.... .... '.':' .,..... ......, '.' , i,:' ,..: "". ' . .... . ..'. ',' ;', '. " \ '. .'. ,'., :: ';., . ':"., " '".'''' , ",," ., . ,,;. "... ,"" ":. ,,' . " ",' ,'.: ....' . . ".' '., "" ':" .... , ....:. '.' '..'.:,.,' , .'. ,:> ,,: , .:.' '." .. "." ,. . "','" I . "...-...', ,'" ..'," I" . .' '.......:.. . I'" :.. ','. . I.. '. .' ':1", ..' .;' 'I" .. ',:. '''''.'' ; '. ': 'i " '. ..', :......:." .:< " :,r,. '1" . ." '/,:;:' ", , <<'-:" "." ,.' . <.':;::' DISTRIBUTION Whlle-WSOOT HIl.dqu.rteu AccounTing :""',":.:.': I . ~:::V-~;';~"ol~ ~~7~: s~~~: ~~t~.;~'Mtt' Copy ,>,,~:,/ Plnll-Olllflct AccOUnlll'lO :- . '..,,'. ". 1 001"".'''-_"."" eopy :",""".." DOT ~~R~o,'-::W ",,'" ".' . I; .... " .. .,... Ii:::. .- '.:" ", ,', .'. :' ,I, ':/,:' '. :. >. ' " ",;' I. I ." ' ",' 'I: w..;:..;.. '1 "I, ',' /' b. I I I. 1 l.~, . ,," ;,/. ",'., I, "'.:, ,; :' . I' c.' ',,' .. """ I,.' - . . "J .;:-:(\, ~~~ ,.,'....'/..,.. l .. 'l .' '.,"..' """ "'. ';. "". /,' , .' '. ," ,', '" .,',' '. r " .,'.. ,.:., .' ..... .' '". ,"'. ,;, , .,:. .' , '. . " .' '., :.' . "'.':" " , : :..,', ,,' :.".:, :'. . '~. .,,; . .: : ". . ":\ ,,' . . '. " \ \. . . FEDERAL-AID PROGRAM INVOICE NAME JEl"l'ERSON comITY DE? A!('l'~(ENT 01' PUBLIC !lORKS ADDRESS COtmTdOUSE POR'r TmmSF;NlJ 111, CZ1356B DA"iF &113/134 o P,E, Final o R/W Final l!I Final Dear Sir: Progress Bill No, 4 Project Federal-aid No, I'A-ER 83-06(1) Agreement No, GC 7318 Name/Termini IROHDALP. I'ILL WASHOUT H.P. 14.70 to If.P. 14.80 This invoice is submitted for work performed on the subject project. P,E. TOTAL FED. SHARE Local Agency Costs Dired Salary Pay roil Additives Admin. Overhead Consultant Svcs. Non-salary Costs $ Construction $ $__ Contractor Local Agency Costs Materials Equipment Labor Payroll Additives Admin. Overhead ',', ... . '. ,'. , .'.,' '. .-,c...... " ..., , '" .' " :. '; .' . .... ,. :. ,. .' . ' . <:.' "'. ......: :' ...,...., ," , .' ',', .', ...., i.,"; ',' '. ..... . ". : '.', " , ' : . " . . " '.' .....',..'.:'. ,", /." ,.... ....... '", ,., .'.' '.. '. '.' '.:..':, c . ",:'..' ''',' . :..' '.. "'; 642.01, 642.01, Construction Engineering Agency Forces Direct Salary Payroll Additives Admin. Overhead Consultant Non-Salaried Costs $ $ Other $ $ RIW Acquisition Misc, R/W Costs Agency Furnished Materials Utilities Misc, $ --. $.-- $ $ .$ $ $ $ $ $ $ I certify that the work covered by thiS invOice has beon complelod in accordance with approved plans and spocifi- cations, I furthor certify that the costs shown in this invoico are true nnd corroct, the amount claimed is due and payable in accordance with the torms of the agreement. .. +.. -".~' '/:.-A .__1::.-:::.-,_ ~_~...,._. ___ PROJECT ADMINISTRATOR . ';;;':!-. " d . , ',' . 'H: -:: . . .. J . .. '-" -" _ .I"" '. ~." . I - 1.-7.,' .' .' . " . Current Period Participating Costs AUTHORIZEO FEDERAL FUNDS TOTAL EXPENDITURES TO DATE ~r- - -''-20-;-001r;~- '---n;nn'!r . '-T4~42'5; 1~1, J7~ . Temp. 600.00 1/50. 32 '----.-'-- ~-'- .,._---~_.. --I 78; 5rr.lJO - CITY/COUNTY ACCOUNTING INFORMATION ~re!~_r.Ot::!!L:!.f\drt~~~-.!:.~~(: '{orkt'l C(\tlrth~u"a -----'---------------- Port TOWTI.end. \.1,1... !'Iej 3('~ -----~._--"----"-----,-,--- OIST~IOUTlO'" wr'lllfl-WSOOT Hflll"Qu.,htl. Arc:oUrlllrlQ OrH" ."- AfOOlu," In "goncy W.fh WaH.n! C,''',,), W5()OT OI,l,u::1 Srlllf) Aid fngtrlt'I''' Copy PtrI"--O,r;I'lcl Account"'\! (';OI(1""'(\d_ AQ"flC)' Cc,p)' '0A1of 110-063 Afv IG,"', --..l 'USE FOOTNOTES BELOW TO IDENTIFY MISCELLANEOUS ITEMS, EG" $2,000') ., RiW bJ Materials FurniShed c) Agency Force d) Ulilnlos '~'30' , .Jd".;"'~' "'''. I", " .,':'; -d' ,,' ""':':"'" ::', -', '," , . . . .' '. '. ~ -, ~ . .. :;I . '" . , ....' F I f F b ~~ " Progress Bill No, 4 . ... FEDERAL-AID PROGRAM .. DETAIL OF FUNDS EXPENDED Project Federal-Aid Number FA-ER 83-06(1) City/County JEFFERSON Prepared By GC 7318 Agreement Number and Date Executed WARRANT NO, AND/OR VOUCHER NO. NO PAYEE THI PAYEE PERIOD ~ ADJUSTMENT DUE TO Cl~NGE ( 13 ~'c.. u _';~~,r~ Con... Engr, 20,000.00 '~ -consl. -14/;-,4T5'.O~- Current Period Participating Costs TOTAL EXPENDITURES TO DATE 9,114.2T--- 13,19~ 1ST;J79. /,4 ~; ~-~~~:- --.' .>. Total Coall 600. (JO "-50.32 ---...-...--.------...--..-..-- B. LAURIE Period 1/1/-6/30/84 April 7, 1983 TOTAL AMOUNT FROM ALL SOURCES :~~~~~~~~~ EN~~~~~iNG CONSTRUCTION N AGREEME~T NUHBER GO 7 18 'MISC,' __.....____.___h_.__. ._..._ .........._.____...~. _'___'_'__"'_'_" ...__._....__....__ PRO RATA % CLAIMED --roar- TOTAL AMOUNT CLAIMED 9, II .' 1 NET AMOUNT CLAIMED -0- -lO(lr- 13,192.28 100~ 51,379.44-- 150,737.40 100% 1,50.32 450. .12 ---~-- CITYICOUNTY ACCOUNTING INFORMATION 178,,')is.()o -----D:~., lJ(~':-25'---- ------- "iB74,136. ~l5 173,49/,.21 ._.J..r.[JfX.~i:~J:Lr.~,'.l.l.E.r.Y..._:.~.!::::.'._~Xj_..~:.:_r:PJ _-!_'_L_?}.ili.lJ c 1! ('l r... ~ Ctlllrt!-i('l\.i I't"rt T""-~,- '. (.,....,..-.:; DISTRIBuTION Wh,1(>. WSDOT t-1r!ftcJQIJltrlf"1I Acrour'l!'''\.! (i'I'."., . "(,IU'" 10 A",,'n(~' W,lI1 WIlHllnl DOT ~~~~~~~~ ~,~~Il''P~'~~:~~~:c~~';;:~:i ~11l'1l A'd EnQ'r'lNl' Cap)' ("..'1<1......'...,.1.. A.II1'''.'',y COpy 'USE FOOTNOTES BELOW TO IDENTIFY MISCELLANEOUS ITEMS, EG" $2,000'1 ., RIW b) Malerials Furnished Cl Agency Force d) Utilities -il"Jo, , ~ . .W d -=t ~ -J, -d" ... ~ ~ \ '. , . " . ' . .'. .;, ,,--'.". F F b b ~. , ~r:-r' "':'''~". ~ "i,j "." FEDERAL-AID PROGRAM. INVOICE NAME JEFFE1~t;<1:~ cou:-rry ;:T:'?\RTNENT OF pniH..IC WmKS DATE ,HU/S!, / / ADDRESS o P,E. Final o R/W Final [E] Final COlrr:r'1il)'rrSE )J{)R'L' TOi-!lr~p~;:n. 1;;, q ~~H i_-" " Dear Sir: Progress Bill No,. 4 , Project Federal-aid No, FA-En' 83-06 (1) Agreement No. GC 71 J 8 Name/Termini . Tl,'Cf,m\";,g F'TT,T, t-lASIlOtl'I' H.P. ll.. In tOll H.P. 14.080 .V This invoice is submitted for work performed on the subject project, P.E. TOTAL FED, SHARE Local Agency Costs Direct Salary Payroll Additives Admin. Overhead Consultant Svcs. Non-salary Costs $ '-ct. ' ._,'~.....:..:"..2..-:..:::.:,;;,~..:;.;:_,;'*..._~_.._.._._-,- Construction Contractor $ Local Agency Costs Mat,e~il'!~ ' Equiprnent ____'.,.",_,'" Labor; ./ Payroll Additives Admin. Overhead (jf,2. (ll. (,!.2.04 $ Construction Engineering Agency Forces Direct Salary Payroll Additives Admin, Overhead Consultant Non'Salaried Costs $ Other $ $ R/W Acquisition Misc. R/W Costs Agency Furnished Materials Utilities Mise, $ $ S S S . S $-- S $ S S j I ceriity that the work covered by this inVOice has been completed in accordance With appreved plans and specifi- cations, I further certify that the costs shown in this inVOice are true and correct, the amount claimed IS due and payable in accordance with the terms of the agreement" DISTRIBUTION: WhUI-WSOOT HeadQUlrter. Accounting Q'tHln-R"hHn 10 Aoener Wltl'l Wa,rllnt C."ary-WSDOT O.,I"el Stalt! Aid Engl"~' Corov Pm"-OIII,lot AeeOuI'I',"Q .. OOI<.1e"fN-Aoeney Copy .'/") /-,j.~.~:l'_t.~_.._i.~~~~:-:.. PflOJECT ADMINISTRATOR DOT ::A~o.l::-~: ,,",'J. ~ d -- ~ ~ ... ..... -- .u . '. ..' . ~ .I~ -. -. I.. . ." ~ ~ ~ ~ F F k b ..... f [~~- -~:C~..:---::-:--~'::-A~::I.~~ '----_ "~J PAYEef 1,1 J \, J J\ {~\ ,-,,>,, I]' rFORMt~---- SlAfE OF WASHINGTON L':.~...s..~ENrD~~~"R'~':i~.TI..~~E " I - ~ . _ I -I (- , \\ 0 \J ~< 1 -[;~~~(~,- '~~L=---=~f . . - I " , , .), I I ' ,\ I '~ . , , : r'. , NET DUf 1 /, l,' , , , , , , , , , , _ '_n___.J..-_____4 ~ ~ P", ~-- (2 ~, ~:~- 7 ~' ~ 'i d ~ ~, ... d. -d" ......II11II ~ . , '" . ) , - ' . . "" . ~., . .' \ . I IS! ' I ~ b ~b F F 1..,,"" ff- I j 'm;~' ,,,,,"-A" 'om'" -::::a , FEDERAL-AID PROGRAM DETAIL OF FUNDS EXPENDED o p, E, Final o/,jL\') 0 R/W Final 3 Go. EJ Final DM C)cf),:'o FA-ER 83-06 (1) Progress Bill No. Jefferson 1l/(1l-12/31/83 8. Fenlev B. Laurie April 7....1983 City/County Agreement Nt.mber and Date Executed Prepared By Checked By ; GC 7318 Period WARRANT NO. AND/OR VOUCHER NO, 20955 20988 PAYEE TOTAL AMOUNT FROM ALL SOURCES PRELIMINARY CONST, ENGINEERING ENGINEERING 20955- 20988 Jefferson County pa.yroll Additional October 1983 Jefferson County Payroll Additives Additional October 1983 Jefferson CQunty Payroll December' 1982 Jefferson County Payroll Additives December ,1982 Jefferson C. ,Equip. Rent~l & Pits .~,' 1 8 ' I':;"", 17109- 17148 I j ~ Current Period ParticIpating Costs 450 32. AUTHORIZED TOTAL PRO RATA FEDERAL ~ EXPENDITURES % FUNDS TO DATE CLAIMED -----rJ,smr.~-- 9, 114.21 --llJ~ -~::... --. ---___1-.-....______ _____, Cons.. Engr, 20,000. ClO 13,192.28 , IOO;~ __'4-' ___ _,____ -'---__ 1~3,780.00 151,379.4/" /riO;!, TOTAL AMOUNT CUlI/,lED 9,114.21 " LESS PREVIOUS AMOUNT PO, 9,114.21 NET AMOUNT CLAIMED 13,192,28 ' ~ l-5h-J.:7,9.,J+4; 4,?#;" f /,50.32 ',f f:~;;~~ir: ,~ --~..._. -. -- .~- '1 Tolal Rf.v Io.~, 600.00 450. '3:> 10m ---=----.-.-__~__= ;..-:-_-.:.__..1.--_ __~. ~ :" .~ i 7], gRil. 00 .----- ---ar:Tl(~. 25-- -l.,..I.'I.fCtu.",,2.5 !_13,:L91~?J, CITY/COUNTY ACCOUNTING INFORMATION / ~') ~USE FOOTNOTES BELOW TO IDENTIFY lJJ MISCELLANEOUS ITEMS, EO" $2,000>1 aj R/W b) Matorials Furnished C) Agency force d) UliliUoll .)Temll~rAry R~palr ~_7!_~!_~.~.:! _..E.~.~.~~~~_~X~~_~.': ~~!~.~5'..!:.:___~~_!:~~~~~.: ,,: (1 r 1-:R Court!1(HliIt'. Port T(""...1l8erld. 1.':,^- Q~{ 30n T.lM ')0'] 0> n.SlfHRu1 ION WI'I,',,- .....500T HNlrlqll"I'..'. ACCDun1lng Cirl....'" . RI'I"rn '0 Ag"nc,- W,th Wllnll'" eM""!'", W$Dor O''-'''CI (;;tll!t. ^"j [nQI/"I'>l.Ir Cr~py fl,,," j)"'''l.t Acc.-."",,/I'J f'lUl,'r/1fP,1 ^'1"'-":v (:(1(0'; ",1, T, /\0,,(0:"/,.' ,J .1-: Ar'-,Jil(,rr 'o.Q,')o, . ..f.- l. '" "',. ",.....~...'""'~~... .~'. ""'" "TI" ~ =t ~ d, -d" ... .... ~ . . I' . '. ~ .. ". . ~ \ ,J", -. ~ r .1 ' . ''''~' - l~ ~ ... _.' . I ( .......,.. _ . " F -r- F -=, F ~ FEDER(<L'.Il1D PROGRAM DETAIL gFFU'NDS EXPENDED o P.E. Final -:Dfy1 ).:IJ(? ON L Y ") 0 R/W Final <::""1- 0 Final Progr~ss BiII.No. 3 Period 11/01-12/31/83 Project Fede~al-Aid Number City/County. Jeff~rson , , FA--ER 83-06 (l) ..! Prepared By S. Fenley Agreement ~umber and Date Executed t:C 7318 April 7:'] 9n>3"" WARRANT NO. AND/OR VOUCHER NO, 18212 PAYEE TOTAL AMOUNT FROM ALL SOURCES PRELIMINARY CONST. ENGINEERING ENGINEERING 18214 Landscaping ~., '--, 18242 18271 18280 ction , 18297 ;183.07 18329 Canst, Engr. -,+, --t 3l,; 858. 9~ Jeff. C~. F.R&R - supplies Murr~y ,4uto Parta v' '. 83 Jeff. CO. ER~R - Equjp~enc ()ctob~z:h983 ,..... ...t Current Period Participating Costs 18359 '1'" , 18306 .,;------.......... , b= P,E. Conat, r-:--' ~~'-- ---- ~"'A AUTHORIZED F.EDE~A~ , . FUNDSf' TOTAL .. EXPENDITURES TO DATE PRO RATA % CLAIMED TOTAL LESS I\MOUNT , PREVIOUS CLAI~ED .. ~".: :AMOUNT PO, ~ ,\ Total Coat. --_~-_~__........4:-_ _'_.-+--._. I ...J... CITY/COUNTY ACCOUNTING INFORMATION -J,efferoSoll .._Cour:..t.y. .~.e.~. L.....~~..,r.u.u ic \," r l'i'l) ;USE FOOTNOTES BELOW TO IDENTIFY ~ ! f/ MISCELLANEOUS ITEMS, EG" $2,000'1 I C} ~~ ~:ieri818 Furnished + C) Agoncy. Force d) UtIlities _C ourthQ,.u/le_ ! _.l~.a.r,t._..I,o.\lltlS e.nd.._. .\::'..a.. . _...9J3JJ~,E.___.__ DISH1IfH)TION Whil"-. WSOOT H"Ao'lill.IH"". AC((UJfl!lflO Gfl."n.. n..,,,,,, 10 "''l..ney 'NIl" W/t"/tr>f C,,,.,v . W~;DOT Oal".::l SIItI.. AI<1 fr>gl""f>l Cnpy r'l~' (1'111.,<::1 Ateo"I1l.r>Q Gl>!,'..r>'oo Ail"""Y (;.'r'y :IDOT 'Ofl...Uo-O'...\ n[y 10~. k b d. -d' , . ..- \ ." '-. .,'. . ) '\ \ . '. . '- , F F I ~ b ~ FEDERAL-AID PROGRAM INVOICE NAME d'efferson Count..: Departmeut of . Buhlic Works' ADDRESS COurthouse Port Townsend. WI. 98368 DATE . January 10. 1981, . o P,E, Final _1)N! 9096 ONLV~ 0 P,/W Final .. c.... i3' ~inal Progress Bill No. 3 Project Federal-aid No. FA-ER 83-06 (J) Agreement No. Irondale Fill Washout Name/Termini 11.1': 14.70'to H.P. 14.80 Dear Sir: This invoice is submitted for work performed on the subject project. P.E. TOTAL FED, SHARE ~ocal Agency Costs Direct Salary $ Payroll Additives Admin, Overhead Consultant Svcs, Non-salary Costs 0 0 $ $ Co,:,struction Contractor $ 17.957.08 Local Agency Costs 11.1)72.86 Materials Equipment 5.829.00 Labor 2 .162. OJ PayrOll Additives 1 . 037. 77 '37,4/<D,Cg-lo! Admin, Overhead $ 38.058.72 38,{l51h-7-2- Construction Engineering Agency Forces Direct Salary $ Payroll Additives ----- Admin. Overhead Consultant Non-Salaried Costs $,., $ Other RIW AcqUiSition -- $ $ Misc. RIW Costs ---- $ $ -- Agency FurniShed Malerials $ $ Utilities ----- $ -- $ -- Misc. $ $ 'remp. Repn:f.r 450.3~ 450.32 450. n I certify that Ihe work COvered by IhlS inVOice has been complelod In accordance with approved plans and specifi- cations, I further certify that the costs shown in thiS inVOice are true and correct, the amounl claimed is duo And payable in accordance with the terms of lho agreement DISTRIBUTION Whlle-WSOOT HIl".dqu."e~ ACCOu""'f\g O'.e"-F'flfu'" 10 Agfll'lcy With Wanlll'll C......ry-WSDOT D,at',C1 SI.,,, Aid Eno,nH' Copy P'l'lk-O..tnC1 Acc.oUl'ltlng OOICJe"'O<J-Agency Copy 4 . V A.1qL.'l_::2~ ~. PROJ~T ADMINISTRATOR .J:: ! If./' J~ t:,~'r...... ~~~~ ./\~G--l'(:7::'ty\, c'p.J"7 /.0:.)/ /"::-'30- -; DOT ~':~f},~;:-ou ",,'8_ r./"'-, I,' Fi -. ---I I -=, ?=l ',-_:':,:",'<',-i;:;,:_' d, -d' . . - 1 .' ~ ,,,' _ . -, ,,:.. . j ~ ~ ;' " ?,. . FEDERAL-AID PROGRAM INVOICE NAME Jefferson County Department of Public Works ADDRESS Courthouse Port Townsend, WA 98368 DATF January lO~ 1984 o o o P.E. Final R/W Final Final Progress Bill No, 3 Project Federal-aid No, FA-ER 83-06 (1) Agreement No. Irondale Fill Washout Name/Termini l-I.P. 14.70 to M.P. 14.80 Dear Sir: This invoice is submitted for work performed on the subject project. P,E, TOTAL FED. SHARE Local Agency Costs Direct Salary $ Payroll Additives Admin. Overhead Consultant Svcs. Non-salary Costs 0 0 $ $ Construction Contractor $ 17,957.08 Local Agency Costs 11,072.86 Materials Equipment 5.829.00 Labor -.-b162.01 Payroll Additives 1.037.77 Admin, Overhead 38,058.72 38,058.72 $ Construction Engineering Agency Forces Direct Salary $ Payroll Add itives Admin, Overhead Consultant Non-Salaried Costs $ $ Other R/W Acquisition $ $ $ Misc, R/W Costs $ $ Agency Furnished Materials $ $ Utilities $ $ Mise, $ $ Temp. Repair 450.32 450.32 450.32 I certify that the work covered by this InvoIce has been completed," accordance with approved plans and specifi- cations. I further certify that the costs shown In Ihls InVOIce are true and correct, Ihe amount claimed IS duo and payable In accordance with Iho terms of tho agreement DISTRIBUTION w,u,e-WSDOT H..dQu."." Aecoun',ng Qr..,,-Aelu'l'\ to Agtlru::y WIT" War,.", Ca"al)' _WSOOl O'IH1C1 Sl,'e Aid En",,,.., Copy P,"II-t),.Utet Accounllng ao.o.ntod - Aoenev C09'1' - .. -'-'-PR'O~jECT- A[)"M'IP'~'ST~'~ATOi~- ....')0. ,fJ , ~ .. FEDERAL-AID PROGRAM DETAIL OF FUNDS EXPENDED o P,E, Final o R/W Final o Final Project Federal-Aid Number Jefferson FA-ER 83-06(1) Progress Bill No, 3 s. Fenley Period B, Laurie April 7, 1983 11/01-12/31/83 Agreement Number end Date Executed Prepared By Checked By GC 7318 WARRANT NO, AND/OR PAYEE VOUCHER NO, 20955- 20988 Jefferson Cpunty Payroll Additional October 1983 20988 Jefferson County Payroll Additives Additional October 1983 17148 Jefferson County Payroll December 1982 Jefferson County Payroll Additives ecem er ,1982 Jefferson C. Equip. Rental & Pits 2 TOTAL AMOUNT FROM ALL SOURCES :~~~~~~~~~~ EN~~~~~iNG CONSTRUCTION MISC.' 2,162.01 1,037.77 92.21 c;:;:.. 166.00 ...'.......~.~..._.~.... , . - -~.-..~.. - .-.--- Current Period $38,509.04 Participating Costs AUTHORIZED TOTAL PRO RATA TOTAL LESS NET FEDERAL EXPENDITURES '\\ AMOUNT PREVIOUS AMOUNT FUNDS TO DATE CLAIMED CLAIMED AMOUNT PO, CLAIMED ---D-;-5"OO:lm 9t114.2 ern. 9,114.21 9,114.21 0 20,000,00 13,192.28 lOO~' 13,192.28 13,192.28 0 143,780.00 15/,379.44 100r. 151,379.44 113,320.72 38,058.72 600.00 450,32 100r. 450.32 0 450.32 .. "'-i 77,880.00 174,136.25 174,136.25 CITY/COUNTY ACCOUNTING INFORMATION Jefferson County D~~~~~llbli~ Works Courthouse 'USE FOOTNOTES eELOW TO IDENTIFY MISCELLANEOUS ITEMS, EG, 52,000" 4) AIW b) Malerial, Furnished C) Agency Force d) Ut.hliet e)Temporary Repair Port Townsend, WA 98368 DISTRIBUTION ""'1'l".-WSOOT .~II'dqu.rll1tS AI.:C(.ounlmg Or_n-Aelur" 10 AO~nc.,. W,I" W.".nl C.".ry'-WSDOT 0111111.:1 St.,,, A.d EnQ.nN''' Copy P,n~ ,,-D'll,.cl Ac("nunl,nQ OOld.nrOd.-.A~ncy Cop.,. -l8o ' '1, :-':'::<:.'1; ",',",' " <' ,. ~ ;''"' , h. r, / ':':,;~': ;:. 'i.',' . ~ ~:;:'i' ",' 0", ~, ...", - . " ~, , ~,",l,,~ ., -"'7 ! ,- j .t ,.. . I :' , , ': ': :':",,' ", ":!:: .',:" , , ' .' ,;,:' ",' " '...',:'" ': ' . ,", :"" . ,"", '" , " " , .' "",.., ,. , ",..' ,:,' . ,,' "',,, '. ' ' , , "',,,:, , ,,'. .." " , " ",o", ,,:' FEDERAL-AID PROGRAM DETAIL OF FUNDS EXPENDED o P.E, Final o R/W Final o Final Project Federal-Aid Number FA-ER 83-06 (!) Progress Bill No. 3 City/County Jefferson Prepared By S. Fenley Period 11/01-12/31/83 Agreement Number and Date Executed GC 7318 April 7. 1983 WARRANT NO. AND/OR VOUCHER NO, 18212 PAYEE TOTAL AMOUNT FROM ALL SOURCES :~~~~~~~~~~ ENgl~~~~iNG CONSTRUCTION 787.37 MISC." 18214 VanDen Akkers Landscaping November 1983 Peterson Bros. November 1983 Lakeside Industries . November loS'> H.E. Grace .10R'> General C~~:;ruction Carl's Building Supply N~,":";:er 1983 ' Jeff. cO',~~~R - Pit Material Jeff. cO',~~~R - supplies Murray AU~~R~arts Jeff. Co. ER&R - Equipment QCtobe1:.l9,a:L 888.81 18242 15,689.17 18271 180.00 18280 148.23 236.73 18297 18307 10,992.30 18329 80.56 18359 26.77 (:i 18306 Current Period Participating Costs Sub 5,829.00 "-------- 34,858.94 AUTHORIZED FEDERAL FUNDS TOTAL EXPENDITURES TO DATE PRO RATA ... CLAIMED TOTAL AMOUNT CLAIMED LESS PREVIOUS AMOUNT PO, NET AMOUNT CLAIMED P.E, Coni" Efl\Ir. Con6t. * --'-' I I Total COIto CITY/COUNTY ACCOUNTING INFORMATION ..J.c.L,LlU.aon.....Ca.untY-Dtl.jl.t,.__oLf.u.b.l i cWo r k s 'USE FOOTNOTES BELOW TO IDENTIFY MISCELLANEOUS ITEMS, EG" $2,000') al RJW b) Malerlall Furniahed c) Agency Force dl Ullllllea _Cou;r,tho.uac___________,_ __1'0 I Llownscnd .__Hll.._....9.B,J.68,,__ OISfRlllultON wl'l,I.....WSDOl till,tl'q...rlltrt A[COunhng GrilC'l" ,. Aall..r'" 1fl AUfmcy W,11'l .....IlI'.m OT ~~~~,~ ;'~~.'~~'~~~:C:~:j~;:~~ St.h, All' (ngm_' Capy G04.:Je"'U1.1 ~grlnCy Copy oQi3o- , , ... '. '. :';:".: ...'..., ',.,. : ' :, ,,-: . -- " """',i',' " ": ,',' '.' ,:'.:'....','.. ' " : ,'" ", " ,.' ;'..," '.::: ': "":" :" , ' '.' <. . .".. ',i ',' ...,.:.". "', ';,," " . ,'-'.. Ii ..'..,' , .'. . " """,:, .' :,,:,' ",'"., ',' """ , " ,"""', , , ',' \ , ,,~"._,. :.. '. FEDERAL-AID PROGRAM INVOICE NAME _Jr' 7) -p, (/.. \ DATF .J/, ',1 / t? /.1 d- '/ ADDRESS ('1";1'" P"t" (l )/'.' '<~:.Y Progress Bill No. Y Project Federal-aid No. F/J -(' /', Agreement No. r::: c' 7 -: I:? Name/Termini II), /./D~-;{I';' /,f' 0 /)., /l /4../. 70 /~1/..? I (I ,.'('() o P,E. Final o R/W Final o Final ';'):;> ""~ (I ) -}-'.--,,' /. ),) (' Dear Sir; This invoice is submitted for work performed on the subject project. P.E, TOTAL FED, SHARE Local Agency Costs Direct Salary Payroll Additives Admin. Overhead Consultant Svcs. Non-salary Costs $ Contractor Local Agency Costs Materials Equipment Labor Payroll Additives Admin, Overhead $ -e- -B- 1"5"'1'7. 01' / d,n? .f?G ;.:~) '/ (' r :J 1(,,) 01 ( D.,'?, 7 7 $ '~(7JY. n. $ -i~ 051:, ?"z Construction Construction Engineering Agency Forces Direct Salary Payroll Additives Admin, Overhead Consultant Non-Salaried Costs $ $ Other RN~ Acquisition MISC. R/W Costs Agency Furnished Materials UloiIties Mise, 7( Illr ~,('/'""C-' $ ----- (/Jl. ,}).. $-- $ $ $ $ -'Z~_~.J~ $ $ $ $ $ ~..!d.cS..2., I certify that tho work covered by this inVOice has boon compleled In accordance with approved plans and specifia cations, I further certify that the costs shown In Ihls inVOice are true and correct, the amount claimed IS due and payable In accordance With the lerms of the agreement OISlRIAUTlON WI'l.'.-WSOOT H..ctqulrlt1" Aecounllng Gr...." n.AltluHl 10 Agency WIl" WI"."I CI"It)'-WSDOT D,.Hlel 5'1'1 ....(1 Eng,n", Cop~ P,nll. -O'"UCI A,"counllno a~'Od.-Ao-I'IC'f' COPY .. -,--.-,- . PROJECT ADMINISTRATOR , ;; , ' , "", :--'. ':' .. ,,;,,' ..;/. '" i ,.,. ','.' '.'. ..', " " ' "" ' :,:". " , '",'..,.. "..' ", ' , ,:' : ' ,',:',..::;~ .. " ,,", ""., ".;'.',......' '.,..., , :'.';., , ":,,,'::', ., , , ,,' ',' '" " .',. ',' ','"'' '.',., :'.' ,',. " ..,':.' :', .,' , ' ,'... . ", ' FEDERAL-AID PROGRAM DETAIL OF FUNDS EXPENDED Project Federal-Aid Number j"'I'}' (, /!. ;?;, , () c" (/) City/County ~ )F"/,-jC{ /'-..::.-C)t0 Prepared By , )" /:t: IIU~ 1 OIUJ!'.;) /:,1 ~) C t::>'JI".II..:.' / Agreement Number and Date Executed C;c.. 73 /;;-- /1 ;0,'" " Progress Bill No. .-? Period //~I- 1)'&1&";> o P.E,Fir o R/W Fi, o Final 7 /CjY? / WARRANT NO, ANDIOR VOUCHER NO, PAYEE TOTAL AMOUNT FROM ALL SOURCES :~~~~~~~~~~ ENgl~~~~iNG CONSTRUCTION MISC.' ._'09S.5" - ;2o'?iKY .,2o'ISo7 - ~ O'r .?if 17Ioy-' 17/'it". / 71'" "') - / 7 l'i,;:/ / c) 0.:2 '7 Jc:rf(.-/'.:"IJ/J -:".:u,~,/ I/'//"J~''- AD1JI7C/-.-..JAL. OC-rI':'J~-I!'" /'':/?~ .Jc:FI-;'. (~~. 'i/A'I/'~OLC /ll-'P/Tf.".f:.-';:; A"j)T>rr/O;.JA< -i1-.,.^~,,::?-I /7.f~:?- , .Jt['/o,,~'.'J (:."~'/ ;/111/"'" . Vc.G"cf>Vl,../0 17"/J'.,;! Jc/~/~";:~ _ ))/l!/}V!....-C (J!JUI j!';l~= Ct- P'Lff;I'J /'1',r..:l JC';,..-t-: C"..:. c.-'<J>..v,p ,ec.llr/tL... C 7,7S' 7J -"'r _onp '>'/& / '1",(';;' ~ 1(,,;;' tJ / ,/ ?O.37,71 / , /9':;2,-I-!- If:;', / I ,<;~:" ../ y-.:t,~;- f? z. ",..:? .' , /,(...b.-{)"CS ,0 e .' ./ 1 ' ~; ~, J !.l. t , 1':- 1/ , ~ 4.,~ /QY_<:'0C7/J'1 PRO RATA TOTAL LESS NET '\0 AMOUNT PREV IOUS AMOUNT CLAIMED CLAIMED AMOUNT PO, CLAIMED I" ::-., 111'1 ~'11 ? 1"1.) I C,;..- /i, ~), I~' I'/,,?.>r /j /,/,/, .J ,y ~ / /" " 7, /,j ; ~ 7'~~ 1./ / /;ft So)<J, 7.J. 3~03B,74" /(f~ ';0- /Ar.,.:.:<. -c..... '/5~.!:"'" Current Period Participating COsts .1; f: AUTHORIZED FEDERAL FUNDS I /.~S6() 00 ~~~~~' -~:<.:)~':,.~:~' Conal. . v -f t /IV".. r:::. u ('.1 (Jc) *(111111-'.1 . I-ToI8' -- -. -,-i7-';i0( ~. TOTAL EXPENDITURES TO DATE '?/i'(?/ /,,; I" .'.) j '/~7..:.' ;) ,~ " " i, I: ~, I /</ /_~ ~". ..~, / -----.- CITYICOUNTY ACCOUNTING INFOR.....TlON /71: ,/:',;',;:' (~ I..l~ t...1l.,;J / ~ 5(;;;.r7j) ,I ( 'USE FOOTNOTES BELOW TO IDENTIFY ...ISCELLANEOUS ITE"'S, EG" $2.000'1 0' R/W b) Materlall Furnllhed c) Agency Force d) UtlII1... (I I DISTRIBUTION wTu,.-wSDOT HI.t1qu.nflfl Accoynhn4ij Q'Nn-Relur" 10 Ao-ncy Wit" WIH.n. CI"lry-WSOOT C.'frlel 51.1. AIf" Engln.., Copy DOT ~~"I~~ PlI\ilI-D..UICI AUOU"IlnQ GQkJ.",od.-Ao-nc:y Cupy , i' ~ , , ,,/-}/{' .. "" '.. ," ,'..,,,', ',. '....: "':,,":,::..'i," '," "'" " :<'; " .",.' ','"," ." ",,:,.' >':', ',' ",: , "" ,', ',,:, .i. \ ' ",'" :." ","", ".' "',,, " ,',' ,', ',,:.., ":', " ,,:.: .,' ,',:,' ',' "", "" ,':: ",'" ,,", -, , ':' ,', '. , ,'" ",:':'" " ,:' " "", ,,' ." ',,'..,'" .': ,:,' ',,: , : ,.." ' " ,.... ' .. . , '<," '. : .','. '.,,',' :' '. - , , ,0: ':.,: ',.' :" , ,', ':,',,: " , ..; ': . .' '" . .' , ;'.""."":,,, , ,~,.. .. ".. , :,', ", .:,., , , ,', .,:...."',,.. ,", ','<: I;, I'"~ ~ .-/ -. , ' ::, ',: .. .,"'.", ,'. , ',' :.,',' ',' ,','.;,'.' ,:, ,'..', , " ':. , .',":', , ,':",', .-' ;,', :' ",: "',", :, ',',: ': , ,,'.' ,":' ,....' ,,' ,:,,' , ':. '/>;: , , , .'" FEDERAL-AID PROGRAM DETAIL OF FUNDS EXPENDED o P,E. Fir o R/W FiI o Final ((? t':Je, (I ) Progress Bill No. Period II~I ~j' ., 1,,1. ,~"' " _./...;~ V~, Project Federal-Aid Number r /-i - E. J? City/County -.J c/'/ ,'r, '.'-:'J IJ Prepared By - ,.' /(./IU'! /7 1 III'/' 'c ? I"J?J Gc 731? Agreement Number and Date Executed ,\~,' .~~ WARRANT NO, AND/OR VOUCHER NO. / g',).;':< /7,//'-/ 19';!V';;" / j".2. 7 / I?? ?0 /;1.277 1 (?:J' 0 7 r I' .' , '~' I y::],:J / />::'1.5''/ Ii'S oc;. P.E. '~ ~l_ ~, t~ Conll. Engr. Conll. r- .. ~--- I~Total --- ~ ," J .~ ' 1 ~~ 11': i~ ' ~~--,. ,Q\ 'J, ~ PAYEE TOTAL AMOUNT FROM ALL SOURCES :~~~~~k~~~~ ENci;~~~~iNG CONSTRUCTION MISC.' 7?7.3'1 %J7~?I 15~?'7. 17 , , V /1// 7Jc./.J 0 ~/<t<S-/;;t,,~A^,vS'erl/' '11Co /"'ue/G.S;5';!", 73"7'7l:?:< I c.. A~- ~..:;, P6 //--'Yv,:,;-/ I t.-.'::; . AI., 19.f'::> /-1. C, ,-';'''>(2 rr (,'" , ;..J() V /C;;P4" -;:CllcIU1/i~, ,O'/o/:fJ:.~ vC ,/Q ,J C..l'"l/~c..'v ~Ulc.. uOJ G /lev /"",''3 SErf"( ~~~I.~ J C 1~:fZ. - 'PIT n'/1 Tt.- "1/, 17. ) t:-r;:" C~V~_J/~ C J.::, c/( .....;v/"/'0'1,;;..5 ';'lo,b, IQ.r3 /'71/,-,,:/, t,/-;u f'~ '~?J < ,'.;' II u. I, ..:1 !-Jc-:r,.r. \ <.) (- /." ./' ,tC (;t.ll /J. -...' .o<:;.r, 1963 .. Current Period Participating Costs S:JjJ / I?tJ,oo 1';16".;;'3 00130., 73 10/79';;,30/ ~Osz, ./ ?i;,."/7 s; ;?/J, '7. 00 ----- -'--- ,," I;,,,:~,y' '7'/ AUTHORIZED FEDERAL FUNDS TOTAL EXPENDITURES TO DATE PRO RATA % CLAIMED TOTAL AMOUNT CLAIMED LESS PREVIOUS AMOUNT PO, NET AMOUNT CLAIMED ---- .. -, -...-..,-------, '...-.---- CITV/COUNTY ACCOUNTING INFORMATION 'USE FOOTNOTES BELOW TO IDENTIFY MISCELLANEOUS ITEMS, EG. 52,000'1 ') RIW bl Materials Furnished C) Agency Force d) Ut,huea DISTRI8uTION Whl'lt-- WSDOT H,,'"1q,I.,ltln Ar.co~nl,ng a'PI"" - nftl\.lm 10 "'O"n(:y W,!" Wan.nl DOT ~~...,~~~ ;'~:':O~'~~?~;C~'~:::~~ 51.1. Aid Eng,","" Copy Gn~dl ,10<'l "'~nc.,. C"flY 41 .> ' .. '.' .'.. ".", ~; :,"..,....".....'.."', ,':, ".... , . ',:' '.:" " .".,-,:::; ". ":" ,',.... ' " , ' , ' '. '': ,,'."'.: , i. "".<:' ",:.:.:"" :",; :::,:','.', "'.. ,',' ,:' , , """",'" ':-' " ',', ::' .,.", . , ' . ..'., '. .".,' :';:, . , " " : .' " .... '. ."" ,.,'. :,' , .,':> , '.'..., '. .' ",;" ',' >, .'. "'''\,,.<:', ',,', ' , ' ,: '.' " , "',: " ~ -::JoJ-600 ,;J PURCHASED BY OFFICE OF COUNTY .. .. ~ M"'N~Jr"'CTIJIlItO IN .,;...TT1.11; IY ""IC" .. MIJ".....Y ...oe .. .. ...' ROAD FUND TO JC EQUIPMENT RENTAL DATE JANUARY 12, 1984 ADDRESS CITY TERMS STATE .. .. - VOUCHER COUNTY OF JEFFERSON PORT TOWNSEND. WASHINGTON 98368 NOTICE-TO SECURe PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED. AND MAILED TO COUNT V AUDITOR. COURT HOUSE. DESCRIPTION DATE R.uwn All CoP'" 10 Aud"ot. ~ ., , _0 ?r,~' . QUANTITY E IP.# 4 24 43 53 60 75 91 3 52 HRS. 1 4 2 39 11 63 4 61 61 (, .; 19916 WARRANT NO. AMOUNT AUTHORIZED ~c.o /00 .rij~'7I'O. "/-S- ACCOUNT TO BE CHARGED DR. ST, COUNTY OFFICE USE ONL V CERTIFICATION I, tho undersigned do hereby certify under penalty of perjury. that the materials have been furnished, the 5erViC8S rendered or the labol pe," formed as described herein, Bnd that the claim is a ju$t. due and unpal~ obligation against Jeffarson County. and that I am authorized to authentl- cate and certify said claim. Signed hitlel By UNIT AMOUNT PRICE RATE 9.00 9.00 20.00 80 00 9.00 18.00 20.00 780.00 40.00 440.00 VENDOR (DR SELLERS' SIGNATURE NOT REQUIRED 6,462.25 ALLOWED BOARD OF COUNTY COMMISSIONERS DATE COMMISSIONER OIST. COMMISSIONER 015T CHAIRMAN OF BOARD ."l' , ...,,~l', "\'" . ",.:.,",": ""'1" ';J; ".,'-' '," I c',;,:, ;,,(' , ,:,~ . i,'.,.',:'~,cr':,;',:,": ;,-:<(,,;;;, ~ " ..... '. , ':., ". :;':n ',' .. . ',,/' ,.". ,,', ",' ~.,,;" ~ (, t '" , . , " " , " . ' .,',.,' .' ",.,,', '"'''' ',' , , . . :. '" . ,,", " : ": ","~ , ' ,;, ,', , .." .", '" ;" ''-.:.', ,',' ,'. . "'.::' ',' " ''': '.., . .. ,'. , ,.,' .-' ":, ". " "..;'..' , " ". ." '.. " ; ',",' ': ','" :.' .:' ' " '. ',; , .' :: ;: ' __...<11 '''J Department of Public Works PROJECT TITLE i I^tJ IJ Dei ( e PROJECT NO, I)' ~ .,; LOCATION WORK PERFORMED BY" l-'/" OESCRIPTION OF WORK Equip, No, (j4 u'l.. 4:'-' ::, we. ~.." ''',. ?.,. 5'1 Equipment ,"")-1/,'(11 /(t//u' .f-,;,:'1" Ce. e.r < r'J. r.;,..'..., . : 1;11 L... "-i' f f3q c..Uf.,;-<. / -,.~ I'" ~.t/~ll:) /;.~.~t:.. p. lI~!.I'.' :.. c ,1../_/-- .:{ lr r:f.,' z:,.'Yllll_J l;'" -, '...... k >,,70 C(,. ) fr-c, ,_C, "'v-7wJ(....... 1.-4....:....\'.""4'.. E1;I"I1~'-^' C."<ln'rAJI ,,-; /- ; I I I ~";I [j , '.- :~" /-J".:; ~.....t, j...' {I.I r Hours Hourly Extend~d P.R, A;Jte Amounts No, ;3'4 /.'., ... /,O~ .. 2"8 1'7' - / 3(,,-h-f! .. ,..3 ::> /.")"1 ,t)~ .. -...r .- J i'l.5- /' / ~ .,., 2- .. '1cl ." (la' , 2- / e;l J ,i/ I :L3 Ct ..- -Z7"';-::'-' , 3 / J," .. c.::,< 1 /, I !-l) /1, '<,'0 I I I I I I 1 I MATERIAL and/or WORK done by spec:i:Jlim 'l,j. " ,~~ ~;; DescriPtion }(.d. ; ""'i(J.TC,',,,,,, r_ ~%IIc.......~. :x Z..Jr-& (. t<ln-. ilJ, S ,-.... u' J~'- nce P"57', (fl \ \ ~ " ' TOTAL COST OF eCUIPMENT, MATEFlIALS AND WORK OISTI=IIBUTlON' 1,Ptoj. Ml)r, 2. FI.ld OHic. 3. ~lIe Submittod-Contractor Rllcommltndlld-RIII, PIO" R"prt'untativ. Wilev.Flsk Form 15.5 , ,; , " , No, Unit UniT Co~1 .J :,/,,) , {!/pt', I /" I 6:, , ! 'r i,;.: ,,) , -- ~ ---- ............. . /, '.. '" , , .,.':" :.',;' :.", .'." "" ;::,;" , " ,.:: il DAILY EXTRA WORK REPORT OAT" P"RFORMEO J C - ,3 - '63 DATE OF REPOAT REPORT NO. AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURe s _ TODAY S_ TO DATE S CONTRACTOR JOB NO. CONTRACTOR REPORT NO. .'1. -c.; L;Jbor Hours Hourly Rate !VIe C 1-"\.....1" I~ A -...- q, II 1'10 '!.1 ~:'5 _Tel/II. '., R.., ct5 '-' /~ 11'1 /-"'<//14/'1 Ilteey ~q,- /0'.-:5';2.. H <.1 S ~'1 ' J.f.. t / d: R....5 4- /I : ~ 0 J"":;;,e,11 LL- d. ~ S4- /0 ls-;l. i'&.(,~", I2,JJ..,,1. ,R.o. B II '00 ,.... f,(" ",,/, ,-I. /........ -&---"~:>-,,. 'j,,';'If",./r -"0'71" R.o. t" IO~.50 ,..L qld ,'/',';A oc; B &.'!':" {;.. -;$...:,:j..:o Reg. 8I!r', Reg. Added Percontoge-ISee $plJcinl Condition,} SUB TOTAL 7/,,",,/ ADil ! ! I Subsistence frlvel Ell.pen50 Othtr_ No" _ __Q$ No.._@I$ TOTAL COST OF LABOR A >- B For Olliee Ule Only Pd.Qn"t.no.~ C~t!eked bv----l + _" ON LABOR COST (Al + _" ON EOUIP" MAT'L ANa WORK COST (B) TOTAL THIS REPOAT :',:, "', .... i':' :','_ :,' " :':, ':'.- " " , " i;'," . ::' ", ,,' '.' ,.,,::,;- ..,," '", .' "', , ",.',,"", i ",'" ' ..',.' ':' :,' ,',' , ,",' ". "'. , ""'", ' ,'>, .., ,', ' i"'" ,', " ;:./" ':", ,.' , ," ,', ,'", , ,:' '; ," ,,' " . ':: , " extended Amounts 9/!-.70 S7(~I-':~ 9',I1/b ~ #".,-, ~- 42"8 ~qS- ~ ?:2;/O 53 ILID 1 5 ~h! <'oIC ".. -9-&:-'H-:9~' ;::?r.,4- \"0 : , 9 1/ :00 ' 1 1 I ~~~,;}:f'L):' ':'-:(',:;\;;:,,"::: . ':; ;:':>;/'~~';'::i I :::;'.:~~~i,:'-'; :,> .; '. ':'. ':.': ~ ~'" ''',:> ;r:<\')> ':' '.<"-:,-',''' ',:i>:'.-":<:~:: '.',i ,,'. ..,;':< :: ' ,., ". ", " , ~,' ~ ' ,; :', .- .' -: "; . ". ',' '" ~'\:,::';f.,'; ''':;''< ",:~,'(.'; ",' -~:-',;-:",", <':".f",'~/ ~: ,,', _, ; .c'; ;:; ",', .__"",i",' :', ~,' ," ' "'~ t..... (.' :>,':',:,"", :""",'-..'. '::/....':.:'_:",:-.f:,,:,. " '/:":_''-,> ,"'.:<,:'::;"}/;"::':: ". ., - '., ': "" ~ \ ',:.,' , , , " -".:; "\. ',:.-' .;' :::- : ,: ':~ ,"'''~ .; ;:; '\.' ' ",' ' , '''-'{,~' .~. ."', ;,) , ',':....," ," ,'. :"'. '.',,",' "".--,:-:,:-,.',.; .,',:'::.", ,'-', : :.. ":", .~, :, :', .:,-.-"-:::,..:-,:,:,,,.'., _;:~ - i: ;.: ':',:; ':';. . '"1,';-''''' ;:,:,-:',;, ';':", ,:'.' '~';':,.".,/; ':, ,. ::,:;:,~:;(,: _"-''-'II'''J Department of Public Works '-',',':,; i-i.:'::' --./t ... , ,',,', ':-C:.I'" ;::.,',:,',,' '-"',"". <'-; :':>":-;" ;..:-'.,.,:_' !f:L.\;, ':,\'~;'~",,:: :~ . ... j , , DATE PEF'FOAMED / ~ -t1- DATE OF REPORT DAILY EXTRA WORK REPORT ~3 PROJECT TITLE I h I/,{ q I ~ 1 1 PROJECT NO. ') ?. c) LOCATION /',,' .'. REPORT NO. AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE $ _ TODAY $- TO DATE S CONTRACTOR JOB NO. CONTRACTOR REPORT NO. WORK PERFORMED BY I..N , . '- ,. : .. , . : " :; - '- ,. ,"'"' "-" . .....~I r; , '- ..., f , I , Hours Hourly Extended P,R. labor Rate Amounts No. Hours Hourly Rate DESCRIPTION OF WORK ,n:j '/{ I, 'I j EQuip. No. EQuipment A,I" ,.. I "u" IJ .If~ I:', t.:~k,,- H/"; '_~:"" 'r:,;, "7,..:..\:::', r:?; / 1-1 """ ~d. jl/c.I"~" L.I_& ..I l-II.CJ~ 1?,'c.'h414d........./ ~/{rcllt: 7?h'/ .{'I"/ "r ).t II /"5c b I'f : /1 );C,,.'q/o<.. ,{.li::JTi..,... ^'''',-- ..... ~ ~7 1/ 1'It' Aeg. .-9,. - /10 IS.:L r:r.r. ~ v In 1';.2- Aeg. ~ /1 Ie"" cr.r. S ../ I D 15:2 Reg, ~'--'" / ~ 16~- tT.'T":"" <<. /:/ i;l.-GS.> Reg. ~ ..tf"'l;OS'::!. ~ 1-1 ;It: i5''2... A.g. ,I. I r i ~ ~ ~ -}(It" /.t<..-"--" - /3c<<:.t /..Ic~ "'3' -'" ISI - ",,-,! / '<fI[, F!rd. .." e "1'V' 151" (.,.?! '1:5 ~'11.-i b '" t<'v ,..~ ,~J- . "r ~ q I :', {,I , 4.€;- ..:),-o1-;J.'". ;:;....,1 e ;..,_ ..- --7.".... ..--,2.K"-e- '.'7-&'__" +:7- ~ (;r.,t>n,-Fr~-- --'-/- ---<71-~ -;7&'-- '81 Cr<,vP..~I:I"J ~ 117':> je/' :?> '::,r<l''''H "/..~L...y "1".. 11%\' I'll k:z.. ",1/->1//..", (:..""",/J/' ...t, / /17.) I'll, 11 II", )" d. r.,..~,:) ! I ~~ _ I '__ ~ -. 1 ....~ ('r-~;--~ :J ,.'-' ..- ~\-':,i r ~ .~ 5(')1 V Y I Reg. ",.,.,. MATERIAL and/or WORK done bv specialists SUB TOT Al /1", i' ~ F r ~, Unit Cost /~l.v~ I Subllst.nce Trevel expens. 01her_ TOT A~ COST OF ~ABOR I A I B Description No, Unit i,'71 ,. '.1 1/ C ,".. " "') Q...,..> I..:' h- (~, . " J '" II G j t-! ; , ,.::-, v .' /I (:?" .,' p { ", f,; .31- '~'~"''''~l, '\.~; I /1',1 I-~ 1 ~. <i...., ,..T..OT~;_C~ST OF E~~IPME,..N~ :....M.ATeR~\AL..~.../NO W RK r.,'d~d.l(q:J i)LtJiS {II I \OISTRIBUTlON: / J';; Added Perc:ent&lJ8-lSee Special Connitionsl 1//1;/ No.. __ __@$ No.._@$ i ~ --- ~ f 'ti. L h c I For Ollic. U'8 Only ... _'lC. ON lABOR COST IPd, on 'S1:-"0.-4 IChflcked bY------4 ... -" ON EQUIP" MAT'L AND WORK COST 1. Proi.MQr. 2. Field Ollie. 3. File TOTAL THIS REPORT Subml,,'cf-Contr.c10r Recomm."ded-R... Proj, AeprltUn1l1iw Wlley.'lak '0,",15,' , :'," ,',' ' /',' ,,' ,,' " '. :,' ,,'~ '<:'3:';< i:'. ":' ',",' ", ", " ':: ./i:' ',::' ,,' ;, " ::/ ", - " " '>. .' .': " ,.'...' ,..'.,'. .'..,,".......,..,i " i,:: ,,': .,' ..'. .' ','; , '...' , ,:,:' "', " , ',"', :. '. ,'" ',":"::: .:,- : ",,::,: ',',:"", :": ','.,: ", " '......,,',,, ,:: ' " ,:, ,,:':.. ,i',' ':'" ~; w:':~ _"'-. 'J4jJ:":,:::,?::;t;i~~\::r:'_ .. ~:...... Extended Amounts q+J,:.?&> 19,J0 ?'-/ilb y'-/I/b L/V 100 y'-/l/b ~- 8'3.52. :7..:2IJ'U ?l '';>0 '/;J'cR I I 1 ~55: 5'8 .u~ ~-be 3 1 4 :8 z. T 1 q9915.~ I I I (Al (Bl I I 1 , .,', .' ': .. , , '" , ,<' . ,). ...'..,"! . .r , " c~', . , .,...' " '"' '..' ,', ,'. , ' '" '. ,', ' .':~> ' "., ',' ....... Ii ,,:, ,: ", '"., ' .. " '...,:,,'. ,,'. ,... '",.','..' "', ,,'., ,<: ,:,:' .:' ,!', ,"",.' :, .' " , , " ' , . '. ,': ," , .. .,,',. , .' ,..,., ',I,' '.'.." ", ,:", ',',' " ",,':' , ':', ",,':., " U.......VI '-JVl I ",-""VUIIl.} PROJECT TiTLE Department of Public Works )h/ ; , ~ " PROJECT NO. " : ~ ) LOCATION j'" i , WORK PERFORMED BY '. '" T. ..., .' DESCRIPTION OF WORK ,,',; '~II' "', , '., f, ,~ , , J. : i Equip. No, Equipment Hours Hourly Extended P,R. Rale Amounts No, " ./ 1.<:1 .:-;,,'T .!/ d. /5, (l0~ I ,- V QI 7;2 I ~.. ~ ."1::;-0 r. - > ../ ql- __.'r> I ,~ ," v" /17"- I ,( I - c/ I 17.' I' / I ." V 117.S" 1'1 I .. ", I I S ',C I ,_~; ).-L,,/ ........' I / I 1 I I ~ 1/<, .., L,;-:" ,/:;' 7,' <11 ri/,z,' /,'~ -"- 1).,...:.7/io.,', f'''~ ,'.( .',/ -....: /(... J ' . ~ ~ ~., ./~/'~ "';, "t. ," /- ~.2 (t" / '" .. , I' ".. , ,'! -,. '.." /" , , ~ ,~ '. l, ' " ':':i"'t.'tl-?'/:. I <. ( .- v' ~.. 't ii ~', "1 ,,~ I'.. ,." .."- J ".. 'i,'," ,'l. ';.',j, '.'"," .,'... . , ., "" ":rl," ~ ,. "t / '. ..~ . . . ."". , .:'.. MATEAIALand/or WORK done by speciolists t Dp.lCription No. Unit Unit Cost ~4'~'.J I.!).' I ~ I f' J f(~,' I ""t:.., .'-... / ~ I r! J K" I -Li.,. 17..", /11; I U, . I "'" '?e '...- 1;/7/ I (!..o,,, , (I, .,\' {, f.l.,I , ~ '<f'TgTAL~~i)o. EO~~p"~{~;.~:ATERI"'cl~o."I RK l.>>..,. #, 71,' .. I.. , '<.If 5 I' J,. ~ .......... -- I I I I ...': DAILY EXTRA WORK REPORT DATE PERFOnMEO /1- DATE OF REPORT - :"} --< .:;? REPORT NO. AMOUNT AUTHORIZEO $_ PREVIOUS EXPENDITURe $ _ TODAY $_ TO DATE S CONTRACTOR JOB NO. CONTRACTOR REPORT NO. I:" I / ' I It. Labor Hourly R31e EKtended Amounts Hours A'~c.I' ."" IT'flr /~, [ljjii;. Y, / J ''Ie. '7/1;( 0 1....'."/(",,, -n;:'7V R.g. 1:>~ .If 1:;,-1.., )?(If/" j::'I'I"'~', i?...rk -.-;;;f-:'/C,'5.::< yL/I/c-' I!,w;j.."d B,:/I R.g. -;;;--;i. II :oe ~ t;.~8 ,V d 7L' _/ L ~O' ...I. ~. q; - "t' < ::>-:-;. 0/;; c., -;, . '_~,,- A:~"J..~c:r-- R.g:----t.- -t'-?-i...if~ -t;3....~- , ,I;:.""l." fl,-,j,,,,.! _.OJ' /D~ .~- Za,qd '1-1, ,. iI.' 7:,; R.g. .z Ie b.-i:;S 9.2',(0 -;. "/.J."'~C', (3,' k. -, <: ~ "II!:?"" A" ~ R'.~~'" QIIIFo. I I Reg, I ':;04-: b4- , ;,,':" jr:.;., SUB TOTAL Added P~rct'f1lilge-(Sco Spod;)1 Conditionsl ry;; z.~o :Z 3 : ! '7/') I 7~-' , I , T I T , ! 11),1 Subsislence Travel Expanso Oth,r_ NO.__@$ No.,_@$ TOTAL COST OF LABOR I A IB Ii. .~, : l 1 Sl,lbmined-COnlfJctOr OlSTRIBUTION: 1. Prol, Mqr, 2, Flt'ld OffiCI 3. FHe For Ollice Use Onlv ... _% ON LABOA COST (A) Pd, on ell,~ + _" ON eQUIP" MAT'L AND WOAI( COST (B) Chocked bv---j A.commended-Ael. Prol, AeprelenUlllw WillV,Fisk Form 15.5 TOTAL THIS REPORT ';--""' '", :'..,', ..'. '. ; ". ,.-' .... , ., . .." .,;: ..,', .,' ,,' ! ""; ,,.,, ,',:,,:', ',: :.' :.' ;,", ' ." ",".. ",,! ' ' :,' ,,' " ""'.." ; ,: " ',' .':,"" ':-'.', " " ,",:: " .",'.. ',' ',,' . ",:"." ," ".." ," ' ,'., ..', ...'. '".' ''', ,.:'''':"" ,,?,,: ", ,:', ,':'"....,."..: '. '. ' "'.:.,, ':,':': : ,'", ....'...' " , : ,',,' '.. ,: " ..' '. ,"',,,,":'.,.. .,' .. ' . '~",'I .;,:' :: <" ' " ; ....' ,':",', , ',:' '; ,', ' "" '.. "",.., ". ,> " ,,':';'.:':',.;,..,':,,:: :'. ". ': ,,' >:,',' .:: '" , '.":. " '.' - : .. , , .. , ' ','"i':> , '," .' ':. ',', " ':':, " ,',' " , :, '.' ,':; ',,', " ..... .":'..., "",' :' ,...:;, ,,' " " '.. "." "".,' ':,' ", ,<, '.,':' ,,' "..' '., ,.,,' ,'..', '" .' ' , .' " ';, ,";:, ',';',.'.,',: ..: ,,' ,,; ',," " " , .. ,:t, :.' ", ,', .: ,:,;,:: ",';> ," .,,' V.......I'-'I.....,V'1 """VUIILJ Department of Public Works PROJECTTITLEir:,:'!'t, ,l, PROJECT NO:::.! e, LOCATION: /' .' WORK PERFORMED BY ,I ,.. ~ DESCRIPTION DF WORK FJ /",," )) ~ J. ,~ 1-;;' -~,..~ .j;"4 I,"' Equip. No. Hours Hourly Rate Equipment ,~ t Ii:,; 5 r::,... ~<~7C" /3I'c,nt/ (,' 2.. ~1. ~fl. :/h.'.""S. Cqrr'/ I~JI.:""'" <oj" ..3 /7.r.. ;1/"'115 ,..'),'cf i ,-:) .. '2. _ 9;:; ;'v" -;,' ,1." "" '.' .., /' / .4.C_ ;~"r. 'J~J- .~ ~ I nth II,,,.. V,'b.....,~~/(,J/r '.eJ".?... / !I,yJ, (lJiJ.. i)'fmp Tr.c <.:., ..,,,~ L/ IA ,.J A.)..-t..:..1r D'f 411) ,."":..,...;/.... "'~""'r 3' L~'7~(',... /:,.-:' A'....,}?,:.' ;\:. ..:;; / / -.. 1<'i.4 . /-1..:..'....~y.^~ L."': \ / /SI .- J '2\' /17S 1:51 '.....\ I I '\ I ,X j, \ II \ I; , , 1 I :~;, ~ l' MATERIAl8nd/or WORK done by specialim OescriPlion No. Unit Uni, Con 1 1 I , TOTAL COST OF EOUIPMENT, MATERIALS AND WORK DISTRIBUTION: '.Proj. Mqr, 2, F,eld Offiet 3, FiI. $ubml'''d-Conlr.CtOf' A.commended-R.t, Proj, Aepr."ntltiw Wllty."tJc 'orm 15.15 <:' ;t-.-. 7t:,o_ El101ended Amounts ~r I, 1'/1 - :.; I ,,-t"', ~O l - : I ~ ..----- ......... DATE PERFORMED/O . 6 ' '3',3 DATE OF REPORT DAILY EXTRA WORK REPORT {~, I'/? 7 (~,..<:: H/ REPORT NO. AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE $ _ TODAY $_ TO DATE $ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. f>(1 l (I! :"(,',j ) )' Ktc( , P.R. No. Hours Hourly Rate Labor '" sA' . _ '11. ,,~, "',r.' /~ > i /J,f' J... enr, ,,6 , "",",;2- //'('<.' Reg. '),/ / ,. I, ,,- Cl.T. ',{ ,,' ..-:'. Reg, --< /' ....L+Z'~ <<'r. <'1 1\ I / Reg, ,-.; \ Y O,T, >; A' Reg, 4- 1/ I" /'- ;... "..J.......:-.:,;~. !3cl::J. "', /, c::;; - C/;,..: S ~'-L...('.i<: - ~ ;):. .," - ~ '-'- ~;lIh~'.<'~;:'-- C-I07- C.T. Reg. a,T. Reg. _L : , 1 , SUB TOTAL /)Lh) Added Percentage-ISee Special Conditionsl /,//Y Subsln.nce T,.....I e_pen.e Orhtr_ No._--':(ij)$ No.._@S TOTAL COST OF LABOR A ,8 I For Olfie. Use OnlV + _" ON LABOR COST Pd, on tit, nO'----1 + _% ON EOUIP., MAT'L AND WORK COST Ct'l.dltd b~ TOTAL. THIS REPORT .,' :,", '";,,, ,,: ""1 ',," ..' ,:." ':' . " ;",::.::,,,:,., (,..,.. '-;':' ',...', ,( .'.. ,: ,: ":, ',',' ,',." ">''',' ':::, " ,,' ", " '.; ..., . ...'.. "'.',' '.,.'...:.; ,', . . ..',..' ..'.':. ,,' .:' " ".,'. ,,'" ., '.'.,' '., ;" ',,' i.:... EllOtended Amounts :1:' 100 :J '70 ? 1,f"O '711,!l,O , , I I , , /,,-; .~....It?'O q.~ 1'/-' : (A) (8) I , I I 7') :~O 7'7//:'/ I I .3 -) I '?.2 / ........ ,i....... , "~ ,"" ",:' ' ',',". ,".. :".' '..'., . '"., . " : ,', ':',' ',,:'. '...",.' .' ,:, " '.... :' , " ,,," , ,: ,',', ':,',,'.' f :, ,,' '.. L:'t~..... rIN.:....~..J T// Department of Public Works - - -, ..J PROJECT TITLE PROJECT NO, ."'i ?, )- LOCATION --/ ",~"'.:.,,).'/~jC. Fr,'..'"~r?",,,-,~ WORK PERFORMED BY DESCRIPTION OF WORK .)1~ 7, <' ,.: ,_~ ',.k '^-' .; '--~ .-'<~' , f/',I"f'-r;", EQuip, No, Equipment . )-:~ ,,; ./OY / .:~c'c . , ,..'1 'Y A;4, ~4,;,,"'e~ ?'~,J",c.., .... -.' -J/=-'7-v'-1""~"'A'" .A:,,''';'€A, <i _'-::n~ ",: T .;:-::;~- ~7J. . _ .-~._ 5.... nlJ;~_ ~;Ar-~' -/)'1' c,.~? ,../~..., _,', c< 1.- ~ ;" r-::--~. . . ,-";v-:;:r;r,j 1 7- / ,; , l!'oUL / f: I :.; g ) .::;'/,: '.', '. ,.: - ... ' '.' ,,',' .: . '"'.":,, DAILY EXTRA WORK REPORT REPORT NO. AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE $ _ TODAY S_ TO DATE $ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. DATE PERFORMED DATE OF REPORT /c - C7- ..;:-) N") . (' / -h. 5' Hours Hourly Rate Extend~d Amounts .:rill!"'! / ,'- ~ ,/-, --:-"7'7., (,.. , '"', P.R. No. Hours /'7< l , , 7;;-," I I .:"J~I I I MATERIAL end/or WORK done by specialists Dl!5cription No, Unit Unit COSI I I TOTAL COST OF EOUIPMENT. MATERIALS AND WORK DISTRIBUTION: S",bmi11led-Con1f.Clgr R.commended R.t. Pro/. Rt'prUfln1i1live Wil.y.Fil" Form 15.5 :' ::'.','..'.:..."..' :.:., .' i ---..........-- ~ ........ 1. Proj. Mqr. ,. FI,'d Offic. J. File i.:lbor "7! - I /11....-1 -::'.. ",,!:'~~~S'" ~ Cl,'~-,,- /,~.,;c . ~ ""4".."" ~j"c=(7 _') ,'("",::,,.~..d,c" - .. I -&.Tr"" -- -- Reg, "7" ~ 0/. -..- -Reg,' -<- ~..:Z.... Hourly Rail' IO!~""' I , I I I , , , , X't90 , I I SUB TOTAL /))]) Travol Expo".. Othor_ TOTAL COST OF LADOR A ~ B TOT AL THIS REPORT ,'" " , " ""':,:'" ,', "/"<,,,,, : .':.',.." , ,i ii ,:', ,,:', > " ',' '..' ..,',.: . ",: ...'.." ..',., '" '" .' .',. '.", .: " , , Reg. .h:=- 11_' /'./~ .<.: IJ ::..,<-<;~ Reg. -~, .". ,,~6 Reg. Q,T, Reg, Added PDrc~ntDge-ISee Special Conditionsl ,p /,r!.. Subtistonco No,_.~_ __@$ No.._@$ F or Of I ice Ust' Only Pd. on Olt. no.----t Choclr.!d bV----1 + _'" ON LABOA COST + _% ON EOUIP.. MAT'L AND WORK COST " Extended Amounts ,//Il/c> I I I , , I ~Sit;D , , I I I '7 '7 lOG :? (,. i'7h I : , I , , , , (A) (B) 11/' i"t. /'''/!- 1'/01'i0 ,/ , ' ,',."'''', '.. , . " ',.., ',,< , ,... , : ., :", :.. . , ::' . ..,' :: ,,'.. ' :' ',", ..'.,' .' .':', .' '.,.,:, ," ',..."" .<:' ",:,' ,.,..' .' ,:.'.. " ."" ' . , ., " " '.'" , " :: '.' ' .., ,.., " : .. .. ".', ':' " ". :-:., ,.' '. ..,. ,..','; ,".. ,'.\, ..,....' '.':,'. .- ',' ': " ., ' ,. " ':"":', .... '::,"., ": "', ,.' ,,' '... , " " " ,':.' ': :'J ". .'::.' '! ":", ,:, ;, ,'. .... ,. .,., ,.. .'., ,,' ~".'.. ""., , : , '" ' '::' : '.' :" " : , '. '., , " .,' :"., , ., ' ., , ".: " ::':,... ,.,,' ': "', . ' '",; , I : I I ! ."" ';, ".., , "',: :':",:'" ..' " , :;.", "., ,:. , ,.' :: , > -.11::111::1 :::'UII l..Iuur IlY Department of Public Works y:;/ PROJECT TITLE ~ONOAL~ PROJECT NO. .c; zs WORK PERFORMED BY DESCRIPTION OF WORK LOCATION ....z-Rn~/~Al/' L"ie~.:slo~ A'//7 r:.~A,)o. 7=""/// Equip. Hourly Extended Equipment Hours Rate ArnounU No. ~"57 -"doe,,) C:~() he"" "n <" I ! 11bt ""YO" ... ~~'" '" ! ! ,:.- .. , "" I I IlJ~ <e. Il '7~''''' S"'A'-" 'j"p", t" C I I FVEt;:. ;1-'5.... PJC~t/,A < I I .. 7'<-1'''' ."" I I ~- ~, r~' I I ,; ~ ,&} ~ I' ""/.,.,.- .'J I I ,// oj: .It:) 1 $i <;<;2 ~ "'_,'~,.~ A, , 'ToRtI! "? ., ,-;- ! //1 I I I I 1 I I I I MA TERIA L and lor WOR K done by specialist. Descrlplion No. Unit Unit Con I TOTAL COST OF EQUIPMENT, MATERIALS AND WORK ~ ~ ...... ( DISTRIBUTION: 1. Prol. MQr. 2. Fi.ld omC'l 3. FII. s...bmlned-ContrKtGr D........__..~_A_ P'N_ R--.ntaUw '. .' ..:>: "," ,.... ", ::,' " ,; .,;'..... DAILY EXTRA WORK REPORT DATE PERFORMED DATE OF REPORT ~~~J ). , /1 or REPORT NO. AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE $ _ TODAY $_ TO DATE $ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. P.R. No. HourlV Rate Extended Amounts LabO>' Hours ~,/ .-._- D.T.~ ! ! I ! /--- Reg...... D.T, Reg. D.T, ......- .--- ~- Reg. O.T, Re" ,~ a.T. R.., O.T. I ! ~c..<..' 11~'~t"/ ./ /i!! R ,h', 7 T Reg. SUB TOTAL ! ! ! I I Add.d P.rcentagl-(Su Speciol CondItions} I T I ! I I I I I I No.__OS No.._OS Sub,I'tenee T,..yel Ex~n.. Oth.r_ TOTAL COST OF LABonl A IB + _" ON LABOR COST (A) + _" ON EOUIP" "'AT'L AND WORK COST (B) TOTAL THIS REPORT For Ottlce U,. OnlY Pd. Dr' "to no.--( ChICki'd bv---{ ">. ::'.. , ," , ::" :',:'..:.;, ....,..,' ., '. .':' , ,', ',.... "', ',' ',. ,', .' ;,' , ' " ' ..'. : ", '," :" ' '.." "" . "", , .'...., ,,' , '" '.', : ,.,,'. ,,' ' , '.', ,',-:: : .'.,.' ,..., ,.,., ',:i> ',:'<, .', :" .".,,', .'., . '.: , " ,,'.' "; .:::, '. ' ',' '" :;,. ',..'., '", :'" .' .... " . ',." ','. ....'. ",,,' , ,,' . ,,' ,,' '. .",'. ' "', . .... ,..., .". . '",. . , . ".' , <c . '..' " , " '" " "., '." .., ,,', :,,:, . ,.'. f. . " ,:", , . :' ", ", :..,', ' :,.. ," . ",,>"', vl:;IIl:;';:'UII vUUf IlY ,Department of Public Works PROJECT TITLE .2' eo...}"",,,,t;=, -7'S JI PROJECT NO, c)?5 LOCATION :Z:R'hu,-,>-",c. W~RK PERFORMEO BY L"rF-:<:/~ ,lJ." 0--;;- OESCRIPTION OF WORK ;:3, V"/,...J7 -;z:; / Equip. Hours Hourly, Extended No. Equipment Aale Amounts ,"",'tJ .6lllr K /C" "7j . , ;.;: I <i75Y L~ ',J, ~ < ! I /' J./~"v ....,.,,"?,.,/ /,.), , ~ I I ~,.f').,'."'F-{.I' .,', ! i. .) -~- I I 7 I,'-:...."''''R~I /,,1 '1/ ;;,..~,. p <; I ! 1~.:;q71 'Tu". "_ ',<,,, /D",') , ,. l "'" I 1 / -I /14,<" /t')",1 7"... > / .c I : 7('~ . .-r J,., ~ .u'//)"",..'''~ '." :-, J "" I ! 1t/5lZ'; Tr,.Jv;''','L /7). " -r.;,<l:. < ! I /0..,." .' ~ 7-:." /,," ,.z:; I I 2..:',~ / / I I I I I I I MATERIAL end/Of WORK done by IP.cialins DescriPtion No. UnU Unit Con I ! ! ! I TOTAL COST OF eaUIPMENT, MATERIALS AND WORK ~ .-/' s"bmItted-ContrKtOl DISTRIBUTION: I. Prof,.... 2. Field Office 3. File RKOml'Mnded-Rn. Proj. R.p,....nt.tlw ..,,:. " . '.' .,:, , . ".. .' ", ;'.. DAILY EXTRA WORK REPORT DATE PERFORMED ~?f:O /<13 DATE OF REPORT /0 //[) /1 rf:~ / / REPORT NO. AMOUNT AUTHORIZED $---=- PREVIOUS EXPENDITURE $ _ TODAY $_ TQOATE $_ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. P,R, Hours Hourly Extended No. Lab... Ratl Amounts ~ ..~, " L1...JlJ:_ .0.+.,"'- I ! Reg. I I iltJ-eA-'/"""':;' -r;- ~ <' I I ROO. I I 1 77~N ,~..,.> /:./ ...". ..i -e:T, C : I , / Reg, I I ,?, ~Av',7/ .R. II ~.s- ! I I I Reg. I "..r:: <',-,< j -.;::.'j .>- '-,.. 0.+. -:- I T / Reg, I I , D.T. I I I ! Reg. I I SUB TOTAL ! Added P'rclntogl-ISee Special Conditionsl I r No.--.-OS I Subslltence ! Travet expense No",_filS Other _ TOTA~ COST OF ~ABOR I A , , ........ IB (AI For Qllia U.. Only ~ +~" ON LABOR COST PO, on ",:-no'-1. II ON EQUIP, MAr~ AND WORI< COST (B) Check", bv----{ - f TOTA~ THIS REPORT ---r' , . !! " ",,,i."',,' \,'! ;, ,;,' .:, ,'..' (' ". ,,' i, ,;"';,, . ""'. .;! ".:"',.",,, ": ,.,.' ,'" "',',", " '1"> . ""', ,,',',..,.', ,::' " ..../", .',,', ,', ',' ,:,"..., ,',.."'" " :', ".. '. :: :.. .'..' '." ''',,',' "",,',., " ' .'" ,/':,"'" .' :: :',,' . ", ';::'," ',' , ", .' '.',..' ,:'~ "" ' " ':'" , . ,', ,,"," , " ,',,: ' " " .".'- "",":, " ", " "" . " :':', ,,".' ' ",' , ' ,', ~, ':.' ' '.', > ,:. ,"..,,' ,',' i,' ':" :' .,.', , ", '"" ,'.'.,,',:,;;,: .', ''': "',: ':,<' ',;, , ',' " :' ,,' ',' .." ,': ':,.' :,," ' :::" "" " ,.'" <, ~, ,,"':':' '.. ,', :,,' '".,< .' ", ':', ',. ,,' ,:,': ", .,.. '..': ',,' "" ,', ',' ,. .' " vtJllc;lvUl1 VUUlllY Department of Public Works PROJECT TITLE I rc II /-J 1/ '" {' II PROJECT NO,':;:;':;l.::; LOCATION J to '7 WORK PERFORMED BY I,<:"t.: I ~ DESCRIPTION OF WORK 1,.,57".(/1 (,.1, eL/ ~ fJ '5t,",.d/ 1'.(_ (!r'l~/A /1' 1;1 Equip, No, Hours Hourly Rate Equipment /,,: 1 :5 h",,1 f>-q... TO 1- RVlTi. }.I", J./II. 0.....,..,. -:zi "I'd ,t;'-(",t:> ,r'-( c../( . q5 ::(" L1 j.Q J -r;:.,." I u- "Ifl ere"" P.'c..C",.;, =< c;ri:"'''..n<; P,',,-(: Yr. I., ... .v;J, J " :/. ~ 'i """ :)'hr)jd~ ~:o.,," ~,-'v /SI- fa 3"..';. (iii. :I~tc. q./ ql." .::(./ '1i<;'V ~ ,/ /175- -;; ,/ /175' .;:s , /170;- ~ I ! f'~ f' \' \\, it; -{-' ~, t.., ~~~ MATERIAL lind/or WORK don. by specialists Ol!lcriPtion No, Unit Unit CDS! C.:.. . ^4 1" ~. I -I-"o.i,. , IS I ~"f..jI("'I-f...r."'J.TS /5 i (1.".. "- K Rol rsr...'! i It., ..< /?,.: I Iv'. rs ~'" I ~".J 1.'.: I "'" ,', l.f ! ~..... ,~'..:I 1(.-' "A..-;; 15 . (4, "'" TJT~~C,Or OF ~r:Mf~TS'MATE.AIAL~~O WOAK DISTRIBUTION: $ SubmlltN-ConltlctOt R.eomm.ndltd-R". Proj. R.p,."nt.Uw WIIIIY.Flsk Form 15-1 -",;,:""..",-;,',',:,";,,',,',: ; ",:>, '>',";,;.' ,) ..:,:,::"~::~:<:',t::,::>: ?::'::,:, ",,',. ',' ,-,;,~ "- . ~",,:~:::':'!,: !~,~ ::';.:::, '. " ". ",', ~,. II" JI " ~r? Extended Anlounts -'idoo p__ C. ~/v ~~1~~ .:7,,1 .. 1</ i - ,/ I .. 'II - I I ! ------- ...-....- ....... " :. . , "',: ..' ..' .- ", DAILY EXTRA WORK REPORT DATE PEFlFoAMEo .I rJ il':/ DATE OF REPORT C e "-IS' r (~ rC ..:---' REPORT NO. AMOUNT AUTHORIZED S_ PREVIOUS EXPENDITURE S _ TODAY $_ TOOAiE $_ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. f\ , ; I, j' ,1.=.td ,5-' <J <-, P.R. No. /tlc.r:../o.rr JJ<:IJ;..... A. L ,,/("~ 7C,Iu, '''~v..rlr/' }J(j.b i-J... ~-!i S '::JCh'1. f-c"'1 r,,;v; (fOe./(, B: 1/ UCl.Va"d ;-::;:': fi Uc IV;) d, Hourlv ,/ Rate ~'=5" J11l./0 Reg, ~ ~ ,e.!:i-:z.. ~,--jV (,!5-:z.. Reg. ...~ v'- / c. l.? Y -. "5 <-e-/o:S~ Aeg. ':1-2. -1(; 15~ ___, ~ - 1/ 10e.; , I Labor Hours Reg. }l.~ ;;~T/, '1-'-~l{.<il Reg. -= i I Reg. Added Percentage-(Se. Sp.cilll Conditions) SUB TOTAL /,/,1 /" n Sublin.1'lC:' Tra",l Eltp.nl. Oth.,_ No.___ __@$ No.._@S TOTAL COST OF LABOA A. B (A.l (Bl 1. Proi. MO', 2. Field Office 3. Fil. I For Olfiee Ute Onlv + _'" ON LABOR COST I~d. on ",. no.--\ ]Checlled bv----t . -" ON eQUIP., MAT'L ANO WORK COST TOTAL THIS AEPORT /0//: '7/ ''-,':r''''i'' " "::'1 ~~ ';' ~,~ I' .'.: ! , "".,;,:~:::{< ,1 ':i':,;' ,':,-"",';" .':':', ',,-, .":,,:,,,-,," ;. ~:,,~,,: : . ',' ;', .:~,;\"" ::'-'1' " ,.'t . "'"!,"-'.::" c',', ',i;';. ;-"'" "':':\\ ~; ,;',;,:, ~", ,_,_,'.'H, ':,-,-",,',;'1 ",',<,' 'i.e;,....:- 1,','\';'-, ~ .,-';;>:;',.,':: ~:' ,'; ", ;,,-' (...~.. ');:r' '.~;',/" - , ~,', j:' :{;;';:- ;;1';'..-' ',I:"~':"~':"~ ",,'-','," '-",!! 'r,,', ',"',",'. ,;../:: ",,:,:-". ,,;:,(~~'f~;,i 1" .:;:, ,,:;, ;~ '::', : i' ::<::',~,',;,'" >,:-( y-,", -;,', ''-''',:,;,:-':';'', ;:,:/,,:":,"',' '..~)'/, , '1,; '; ':,.1 ,~' -:,:i. ... ",:-,\ \ ','j'Y' ,,' ;,.'" J:,:,":',:,_,':,:':; {,'I " ,':',';>,",'1,'-;: J ,," i, ~! 'I: ' .' :'.-; ~:, ,,,I"~ "",'---,',."'i'/, ';""'-'.'" ':"\ ",;,;"" ,,',' , !.. ~;-: " '.:','''' ,';- "f!_';,.;,_ - ~ " e.tended Amounts C; J!,J 1I V't!Jb <;(LJIJb yc:.I'?::l S{'lfIT J I'D'I ?t Ij)u .1 ! I I , , I ,; /'7 :6 </ :<'-JYli'f I : I 'It ,-IJ I ? ' I c, ~ii2.. I I I I '.",lI':';:-', ;L,.'.:,;., , "\"'liiilr""'~~'Itt'~~'~""""'l~ '..,.., .. ,,' ., ",'. . '..., ,. ,... ',: ': ",' :" :,' , ,,', ,',. ' "..' .. , ,',' ,.~' ',':. "".. ',. ...',,' , ',.',.'" ,," .,'.."...,,:<' ..'.' ,.' ',. '.. ",' '" ' " '.. :, " , . ': .'. ' :, " ..",. . ,. '."". ..,' ':::,:. ,. ' ,', ,.,.,..,.,..> ,,:, .i ," , , :;-' .' '. , ' <..,": ',,.:: '" :"" ."" .. ,:" >.,' "", ","": ';. : ..<.' ",. '.,.,'.,,>.: ','...,.' ...',' vl::lll::r ;:,url vUUlllY Department of Public Works PROJECT TITLE c T..eO,v.oAC-,c )Z; II PROJECT NO. 5Z/y LOCATION :J::i>v,v/.MI& WORK PERFORMED BY .,:' '" ""I'. .s~ ,,$i""'''"j = :sz::{/' DESCRIPTION OF WORK Equip, No. Hours Hourlv Ret. Equipment 1N.?7~ f' hf,o,.;~c;.uJ ~...IJFI SL C.:,.'(".f... "e./",u~~:'-~'I) ,'1-t'.II"'~:/ ...::- 1_:.~,' "l';.. ,0)') --~",)J'''''.:< -r ,:;z-=" :) c'f - ,.., /17.:> .2- / //:;1 I .5 -.... I ,..., ., ,~ ,,, .$' \: t: ,t 1<>"'';'7 Iuv.... .D. ~ 'O'u L ~ Tour.. lM~ /0", 7,",-"~1~,, [)UJ> h'U_~ ID-.., ,Or.,.p..~;,....'7" ?ev...:... '1,<(/1/ J?.!-"",). ."~,. :;!?A',i<'~ 7~/O .,p",., , ,,' r, '".", I 1/':>,,1', .:', ,'" :- '",' ....., I ., I ! 1 1 I I .-. ,f.f t MATERIAL and/or WORK don. by lpec/aIl.t1 Description No. Unit Unit Cosc 1 TOTAL COST OF EQUIPMENT. MATERIALS AND WORl( DIITRI8UTION, " . ,'. ....:., ,,', .. ,:'",' . ::: ,., :. ': , , : ",: ., " ii1 DAILY EXTRA WORK REPORT DATE PERFORMED /o4"'~ DATE OF REPOAT /CJ; /0;;' ~ / REPORT NO. AMOUNT AUTHORIZEO. S_ PREVIOUS EXPENDITURE $ ~ TODAY $_ TO DATE S CONTRACTOA JOB NO. CONTRACTOR A EPORT NO, EICtended P.A. L.bO< Hours Hourly Amounts No. Alte L/d -' 'L ,.."",~ 7:,>.- O,T. 7>:;2 /' /6!79 Xl 7<; ,I1?..!JrRf-~'':u ~'" A... ,.., /0135' /.-;-1 -- ';'~ ,M,;"',./ -r.--..'; O,T. ,.., ?"!90 I 'I. /~,)" (-::- A... / - - It;'ls-Il 1 -r;.~Q,E,A, J ~JU'; O,T. ~ , , I I '. 7>",;;.'p'd4 0-t y,e, A.g.S 1 I '.4'...",nc... Acl"t~,,/ O,T. ..., 1 1 '-07.. .f~~, r:: '">lA/ie: Aeg,S i I P.€u........"" _/(' .~ lN4::.. C.T. S 1 I, 1'7:::', 7",.. n..~" "../"'~;-J Aeg. ,5"" I. I " /,Ji ,--t;. ~<,>L O,T. 41 .." I i JA^" " , ' Reg. .s- I ,., rJ,' - ! I 1 I I SUB TOTAL ~}]),) Add.d Perc.n!lge-fSe. Special Conditional pi,,'. Sub.llt.nee T~"" Expen.. O!her _ No._OS '- r. No.,t_O, f,l I /".7);) ~ ~ ~ TOTAL COST OF LABOA A B 1.Prol...... 'Fot OffICI U..OnIV +_"ON LABOR COST 2. Field Office I !'d' on n1. nO'---I 3, File I Ch...... ""----l . -" ON EOUIP.. MAT'L AND WORK eDIT S~.!td-ConlrIC1or Recotnmtndtd_Rn, Proj. R'~"b1.I... TOTAL THIS REPOAT ',." ;'.",;, : ..... , ... Extended Amounts 5/T5g "/175- 'ILl i 5"0 / 1~15D 1 / , I, I /" I. / '" r I 1 I 1 // '7 L",,, 50155" 1/1"'-0 ?!u/ I IA) (B) /f7 q 15;< t.317')- ! I ?S ')[;.7 :', " '. "" " ,:' , . . ..'.<':. i,:': .,' .. ',' ',.,...".i , ,.,. ; '. .i".':'-, ....' .," .:, .:", ..,,,.::,,.. :'",' "'.', ,:.,' .,': : .'.... "..,. , . .."., ...' '.,' , .' '.,. ..' ,......:.,' "i':, ' , ,i ,',', ..'.. " ' "ii . ,':', .,' .... " ' '" ,'" ',,' " ." , " ' .. ',',. '" '.. ' , .. ,," '.: ' , ..' ' :" ..','.' " .', .'., "..:;: ':, ::, ',' ,.... "." " . ',' " ....' .".' ", ,". .,: .,'" q' '>"".. ' " ,.,':::.'.." ' . ,'.." , ' '., ", ,.", '.' ,;. ,',',' ,.,. ..",;' ':, :\,' ,,' ,"'., ,', ,:' '.,'," ",;',:':' , .:'.., ' , '.. ...", , , :, -: : '.' , ,. ::,; ;';- -.Jt::;IIt::;r::;UII VUUfllY Department of Public Works PROJECT TITLE I;' ': ; PROJECT NO;; "). S :: :{.1 1! r- . ! ! LOCATION i,"",. +// 'l: - WORK PERFORMED BY ',- -, ,.,(, " " .,' 1 " DESCRIPTIONOFWORK O,/" ,,/ l.", ,^.tJ: ( Equip, No. Hours Hourlv Rate Equipment \" ~, t ~ 'If; .:'...1 /.:,,,,,,; 7"'~,:,<:. .., ;-!-,../ ,'I';c../C>/" 1.'1r/lt:i ':'~~}T ,1,::-/-<. !:.. ....~~". ,,;:.H ,',,' /."'1'''''' "" ,.:-<:: ....1:.) .r~"'/""" <- ,..1 ^ ,"; J ; j.~.,t.' J' '-~.,. ~ (.. ~ '; ..... < ',' ). I' I ...~,.. "- (,.. /,'" ...:.J... .~i _l .~ I,~ -: : I) .; -::,.... ..... 'fl',<. ;) ... v 47 l'.Hi'~,':1J 1,1.;.;,./,'....0;'. .:1 ......-'" ef/ !'J k.A ~ ~I -r;..q.' /..,., IT v' j/...J, r. ,\1 ~" 7', I.) ,1,'/,',.")'. -:- :'J;:".~ " d.1-_7(:;"/ ---" f'~-.;-,;;-:-;.--:' -~~ J_ -,. J! '~of 'i 'l ~i 1(4" MAlfeA~i.';~d/or WOAK{J6ne bV sJ:l8cialisu ., ''f' "'u I 'I lje~ri[<<I-6w I..l....../ r-.: /~o. Unit Unit Con ~J.~ I> ~ ",',; ',_';) ~ ...~.... .5'" I .', ~, " c. ' J(~J.;"'.f?~;1 I ';';'"J.d P.:/ L.::n"'. r. " J r:? .. ' I /-"<" 1- Ie, ...}"f''''' ( 1,~..' i r /j'( /. ,~s- ;" C. . '-? ',. T~i~~C~ST OF ~ey~p~~NT. MATeRI~'t ~NO WORK ,;;:../ "11- .:,...~ 1./ /5 --- 1"r;-- 1-' ;'_"I~' - -~ v/ '71 ." ~ ;.r ~ l-,~)I) /175- /11S /17.~- ,'0 - ? ,/)-~ I 1 I ", '.. " ; , ~ l I ..." ,Of " .,. .. Extended Amounts "j -;;r - '"l.S-j I.'''' ! .:l:," I~~;I;..,{ 1(":',1 __ /l_/I ._ I~' I~ - r..d .. /0'- I I .. DAILY EXTRA WORK REPORT REPORT NO. ~ AMOUNT AUTHORIZED S_ PREVIOUS EXPENDITURE $ TODAY $ TO DATE $ CONTRACTOR JOB NO. CONTRACTOR REPOAT NO. ,': : DATE PERFORMED, t' -/1. DATE OF REPORT " ' ~. ;. If' 't ; ,I' : ;' .: -I .' L.t.. 1/_1- :"'f- t-- P.R. No, Labor ^ I u..:/':,\e.. 0(/. t'S ~',' : .' " ;....1: :...... "f J. .....1. , .',! .l."" ~'4/_ J ,{"','""",,,:", . ,....I-,..tr-- ,",',,(.' '=. .' i:1'I' .....t. ..~,.... _i..-...:- r~-' ,"'" 1': y ." '-.... -,' "I ...( J ..:.t-< 5 .~, ,": ' I . :-"1',\--1.-,.. )<.' i_~t:l~ ; I.. .J, -;;. I . i ...1"57)" j~~.,-, \J ~ L lit 1,,;' , I Addld Perc8ntaoo (See Special Conditio",) 1 , Subslnenc. 1 1 Trlll.1 e.Pln.1 I 1 Oth,,_ , 1 ~ ~ ....... -,~i f: ~, ~ DISTRIBUTION: 1. Proj, MQt. 2. Fi~ld Olfln 3. FII. Submlttlld-ContrecIor R,commended-A... P,oj. R.p,.,.nt.tl.... Wiley""sk Form 15..5 ..:, ,,"... ',.' ,'..:. .' ';, " ,/" " ." ':, " .' '; , .' ,.'. ...... . .",.'" .' " ".." ::: " '-. .., Hours Hourly Rate .' l~""; - .' EM-tended Amounts ::?"'/I/h 55' q / 15t: '" J,l{ {7 8:3,5L .............,i 9-'<:/I/b ?",/I/(- ?t-,13..:? 'l/i;1D '7211('0 , C(/IZO 754,108 ~~ ;0- 3<:;" I'h,. "1 1 </1"(/\;;;- ~51!?5 For Office Ult Only ... _" ON LABOR COST (A) I Pd,on ..t.~ (B) 1 Checked bv~ ... -" ON EQUIP., MAT'L ANO WORK COST TOTAL THIS REPORT 1:2 ~5..I~q \ ,. Y', O-:I- .,...., Reg. ,~, ~ /,' I: c O,T. _,' -' ' I~' 2 Reg. O.T. "' 8 " 1;-'1: 'j I,..... Reg, O.T. Reg, O.T. '~ -'. r ,,:>'2.. -< -.- ." I..,:;.~.< v _,I" 177 fA 11.,,:; 1"~ I.Q'? ..I 111<1.0 Reg. O.T '], F'" Reg, SUB TOTAL ,,// /1 ;,' No._(g)$ No.._@$ TOTAL COST OF LABOR A B " '. ", !"'. ':,.' /',' :' .,' , ,....'. ,'. ,: ',', ".,., ,.' :' ',"'",..'., ',";,; ;- .,,-:,, ,,', ." , ,\:: "',' ,,',: : ,,', ;',',' , ,,'.. ,:, ":'.', ':<', " , :" ;;,,',, , ", .'i ,:", ., . , ":i.' .,',.'."....,'....,, ,', . ::.. ":', .". .. ." , ". .." \...~:;; ..,'. " .' " '" '. , ,.'. ' / <,I ' ',,', .,.. ,.,., '.' "..,. ,,' .,' ,..' "'.. .".., .,.",. ,"'...' .. ".'.'.,. ...', .' ','",.., ',., ,.'. '." :'. . " ,,' , , ",' , '.,. ',.', ,,' , ,': "" .' ".. '.'..' .... ,..' , "'"," ' ,. ' ,,' ,.,.:.. , ',,' ':"" "',, " ....'. :' ", ',..', , , '.":,,' , . ' ":, ': .. ;" '" '" '. ,.,',' I ( Jefferson County Department of Public Works ,:', , .' ,:.. -- , ':.' " DATE PERFORMED J ~ - j ..i - .::,f DATE OF REPORT DAILY EXTRA WORK REPORT r:. PROJECT TITLE \ ,." V 'iW~. PROJECTNO.';~~ LOCATION }'-O'I /.... <ilL WORKPERFORMEDBY J<+.f: C-c IJ.,.y.'"'V l>..-r, Gt.I1-:-i"" G,............ DESCRIPTIONOFWORK 17tJI"rll ~<.> c:.."..d " I 0/...:' , -...:.- 0-1. ~ 'rO .t. U. f)/J I.....:... .... . .... C ,. , j . Equip. No. Hourly Rate Labor .'-" :.1,- . "'I'''' rl 1-(1'....'..)<:.. ~. -.r~,.,..... .... Iv '.),:; II t-J..c).d .::,.,'jl\ ~ n" , 1~"""1 ~.,ilt !<J_<- j-l.~:, J7J ..; r~ /0.'/, ,4-c- oj (:#,""...Jo !":II . ,J "41.~J., ~ !,('I'-J' 'v -r/IN ~ ,. '-rl-. ,. Extended Amounts P,R. No, Equipment Hours ~~. r :1; :r) V&f'1 D,.,,, /:d{f(~~, I-llc..~",_ if + /T;,,..L -r,.4LHr' fA ..,..... /<,', " P..r7' Uo/< [.J.'...-.<.... I,,' ... :lIl' ~o Po.sT.J.<, "', '.., ';""'.'1" -I 6y,i t:J~...P /r~d: 15 ./ '71 ,.' ;3 a ../__ r,... I.. _. %-,7 ~-- ,? I,') () C~~... P'c.t ~ .... "il./ / '7,.)' t'J ~....' o>..~t..p "b .... I ,/.) I~...~ ,,,...,, --; _< ,'" 4. / ! "/) .t:1/~ ".~"", c......, A. 7 1'/5' t. '1" ..(.5.-- ....... '!" II '"L "i\ -- '1- c,...~ (l.: o~ , ,,'., ,-", ." -;\' ! ~...,.J. ~~:{ H~TERI~ta(-a/or WORK d6n-e~v specialisu .1 /1::1. OesJ&:tiiDn -t"t..., I"'~~ N~I Unit Co.t n. .t 1:', . / (l"s'- VVJ"l",-'~.g 1 1'0'. 11!~:I'S 13' 11./ i I' I 0,:1 U~Ii:, I';"..... If,'I i n.. J)d ' I IV" rs 1 c.. '" ' aU,FA../. 1l~'1 J1L~.....J.J ::l..o ' Subsistence Travel ElIpen,. Olhef_ -! ,/,-,'.- '~,D...' 5 Kvrr. Co- ~j ex 7;1.' " /,--1 ) I L/' /L/I ,. / 'I' ~)' I-LCI_'c.J, -c , -gj {,I ;3 "SJ- ! , I I Addelt Pltfcenlage-ISee Special Conrhtionsl .l'.; ~: TOTAL COST OF EOUIPMENT, MATERIALS AND WORK ~ ~ -- REPORT NO. AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE $ _ TODAY $ _ lOCATE $_ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. Hours Hourlv Rale ;i 1:"( t I,,;,;, Or'f. ..,;" Reg, ~-' ~. ~_ ,It ~'.';L Reg, .t; v'/ ( j.-....t.-- __, 4-'/(~/,- Reg, ~J /'." 1/'/ f#1f, V- - /1 ',' ,: Reg. :2 It b"-:., Qo:'T, y. I':' 1.2.:...., Reg~ I -, ' Reg, ! SUB TOTAL /)1;// /) ,)IJ No.. _ __@$ No.._@$ TOTAL COST OF LABOR A 6 DISTRIBUTION F or at hc~ U." Only Pd. on ~". no.----1 Chttck,.d hv~ t _% ON LABOR CO.5T t _'" ON EOUIP., MAT'L AND WORK COST TOTAL THIS REPORT Submitted-ContlKtOf 1. Pro,. Mg,. '2. FI~ld OffIce J. File R'com""n~d-Re, PIOI, Rep'l!,.n1'1'~W' Wiley.,.. Form 1&-5 ,"" ,'. :,,, , , :;, '.' ,,;:'>, ," ,..: .,'..',:,..'." " ""'" ",,".:: ,.,".' .', ' '. ",':, ", ,,' .",.., ,:'> ,".'....', . ,.,.;..:.;:".,. '" '.. ' '," ' :, ',- "", ".' ,"" '.',:' ,'" , ,,' "', " " ",',;, .' ," ',' , ' " ' ElI(lended Amounts 9'/ !;<o y'l'V C; K''II/(, p'/l; c:, lI'/: 1(, ~~~01-.5~ {,(,I 00 .')/'(>'1 1ft) I r'?O , , , , I C,'/;l V'0 ,1() Xl/(;. , : , , ''/''1{) I /c;, 1 I , (A) (6) , :. ':',.,,', ,,'."".. '. ' ", '':''::',' "": " ' " :'!':':"'.'" '" ',: ... , ,.....,:.,. . " " .,,'.,: ,i.,; . ",.. " .. ': . ,': ' :'", , " ,'" """..' ..,', , ',' '. '::,' ,,",.":: ',', " , '. . ,'," , ' " ", .'.:' ", ,',' .,'.' ',,: '.., ,,: ''': ", ':" ,',:", .," , .:' ',.' ,( , ,',,' '-:.. ' " :..,",; ", ::', ' '," " , " " " . , " '" ,', ': : ,', ..:' ',: .' : ( Jefferson County Department of Public Works I PROJECT TITLE I r l. II [. -i / r PROJECT NO.-=>?-':; LOCATION WORK PERFORMEO BY -t'", I-l. . DESCRIPTION OF WORK /.J -; r~ 1/ T '" Equip. No. Equipment '1f -Y'"'[5' ul itc '16 '1iJ <(;If L:o 3 <:"/'-<-"" F..~/( 'l P. dl4" /5-<> el"<.- 1:?~c.f.J..e", or~"" p.~~ '1 P U...,,1. I.v .....~. Oyd.. 'v~,.,p , _..., ........ ~ yJ. .....,. , '-...~ lit: ;Vq/~.. ""'.'1.C/1, 'f/"'-';~ /?u,,, p( ~......,~' VIJ;. ~ ,v , ...< ...,. & 1(.,: ~ATERr+l.",,(dD., WOf 1~",.,f lJ.....d',~n 'JoIr.. :.:..... 1. f(c.' I C4 !& /. $ ( ,,?'., Po.,;/. ;qJJ.,T#.:> C'_ I N4'1 j.l.....".~, ci. J 0..; I c.4t.1- ,v.. I) ~.. ,,<4... r?...i ,...r,- ""',' ... " " .. ,~ {~~~:~~~}l~.' I I r~.' t:, Uc. DATE PERFORMED I { -/ ~/, ",{ .,j DATE OF REPORT DAILY EXTRA WORK REPORT a I. J.l .. .,. j, ..... . '/ . f;'.,,' I ~--t,~ r ~"''"'l-I- .j t "" - to,' 'I '\. ~ ~".:)~ 1 t ... I ..j t ..,j Hours Hour1v Ell, tended Rate Amounts "Tr./ 117.5' J'/l ..!{} 7 1,,1 1,-:t~L_ '"6 ....- /17::; 1'/' ... :)../ ') (.1 ," (J..::)I ~4- '71 11(,,#' .2:..'3 71 1'71..-r" 3~' .1,-, " , J I ......j.. '1"-- I:;": /1 , , , , I 1 I I , do~6v speClahSIS P,R. No. Labor Ilh:c!-. R: ,:...f " '"', ;.. ~.~ ';, J"r ;, /1 1<. l."..t;;... .t..",~~ IvJ:.,~# '_'-:', J. j?;/I fit W",I',1. 1.1 ' . ,...,-~, ~ ,n ~ I- " '.. I ", ;'-e, ,..-" J..j....., .{.,"'";IJ" (j~t""' N~fI'nil Unit Con :3 ' 3 :5 I (, , '* 'f4; I.' I" Added Porcentage-ISee SpecIal Connllionsl , , , .. 1 Subsistence Trlvel Expen.. Olhe,_ ~ ../"" ........ TOTAL COST OF EOUIPMENT, MATERIALS AND WORK Submll1.d- Contraclor R.commendt'd-R.., Prol_ Al'prnt'nllllVi" Wiley.F. Form 1&.5 ..",,' ,< ~ " " REPORT NO. AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE $ _ TODAY $_ TO DATE $ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. Hours Hourly Flate.., O,T. 7' ~ Reg, 7"" ./ I 1" ...~ O,T, ,<;(' It ~;~ Reg. ,Y..... It: ~ ~ O,T. Y L,.. - Ie I ~ ~ R.., .y-~- il 11'~ O.T.::L 10 L~s Reg. "J_ ;7170 O,T. I Arg, I O,T. I Reg, i SUB TOTAL F// /1,)/) NOh__ __(i)$ No.._@S TOTAL COST OF LABORI A IB DISTRIBUTION 1. P'OI. MQ'. '1 F,('tdOllIC;" J. F.te Fot 011 let! U,,, Only IPd. un 1'\1. nO-i ICheckeod hV---i '_"ONLABORCOST (A) . _" ON EOU'P" MAT'L ANO WORK COST (B) TOTAL THIS REPORT 'J,,".,. ", "':, :: . ~' '.' . ' ",," , ," , ", . ",..i'/';" , ) :", ", I,,'>:,.'':,;' " ,,' ',....,'!' ':,,'., ,',.'," ,'-":, .',,,,.. ' " , ',' ',' : """,.,.. "...'..' '. '.," .' '.' ". ;.." '.' .....' , , , .',' .' . ....' ',," ',.".,' ',' ., '. ','..'. ,," '"" ,(:', ' ..,..", . :;.",. ':.,,' . ' '.",',.,.' E ~ tended Amounl5 98,o\) q 1 ';Zo $;/'/1;0 '7"lil6 ;?LI'/h ,,0/5"(,0 'I'll i70 17'?o I , , , r-;~~'7'~ _~.;..; .4 - t I i) .?-"H;'i?'~ (:~'f7 1 ~7 : ! /l,?() 17?; (jO!-' , '~I / : , I .L ~.1 '. ....,:,..., ' " :, '" ,'. ,,;,',;. '" ' :': ".." ",',.,' ",' ':' " ,". "", '," '.' ",:, ,"', ' " " ",:, , , ' ,.~,.'., ' , ' , ., ,.."' "" " , " ::" :. " ,',.'. '" ,'.. " " "" ',' " ,:.. .'.,'. ',~ >::, ' ", " ";',,,',:, ,"-:',' ':", ' .. : '.' "" '::, ,,:' :, '.', ',,',,'" :'. : ':" ',.' ,,' ,:,..' ': ,,', ",....'., i", '...', ;,':", ',; ," """,', " "-""., '..', ., ',-' , ,! "-,,:" .,' , ',' , , ., , .' , " Jefferson County Department of Public Works DAILY EXTRA WORK REPORT PROJECT TITLE I r,;;" G ,,/ ". PROJECT NO.~ LOCATION WORK PERFORMED BY J-- H", DESCRIPTION OF WORK ? '" r I r";'1 [) 'i/<'. <':0 ,"':".'''')../,-",v/ If /-~ G ~ ., ,.. ..j G "'-{_ "..., DATE PERFORMED " C -I '/ DATE OF REPORT .' .' . )-' REPORT NO, AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE $ _ TODAY $_ TO DATE $ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. L.....,~ r. '-:./~r. '::"t_~...., /('" .. / !: /"",' II '- ..:;. '--t~ / l;; Equip, No. Equipment Houn Houri.,. Rate EKlended Amounts P.R. No, Labor Hours ,..1.. ~. Reg, Cj. 1"/ Hourlv Rale ./ l: I~' ."..:~~. Extended Amounts :5 nl>,j. Tn:.c..7Z'r '6 V /51 - /,,2q ,- ct:.4~ r~5 T 4<>/< t--Ic.', I' . -;.{ - , @ 1-=14- .-P..-pJ.." :,r/ <.!- r. w .:;:' "'^ ., r-< --,',/ 1 1 7:) 1'-/' ,_ (,/ 01"~'" P'<-I '1-, ~ ,/ /17) /t/' ~ .3 /'7.,-.._.,,", .;:J,'~t ,,' ~." II;j- /'/' ,_ C. <J :I Tl'/.^ P".s / He",,:;,:., /.; _I' , :~4- ,,~,J. ~~..w r.- ,,'- -:f ./ "1, - 7.J ,_ IQ,( 3 A,,/...- r;..."./.._ ,t"A ?L\O 5 I -' S'- ..q..':,..,H'~. U.~r', /.i' .,..,.t1;.{./ / !7::. /'::L" ,:..., Co.,.../. (?,,:/.. 1.3'.. ':l:l..' ! q..,c. (?",: , P'''''_::..._ _:!.5__ -_..L___ __.. .-1.._, 0., .1. 1(" (piPe. 1'". ~~ I , ~"of,..d ~5;~'.~ MA-tE~JJ.~lorWORj:.d;~Y'PeCta'im ot....,,. '?"D~scripliorE 'IJ ~ - ..1l0. Unit Unil COst {1 e 77,- II . (I.,.., 7' -r 'i "~I ' :1' Fl.~~ ,-,,10.. - 3.:A- r. , '4. ~~d r'i ~ ' I ~j../ /', I 7 ~ , Q .I ((.:1 I,'.r...., 1'l:L. , 14A lor.> (", 1-(0,,- /:';<4' J';'" )k,'.c//: /".:......./ J. )0' \.'1 7, ;'1 -0,";-"' "";!'Ve 47 I:;~~ ! ;"',(1. t,/-;j,../ I~ U,I"".... 0:-1":' -{ --1', I ..,. CJ/l?() ;. /,- '/! N,' R'g. "i' .r' 1'-;4 2'-Il/h /"d;;C" !..,"-C J. ~. '':'-//(, 1.,:<.. f'/'/fa \,..~,~ -) c f". Reg. S -'I: 17 I ;;;C-.l~,:{ ;''',}J( 'i ,...,.',., H :~J" ~. .,,., ~ 1,:-'- l.. 2VV b l...;..A..,.- ;-"'1. ,/-.. ,., Reg. .:..~ ,~) I -, .,. ;(:5'IS-:-) ..... ';:/, /"'i.~....'-(,....i, Qo:o9-. -) if ;::.::' f'5'lorO /!.I-c.:..,r:_ h/:". ."i,; Reg.i(-(j1...../"'/,..' I ..,:! ;;;?"31~ ',f-r, {, cA?,..,-" O.T~f?..4L O.~.~:A'-..: (~ \1362.. il/-l'tJ'r-.::--f)'lr'nrr:-:;:;!-,-- R.g;--y-- h.,.,.,h---- -",/'11,-0=- 1;72: 50 SUB TOTAt I -9'7"5-Jt:J" Added Percentage-ISee Special Condilionsl /i-~//),4 j) I) 44-7 Yl?' Subsinence No._.._ _Ci/l$ /. "j.r Travel Expense NO.._IilS I) -;;- /1 I) .JYI'-i7 {/~I , I 1 Olhet_ TOTAL COST OF eOUIPMENT, MATERIALS AND WORK , )'.-0,-- ~ .......--- -..;;:::: TOTAL COST OF LABOR A B , I , , I I , DISTRIBUTION 1 Pro), Mqr. 2. FIeld Olllee J. FiI., For 011 Ice US" Onlv . _% ON LABOR COST rPd.one".no.~ jChecked b\'~ . _% ON eOUIP., MAT'L AND WORK COST (A) (B) SubmiHKf-Contractor R.commended_Rn. Prol. A.p"..."t.,.". Wiley.'.... Form 1&-5 TOTAL THIS REPORT , ,:,' ',:' :. :. ,',' ". ".. , '" ',', ":,,,":'" ',", ... ',:'';': " ' , :', ' ,:,':: ,.. ';" " ,'" \ ': ';": , :,' ,:, I:, """:" ',"':", ":" :., ,,', ." ';:,.;..., ," ,'.:,::, .,' ,'..' :', ", ' "::, " ":.:,, ':; " '. :" ,',::' .' , '," :' " ", ": " .,'", , ::, -,,' ''', ", "..'" ..', ',' ' ::::. , . . : :;. , '" , " " ' " ",',::.,".',", Iil.:.. ,'~ "." , . , . . ,r . \ '_ . . . _ '.,' ' , :' ' ' " ','" , '.."".',' . ','. ", .,...,:.' " ' '. '. <. .., .",. ..".'.', . ",',.' "",.:' .' ,..., .' "'.;.::. .:- ,', "', , .' ,.,,'... "',.,,.., '" .,', "'" :, '" ',: ",' ...', ,'" '::' " '.,,-.-:., ", ':. "', '<" " '; ',: ,..,...: . ..' '.' ".,", . :,/ ,:" .',",'.' '. ..'. , ..',' ( Jefferson County Department of Public Works PROJECT TITLE U^c,/! [.. '.1- / "- PROJECT NO. 6'1- .; LOCATION WORK PERFORMED BY .f< i- i-. DESCRIPTION OF WORK Pi{ /- - ,.. : : ( 11"'C'1 l-- J../ t"' . (..'{. tJ, .o.j.,j; -'..". j ~nr-';. t".JI Equip, No. Equipment L./<?' d"~.Ii" t;-<: .,,' . &c.(-;;~,- , 'Y6 ::>;.;/ V"'~I' fr,<c..k. ..J/L .JlL",,:J,. k~~J' <') c.rc.w P"'- t 't 1"'. q{; S'~l;1 P:..:..k: 'f?' ~-2. w'"z. I 7' "" ~. ...... MATERIAL and lor WOR K done by speciahsu DescriPtion No. Unit TOTAL COST OF EQUIPMENT, MATERIALS AND WORK DISTRIBUTION' Subm'1ltd- Conlr.etor R'eomm'n~d-R.s. Prol. R,pre-S"n1'llV" WIl-V.Fitk Fo,,,, 1&-5 {. c~ f- : ';:,,/,C....-IJ..~.:.- - Co ..;.. w'l Hours Hourly Rate Ex1ended Amounts J<"i - ? 0-4O'! -' 9 ~ ,3-SC' ~/-1-- ~L.....-- 117':> "'); 1I'I.~- /O!5"'O r ! r i r ! i r ! I I 1 I I ! Unit Cost r 1 1 I ------~ ........... ........ 1. Prol. Mqr 2. FIeld Olflce 3. FiI, '.' > , ,:, ' " ',,', , ....'.', ,: , ,,' "':"" I"~, ,." , ." , " , ' w.. '"' .":, ,", DAILY EXTRA WORK REPORT "'_~rl// - C/~c-..... REPORT NO. AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE $ _ TODAY $_ TO DATE $ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. DATE PEA FOAMED / {., - /'.':' I:: DATE OF REPORT r',,/'..f"' :>'r't " Fc~ r I P.R. No, Hours Hourly Rale Labor JI'tl~' r'll;. 'i.l ~....; "J71~l;..\'.....;:: \.:. h:..',il_"J .J-CII~I . .J o{'--J., t ;.. -r.. {t:'. f? II] , ~: .-~_ /~ 1'I'f A.., 7' ~ ~"'!~C --. ...#' 2- ,. C I :r" Reg. &?z Ie, l,;..:.".. ~ ~ 1.-,,/ C ~L; :11..-- ;(..." ~ .""'j#'/.j t'. 'J r'ry' Reg. I O.T. I Reg, I I O,T. I Reg. I O.T. 1 Reg. 1 ! I I SUB TOTAL /C;;; /1..,' Added Percentage-(See SpeCIal Conrfitionsl SubSistence Travel e.pensu No.. _ ~_._@$ NO._@$ Other_. TOTAL COST OF LABOR A ), B For Olllct' U\f' Only Pd. on esl. no.~ Checkedhv---1 .. _'lb ON LABOR COST .. _% ON EQUIP., MAT'l AND WORK COST TOTAL THIS REPORT ,,''':: ,'.', ,,,, ':"'.'.,,"":.:"." .,., ',:' ':' " , " .' '.., '., . '. , " '. , ...'.~ ' , ',.., . ..'. .;. ..,', ,: ..,,' ,: ",',,' ,'" '" " " ''', .', ' Extended Amounll 2(,58 1/';1 r:o "<7'7:t& ,~ / ?i?:<I 2/6C1- ZO,8'O I 1 ! I I i I] /-!?~ 6'2.. :4-3 i r W?!6 1 / ~'-~ 1.)0 IA) IB) , ,', ': .. ',.'. ' , , ". ,',.'" " " " .. ":, '. " " "'.' ' ,:,.' , . '. ' ".', '.'.., .' '..,,:. . , ',':"':,. :, '. :::, ',',' , " .' ", " :"" . '.. . , ,:: i> "," :',', " ., ,:,:'.,. ..",'.. . .... '",., ":"'.,:: ,'., . '..: "".: .', ,.'..'," " ....;.: ' , ..:' " :, ", .':', '..', ' '. ':' " ..:.... ...'..":.", ", ',<,."::' .. , " . " ' ,.", ' ", '"" , ',' :' ',:, , "" '. "" as Angeles Gravel & Supply, Inc. P. 0, Box 110 ~".""'.:~+:::: .~~ 410 .&. ~ C! "- ~ ( ., ( CHARGE TO: No. 17023 OATe3 (-ZO['ii 0 DELIVER TO: REON. NO. IuNrr NO, OOANT TV .. VIA: .i 'Ii i_DESCRIPTION r cg- r:; ",.-I~ ~" {f I Q.~ CnA-L ~~ If I -z.. ,. Co~' ~~ ~ 0 ~ "Zf /f ~ D 11_ 1...' lO.-rc:...~ -c:::-o '<., .... . \T _ ~ - -=r~~ \.~ SX'a..... ~ , I,) I C.O(I^~\ Iu. 71 - nA ,..1- r:: ;.... ':1 4''5 0 J;"~,f~ ?,(')'" \...n lf -::s a'" ( , I ..,.. - PRICE AMOUNT Z~e7 / ..:<:::I.:1...f /-<::,1,,/ J~"l"'~ ",J4Jo:;';" ad,l~' , I I ::?"?",,7,1A/l 1M .,Z !Il 0 it I ,8 ; '~ I r<' I . /i ../.5::; ~I'J ~ ... => II RI.: X""1c1"15 Q I . RECEIVE.D BV: . 1 % r:.~Cr;::::1',h o~~y~ g~;Otl on SALES TAX 9&' (),3 roTAL IJ '9,d .;: LJt:' , ," '.' , "':, " . :... ::,' ':,: '.' ,,:.,' , " ,,' ",' ',: ',I> .'"....'.. , ' ,';:' '..::i ",' ," '"',,," .' ,,", ' """ :',' ,':" ',,' ,I", , , .. :." ':' , ' " ' " .',', ,',', "" " ":" ,".' .. : , , , ' ,', '.'~ , t ,'",. ", ','.....", '.,,' , '... ',',:' ,t' ", , :''' ,. " ' .. >: ,",,',', .. ':' ."," '." .' ", ',', . .-.' ." '.',., ", ", , ,',', ", ,,' " .", ," ," ' '~ , ' ': ;,:" '>;' ",C, '.",."" ': ....,,', ,: ..."":' ':' , :' ::,:', ': ':,' : '". ".,' ",' , , "". ' '., "" ,'. ': ,", '" "", ,,/' , ::. I' .~/II (? JiV3 C> / / v PURCHASED BY OFFICE OF COUNTY VOUCHER COUNTY OF JEFFERSON PORT TOWNSEND. WASHINGTON 98368 --'-"'-..::.;--'---- WARRANT NO.' 18213 '~ , " ROAO FUND AMOUNT AUTHORIZED DATE OCTOBER 21, 1983 Afc~~ ~ ~E ~tc;R::D ::)~'2;-' G Y ~3 / TO COTTON REDI-MIX INC. OR. ADDRESS P.O. BOX 447 ST. COUNTY OFFICE USE ONLY CERTIFICATION I, the undersigned do hereby certify under penally of perjury. that till! materials have been furnished, the services rendered or the labor per- formed as described herein, and Ihat the claim is a just. due and unpaid obligal ion against Jefferson County. and that I am authorized 10 aUlhenli. cate .nd emify ,,;d c1.im'4 '7) Signed ~ a. K~ hitle) CITY HADLOCK STATE WA 98339 TERMS NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED. AND MAILED TO COUNTY AUDITOR. COURT HOUSE. By DATE QUANTITY DESCRIPTION UNIT PRICE AMOUNT INV. # 4 YDS. STATE CLASS B MIX @41.00 lAX 164.00 1 L . 1 Y lIb. 1 Y APPf{UV ~'~"I'TV' ... po. 1'-'.... $ 176.79 VENDOR (OR SELLERS) SIGNATURE NOT REOUIREO ALLOWED J ,\I;, BOAno OF COUNTY COMMISSIONFHS DATE COMMIssrONHI 0151 h'i COMMISSIONfn OlSI CHAIHMAN OF DOAI~ 0 _.__.._____..___.__..__.________.______ R_!uln All Cop'" 10 Audlla,. );.',,,,....".,,;, ',:".- ," , ' .",>" ", ':,' , :', , ,." :,'".. " " , ,'", ,,', ",'; " .'" " ' ' '::',';' .-,." " .',", ",.<'::' '. " :, " " ": :,' , ", " ' , ' "~,'I) "',' ":: " , ...'... .:, "i .', , ,:,:;",',:'.., .' '" '. ,.:, ' ,', ' '. ,'.: ,":',.. . ",',{ , ..' ,'.. '.,' " ,," '.', "',' ," " "", ','. '. ..:" ,> ,',." .,'..,. ',..',',,'.'.'.. ,.".' .,.,' ...., ' .: "..:', :;'-" .. :..' , ,'. ,. ,.., ." '.' " ',..' .'. ':. '.' '< ,/ , :, ",.. ':,..' ',,',. ".'" ': .'" . "... :,." , " '"., " ".. .', I r. / --- PURCHASED BY OFFICE OF COUNTY VOUCHER COUNTY OF JEFFERSON PORT TOWNSEND, WASHINGTON 98368 WAR AA NT..NO~_.~~.~..., ROAD FUND AMOUNT AUTHORIZED DATE OCTOBER 21, 1983 /3(, (; /c,u ~-y.;) C"L/ 3'/ ACCOUNT TO fiE CI~ARGEO IgATlO""uMC''''':!Ocl TO PETERSEN BROTHERS, INC. ST, 'fOUF! ,..,RM ....ML DR, CITY SUMNER 2008 EAST VALLEY HIGHWAY STA TE WA 98390 ADDR ESS TEAMS COUNTY OFFICE USE ONL V CERTIFICATION I, the underSigned do hereby certify under penallV of perjury. thai tho materials have been furnished, the services rendered or the ldbor per- formed as described herein, and that the claim is a jUst, due and unpaid obligation against Jefferson County. and that I am authorized 10 authenti. cate and certify said Claim/4 J Signed 6;;t....t:::l.,/"""7' ~I .,,( d.: /tille) DATE NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED. AND MAILED TO COUNTY AUDITOR, COURT HOUSE. By Aft'"ln All COp,.. to AudlIOf. i\ '.. ',.:', " QUANTITY DESCRIPTION UNIT PRICE 125 FT. GUARD RAIL, POST, BLOCKS AND MI SC. HARDWARE 824.5C o .:> '''^ APh\OVE~~UK PA'TM VENDOR lOR SELLERS) SIGNATURE NOT REOUIRED ^l.lOWE 0 nOM-H) Of COUNTy COMMISSIONfHS DATE COMMISSION En I1IST --.-----___,_.__~ '-----_.n__ COMMISSIONER VIST ______.__'__________~_______..,__.,____~__._.__ CHAIHMAN Of BOAfW _.-._.__.._"~------'~--_._--- ~ ~' /' c; \1 (,,/ 1"- ,/..../ '.. 1-0; ... ,. : .' ',. " ,', ,":,"'-" i' ." '. ,:,' '.': 182i4'~<) OFFICE; AMOUNT 00'0.01 $ 888.81 , ,) , .: , :" ::'\', 'c,, :Ii '.. ,", ..,." ,'" ".'. '.'. .:..". >:,""" ..,' "'::' .'".. :, .' 'I"~ ....' "",.".'. "":"> . '.' " '.. .' ".'. ,...',' ",",'" i:. : " ,c..',' :", ,'., CC"," ",' "" ,':' :. >- , .' ,...'..,.,," ..'.. <. " ,ie. " '.". '.< :;f c. .' , ,. ,.,.' ., " ' , ...,.". ,'.' , " ',:" .'. : . , , ' " " ",., ,.' " , ,. ". " ':':: :. ': , : ,:,.' '.' "'..',. ..., ). ,.',' <' , . , ' "" ,",::. '" ,.' ..,":. " ' . .,.,'.', ...,.'.<,':'..,," ". , "', '.' .', ' " ", ....' '.',.,.'" "':,"-': ': ,.: VOUCHER COUNTY OF JEFFERSON PORT TOWNSEND. WASHINGTON 98368 .~.' .""'..-.....~ <-_JJ~_~IL-.-/ WARRANT NO. PURCHASED BY OFFICE OF COUNTY ROAD FUND I AMOUNT AUTHORIZED DATE OCTOBER 27, 1983 (P,o,Tt0" PlJRCHASl-1 /..3' r;; u / C; u . ';). '-/.:2. G, '-/ '7S- ACCOUNT TO BE CHAHGEO TO H. E. GRACE DR, ADDRESS 1310 E. QUILCENE ROAD ST. COUNTY OFFICE USE ONL Y CERTIFICATION I, the undersigned do hereby certify under penally of perjury. Ihar Ihe malerials havl! been furnished, the services rendered or the lubor per- formed as described herein, and thaI the claim is a just, due and unpaid obligation against Jeffe:~son unly. and, Ihall am authorized toaulhe,nti. cate and certify said claim. 7 "22. Signed ~w (.,.. .K ~""''"'--. hltle) / CITY QUILCENE STA TE WA 98376 TEAMS NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED, AND MAILED TO COUNTY AUDITOR, COURT HOUSE. 8V DATE QUANTITY DESCRIPTION UNIT PRICE AM aUNT CRP 525 RENTAL ON POST HOLE DIGGER 180.00 APPRtlvr::n C,"'ln JJA YMEN'T~ $180.00 VENDOR lOR SELLERS) SIGNATURE NOT REQUIRED ALLoweD BOARD OF COUNTY COMMISSION(R5 DATE COMMI5SIONEH DI5T COMMISSIONER 015T Retur" All Cop.e. 10 AudltOf', CHAIBMAN OF BOAR 0 ,,( " "",,". , "" " .'" ;......', :"" :~. ". : ,,' , ,;,' " .. ...' ," "', '"" ,::", '. . I,'.: ,I .,.", '., 'I, ". i'.;,,' '..', , ,'.,', ":,,,' '.'.~>'/ ,. :,<,' ,'::'>,, '.. ".' '",i ", ':. :',.: ',,': .'...',' ,., ,', ''',,: :' '" :"," .. " "... " , '.' ' ".""." ,< ,', "." : ' , , ' " ,,' ~ " ' ',", :' ,'" '> ," :, '." ,',' ..: ",' ,,'i, ,,--:', , .";' ,", ' " ""'.' ,.... :,' ': : ',", > ",.",', ',', '," ,',,',' " , , ,.",:',','," ,,', :" , ...' " '". ",' '.."'," ','.. ',:' ,,', ". ','.',' " ,,", ",', ,.' :':',' , ': :',' :' .,'.., .' :':,:, ,:':.,,::' ': ": "",: ': '!~~;i' ,,' .' ',',', ',' ,',., "" ' <:::" ;,':, L F - G ~'Y(7C/ / / VOUCHER COUNTY OF JEFFERSON PORT TOWNSEND. WASHINGTON 98368 ,..,~,.- -~" .' I . ~ \. 18280... WARRANT NO:"..----~~-~^_....._._.,,'-'"' PURCHASED BY OFFICE OF COUNTY ROAD FUND AMOUNT AUTHORIZED DATE OCTOBER 31, 1983 Ip.o.rt. 0"I>UlltH."l,1 TO GENERAL CONSTRUCTION DR, ro,,1I "111.,. ........1. ADDRESS P.O. BOX 24506 ST, CITY SEATTLE STATE WA 98124-0506 /_? (; (; / C, '-' ACCOUNT TO eE CHAHCiEO ,5''-/..'5"'. 7"c '7::')" NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED, AND MAILED TO COUNTY AUDITOR. COURT HOUSE. COUNTY OFFICE USE ONLY CERTIFICATION I, lhe undtlrsigned do hereby cenily under penally of perjury. thai tht! materials have been furnished, Ihe services rendered or the labor per- formed as descnbed herein, and Ihat Ihe claim is a just. due and unpaid Obligation against Jelfers~n C~nIY. and that I am authorized to authe,nti. cate and certify said clai~ /1:J Signed u. ~ O'k--- (1ItIe) , TEAMS By DATE aUANTlTY DESCRIPTION UNIT PRICE AMOUNT '. , " TAX ", " 1 0 . 7 3 148.23 t I"~ r Ah-,<U\/i i) "IJ/< PAYMENT . VENDOR lOR SELLERS! SIGNATURE NOT REOUIRED 148.23 ALLOWED UOAftO OF COUNTY COMMISSIONU~S DA IE COMMt~SIONlU DISl --~-----~._--_.- .._---"..-,~.._~_._,,- --.---.------ COMMISStONlH DI5T ~_.,------~._-- R_Iurn All Cap,.. fO AmMo,. CttAI11MAN OF !tOA'~D._.._______.__________ ',:.' ~-;i '.,,' ,-:' '.-:\ " ,'.',;. ,,'. ",' " ..:,.' .. >. .", .':' . ' " :~:: ':;, "..'.i' '.' , . , ,','.'.. ,.....".'.' .' ' '. .' . . .'. ,:',' ",: " , ,,', ,"'.. ",," " " , , .' .". , , .. '( . ". i :' ..' , ': i.... ,,:', : '" ' '..' , :'."". , ' .. ',,', '.' '.,:" ". '.':, : :';' "".;'.'." , : ,', "..'.", .. ',.' ' '; ..: Ii. ,-' r " ,,' '.' I,';' ,:,',,.: "~I' "'; :,'" . ; ''- .. "., ',' . ."", .,',', " . ',""." ". ,', ' "",' .' ','", ,,', ':" .,. " . ,:,;. ,', ,'.' ",':: ':.',.,'...,;, "'" ',,:: '" ' ':':,., "" " , ' ' ,', '.', ". ' , , ',' , . , ' ", ,.',' .' 'd:~""."'":. ' ,.,,' " ., ',.,',. "!i~r~~~~t '. .-'.,.,.,." , '. ',".' ,,' '.':> , ,;,' ".... ,: ....' ," ;, ," ":- :, , , :, - 2..1. I c.' C tJ '" / VOUCHER COUNTY OF JEFFERSON PORT TOWNSEND, WASHINGTON 98368 ." ..-".~ ..,' '~---""'-;:':"'-:~':::.::::::--. WARRA~~_~~?.) PURCHASED BY OFFICE OF COUNTY Road Fund AMOUNT AUTHORIZED DATE November 1, 1983 '0011 1'1'1"1 N"'M~ DR, - /36 () /o~ ....')-ys-: &- V 3/ ACCOUNT TO Be: CHARGEO / TO Carl's Building Supply (0'" T ~ O~ PU 11'.... SI: I CITY ADDRESS P. 0, Box 548 Ch~macum HaElil8lEk ST, COUNTY OFFICE USE ONt Y CERTIFICATION '. the undersigned do hereby certify under penally of perjury. thai the malerials ha\le tJeen furnished, the services rendered or the labor per- formed as described herein, and thai the claim is a just, due and unpaid obligation against Jefferson COUnty. and that' am authorized 10 aulhenti. cate and certify said claim. A ") ~ Signed V~ c: ~_ !title) STA TE WA 98325 TEAMS NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED, AND MAILED TO COUNTY AUDITOR, COURT HOUSE. 8V DATE QUANTITY DESCRIPTION Invoice 69009 2 24"x12' Suano Tube L- "',+ '<0' @7,32 ~~.:. ""'" UNIT PRICE 175.68 l>~' .;'~- AMOUNT ?':\,; 7':\ CRP 525 { ~ l ^~n~~. wn '"I'> "'PAVMI-N -- -....--- $ 236.73 VENDOR lOR SELLERSl SIGNATURE NOT REOUIRED =~-"""=---===-==-==-==-~,,-,= ALLOWE 0 BOAHD OF COUNTY COMMISSIONUlS DATE COMMISSIONEfi 0lS1 ----------------.----- COMMISSIONUi OIST A.turn All Cop.., to AudIIOl. CHAinMAN OF UOAIi [)__~.______ ",', :,: .',: '. .. ,,',' : , " ,", " ,..,',..: i, ... '<'i .,', .. .; ..'...'... "....... ':, " " ,'i~ ':':", " "':" ',,, , , ...., " '.': "',' ' : "i, , ", :'", ;':' ':'.' :" ",,' ,.",' ':: ", ',"" '" "~,I '." . , ' " .. ...' ,.' ':,' .', '. ,. :' ,," ,'i, , """ ,,' ":, " : ',:' '.... - " " , ,",..,' . < "" ":"', .,.::. ....:::, ,: ,',:' ',. " " '., , , :' ;.-. ,,' ' ). ':- . ',' :,', ': , ' , " ,'," ',' " ,.';." " .,,',' ",', " ",I' " " '.'." " ",', ,) '" ,: ",',' ,.' " '.. ", ' :::n ",',.:...:,"',...."', :", ," " " ' , ' ,', , .." ..'. ." ,,: ,'", '.", , " '," ",:, ' " '." ' :, ' '..." , """ :" , ," .: ''', ",' ,: " ' , " " '-::- "", ':' '/'-; - VOUCHER COUNTY OF JEFFERSON PORT TOWNSEND, WASHINGTON 98368 WARRANT NO. 18307 ." , ~,. _Tfl ~/1I'V'l j ) PURCHASED BY OFFICE OF COUNTY ROAD FUND AMOUNT AUTHORIZED IPA'LOf"PV"'HA$E:1 / :JCo /tJo 5-'/5. ,-/v.3/ ACCOUNT TO 6E CHARGEO DATE NOVEMBER 14, 1983 TO JC EQUIPMENT RENTAL OR. ADDRESS ST, COUNTY OFFICE USE ONL V CERTIFICATION I, the undersigned do hereby cerlify under penallY 01 perjury. that the materials have been furnished, the services rendered or the labor per- formed as described herein, and that the claim is a just, due and unpaid obligation against Jefferson County. and that I am authorized to authenti. cate and certify said claim. 4 I .~ Signed ~(f'" C/o. 7\0---- hitle) By CITY STATE TEAMS NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED, AND MAILED TO COUNTY AUDITOR, COURT HOUSE. DATE QUANT ITV DESCRIPTION UNIT PRICE AMOUNT FOR OCTOI ER 1983 1648 YDS.QUARRY ROCK ~u Y?:: 7~!J- 2913 YDS. PIT RUN CATCH BASIN @4.27 ~3.4b 7036.96 3~1.~0 2913.00 630.94 10,992.30 ,,, I' }-, r $ /0 0/~.3CJ VENDOR lOR SELLERSl SIGNATURE NOT REOUIRED ~.' ~ ALLOWED BOARD OF COUNTY COMMtSSIONEHS DATE COMMISSIONEH OISI COMMISSIONER CIST. CHAIHMAN OF BOAH 0 R.'urn All COpl.' to Auch1Ot. , ,', " ",~>,}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~,.,.., ,'" " ;', ' " ",' .:".. ':', :".- ";,:-:",::, .', . .". :': " - ~/.f9t1tJtJ .j / _..- VOUCHER "- COUNTY OF JEFFERSON PORT TOWNSEND. WASHINGTON 98368 <.^..^:t~,3.,?9 WARRANT NO. PURCHASED BY OFfiCE OF COUNTY ROAD FUND : AMOUNT AUTHORIZED (O"l~ or PURe.;. ~ll 1.Jt,O luG 5YS G '-/5'/ ACCOUNT TO 6E CHARGED DATE NOVEM BE R 15, 1983 TO MURRAY AUTO PARTS OR. ADDRESS 842 WASHINGTON ST. ST. COUNTY OFFICE USE ONLY CERTIFICATION I, the undersigned do hereby certify under penallV of perjury. thai the materials have been furnished, the services rendered or the labor per- formed as dcscribed herein. and that the claim is a JUSl, due and unpaid obligation against Jefferson County, and that I am authorized to authenti- cate and certify said claim. ~ ~ Signed ~ f) K.....~ ttitle) CITY PORT TOWNSEND s~nWA 98368 TERMS NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED, AND MAILED TO COUNTY AUDITOR, COURT HOUSE. DATE QUANTITY DESCRIPTION By UNIT AMOUNT PRICE @.66 10.56 TAX .82 11 .38 @1.19 14.28 TAX 1. 11 15.39 11364 16 7/16x3~ USS #8 BOLTS 11448 12 7/16X4~ SAE #8 BOLTS (I PL? 5 ~.s-' $ ~.:(~.77 VENDOR (OR SELLERS) SIGNATURE NOT REOUIRED AL LOWE 0 BOARD OF COUNTY COMMISSION[HS DATE COMMISSIONER ()I$T ____--- COMMI5SIONEn 015T.__ CHAIRMAN or OOAnD____.___ R_lu,n All Cop", to Audl1ot. ii',. " ',: ': .,' ~ ~'; ~" %>iIM!"" ~)'r":'j,,' II' :',' "''',;', ::.', "..' "'.,:'.'::',:":',, ':" ',;" "~I:' ' . '.." "ie, ":". ','i,',/ . .. ,,'."...' ,..... ,'i."; . i ,:.' ",'",' " ,..'" " .. .', >' :' '", ", . "', :':' ..,...."'. .,.., '...','. .,.., .' ..'. ," :::; , ,', ':' ".;" ;3.~... . ,'. ",'.' '1':<', '. ~ ~ ,.,' .;' , ,.ill,:"/. "::j""" ; " " , .. ',l'~'.,~" ,>'.,~.,~,' ~'r :....0.:;:.>'.<,.. '''1',' .. ,.,... ' , " ','" ,":" " . , ,','. ,...'. " '.,..,".,.., ,',' . .,' ',', ' ,., ',: ...' ,'< "',' ..' ',..,.:.." ",." ' , " . '.' ..... ."" ...'.' " , ' 'I,"',,:" " ,",':1 ';"'''''.'.-r' ',',: '" .:{:':'~\~/ .' :y,:,.: <' ',c,,::/," __ ' ,,-- ,,',-- -',; ','-;, ,<>~~,:::,-:::<~'\,::,.;,:,i:',\: ',' ;':"-".-::;,"-,,,, '~",,', .' " ";",'>i, ',. k" ~'" ~; ~ Empl~y.. I?~k.. .:{,:,.. "-/01 ~ DAILY TIME REPORT Dot. ,I 1-" I 7 - ""'2- Rood Nom..No, ~~dIL:J,h I'~ ~ ~ /er "tJ# ~...., In t; 1.0, Job No. _~_-Cod.~--- .Man,Hr~~_ Rot. Amount .. 54-;;',7J. 7.j /Of~,'?). I t7 ~ 5"1./':;. qiJ, "-4 7;:,10 'I/I1t, .... .I",..~..., -77111"--": 1kk.a",~' n 0,1.... 3S'i) , r /<ki. 19 I If, Eq. No. Equip Hr.. Art. Ace, .s-- l ~ . ,t \ \ \ CRP Relmb. MILEAGE & LOCATION REPORT ''cad Name: MA TER'ALS USED 51.. Pit No",.. No. Quantity Wh.r. UIH 'oad Name: Itimated Miles: \timated Miles: 'r/~ ~d/J '!,yJr hn:itk.,t;'~t. , ~at10n of Roa~: Between 'd Be tween d - .' ,', ,'" ,,':, ,':,'. "':'."" "::. ": , ,'.." ,'"," .," ;,", " ":.',:' ." .,'. . ,: ",<', '.'. " ..' ':): . ., ,,.: "',,', ,:' ", "", , :,' .:.'. ",:' .-,.", ,," ,,',', : ,,'" :.,": '. ,,', : . '.,' ""..;' . :,,' ': , . " .':" , " : > ': , , ~, 1fI1}; ,'" : . ':' ',.:, :;'r' ," ',...' . " , , "", '..', , ,.,' ,...,'" ',' ,;' , f" " ' , " ' : ' .,': ",,',,' "'" '",. ' :;, ."".:,, ',....' ""..' I I' , /i21<- ~'71J;;J Employ.. Rood Nom.~No. ,. D. 1:",<: /),,-.,, ,-J.. .;..... A,t. T -1/ - P / J1 v~ It Ace, , ..:.ILI'"" 0 /<,7 , ~:/5 c) i " a CRP Relmb. MILEAGE & LOCATION REPORT 'bad Name: 'l;.........~...l~. .j:--;L-L- Dad Name: itimated Miles: it i ma te d Mil e s : cation of Road: Between d Between d tor.. 11~ ~ , f Road Name-No. 1.0, Job No. ... 0, '- \ ., ,., Art, 2o.....L'~ 1=: I..\.... Ace. <. llr :>..20.> = .. 1St:",,-:lol.. I="~ l. L ,. D4 CRP Rllmb. :;{> 1, t f'; i:' '~' ~; ~., l 1~ MILEAGE & LOCATION REPORT 3d Name: &.....t., \Jill\"", ((,4 , .,. ,d Name: SN.~I ~ I<. tl.J '1mated Hi les: lmated Hi 1 es: lticn of Road: Between Between " "', ' ;':/' ",' "'", . . ',.' ::: :~. " ,"".", ,"; ': " ','" ' ' ,,; ..:' , ' ...." " ':':" ' ,,: .;:, .. ' ,', .", , " ,..ij " '" ..'" , " ,:' . ':~ , ,,"'. "",' ,<:,: , " '" " . ' ",.'" :: ':'. "," " , . " .,'; .,,'. " .; . DAILY TIME REPORT Oat. /;::).. ~ It:.. f~ "Amount . Eq. No. Equip Hrs. ? =? <11 / () V<.< --37 ,-- I~U: ~ 37 I ~ Job Ho. Cod. Man Hrs. Rot. <,,;f.;). ijJ 7 IQ 1/" ".._ph.._ .... '''- 54;;). 71.. T "I Cl W .. /$ "/5 - c-U-.... 7L I /,U. L{.'''' MA TERIALS USED Slu PI' Nome. No. Quontlty Wh.r. UaM ;uJ.}!4. PAd (".J:... .5''1J$ a:;".t, I c. kL- DAIL Y TIME REPORT I?: J7-g~ Dot. Cod. . ....-..- .Man.Hr.._ _.-'~to.'. Amount S 4 z. . '-l " 1- L-\ ..', J D_~' '/, "~\ ~<;y:;;.,.l:, L:f II> S',\ .:\ -Z u 'l ... i:..,~. 1~IL..t- < 1.\ '1 ..., b . -:z-'Krir '"t'---,' ,{ '- ..... '-.. -_''''.. _ ...Ii' I" ....../ Eq. No. Equip Hr.. -- " ./' , ...... .",,, LI /' ,~ ::2-/ \ I MATERIALS USED She Pit Ne",.. No. Qu_n'l., Wh.r. U..tI P-'1lC.~ \\..C! I... ~ <k'f )..I~!, ":3....'Y. ..d. I. f=: U- !''''''d II ....0 ~.s II ...' ..... , :, " ' " , ,'," ,,' , ':, :".',"," '::: ",. ," ,'", ,'.: ,'. :',' "';"" ',;, ,...',), ': :' , , ' " ,.., ': ,. :,;;','.',:.' ..'. . '. ~ . . \ ~~ . " - . ... 0'''' -;;"- r ,I. . . 1 F F b b f b. -.; ~ ~ ,y Q I(~P VENDOR :) .!: 1 ~ i7) '~:;=~~~~~~ ~lla.;~ansporta'ion VENDOR'S REMITTANCE ADVICE/I2.' ,I:' V'/f,rHU..NT N() DATE vr:'~f-,r ,; V 2:-- \f r,C :. 71-j~ ~ -(I 7 -:1:" ,) ~ I, F r ',' ',C, (', ):)j\ Af..'OUNT '''','C'''' H[fE-P!f,CE DISCOUNT NET DUE INvOICE ['J.\1[ f; , ) , , ~ ,'f :, ),) r.1 C 1 ? '., i,. If, lC-~l-~;: r-),'>1,:" i. )",l')" l.t " ( [, ~', u, ~ 0 (~ . ?(, TC1 tL ,'..... y ~ - ~,: I , , !I ,- 1/ / i ---_.- -- ~-,.. ---~-~ ~~~-- d d, -d IF F n ,l~.,...~ '. '" ..!.""\ 'I FEDERAL-AID PROGRAM ' INVOICE t't NAME .JEFFER.sOi~ COrTN'.ry DT.;p.Jl.ln1-1,.;N'l OF' PlTpr;cc 1lJOHK!; DATF Gotob"" 31. 1983 o P,E. Final o R/W Final o Final ADDRESS r.nrJRrN'()l~::::F. P('l;:::('T' 'ly")l!0!o;::i'l\T!"'l !VA Qrn Gn Progress 8111 No, Project Federal-aid No, PA-ER 83-06 (1) Agreement No, GC 7318 Name/Termini IHGNDALB FU,L WASHOUT M.P. 14.70 to M.P. 14.80 Dear Sir: I This invoice is submitted for work performed on the subject project, P.E, TOTAL FED, SHARE Local Agency Costs Direct Salary $ . Payroll Additives Admin, Overhead Consultant Svcs. Non-salary Costs S S Construction Contractor $ 13.417.. :;6 Local Agency Costs f 1.2.17.51) Materials Equipment 1\,;,462.75 Labor J.I~, Rc)2. 23 Payroll Additives " n;1 lP Admin, Overhead 51,3Bo.5] :")l,3f;(;.51 $ $ Construction Engineering Agency Forces Direct Salary $ (.,2:.' .17 Payroll Additives :~.7S'2.5q Admin, Overhead Consultant Non-Salaried Costs 8,979.75 B,97(}.7:, S -- S Other R/W Acquisition S -- $ $ Mise, R/W Costs S S Agency Furnished Materials S S Utilities S S Mise, $ $ I J I certify that the work covered by this ,"voice has been completed in accordance with approved plans and specifi- cation. I further certify that the costs shown in this invoico are true and correct, the amount claimed is due and payable in accordance with the terms of the agreement, DISTRIOUTlON Whlllt-WSOOT Headqufl,l"t. Accounting G'Hln..-J\~h,/ln to Agency W.th War,.nl Can.'v-WSOOT D'IUIe! SI.IO "',d Eng,n_r COpy P,...,-O.tlrl(:1 Accoynllng 001"""'00 -AO.rlCy Co"., ,,~~ /'1 - ") ':-J,':;''l.. I../&'r:<,:-~',., PROJECT AOMINISTn"rOR , , '-/!iD~ /v"-./' ,/\ ,<<")., !, .j DOT ~~.I4~c)~:<<>~ - -=t ~ ":::J .'::,\-;,}" -, t'. I' ~ ~. .r} d~ -d" ~ -- ...... , . . , . ~ . j . -, . 0( u-: . 1 I '0. . . ' . Q -. F ~ F ~ I ~ F- 51, ,I'" . FEDERAL-AID PROGRAM DETAIL OF FUNDS EXPENDED WARRANT NO. AND/OR VOUCHER NO. PAYEE TOTAL AMOUNT FROM ALL SOURCES :~~~~~~~~~~ EN~~~~~iNG CONSTRUCTION MISC,' I; I" ~' ~, I ~.~:: ~;: ~-,: f I"'i"" . "\ i'i; I,! Ill" ~;. ,~. :~:;.. ~. \'~\ It; ti, , I. " , l'~ I I City/County Agreement Number and Da;~ Executed JEFFERSON Prepared By GC 7318 S. FENLEY Progress Bili No. Period 09/01/83-10/31/83 Page 1 o P,E. Final o R/W Final o Final Project Federal-Aid Number FA-ER 83-06 (1) Apri.1 7, 1983 20955-20988 Jefferson County Payroll Additives Oct. 1983 Jefferson County Payroll Oct. 1983 Jefferson County Oct. 1983 Hadlock Builders Oct. 1983 Carl's Building Supply Dc 1983 Clark & Associates Oct. 1983 Johnson Rentals 1,463.54 - 70:>:,49 18273 18588 18592 18590 18598 Cotton Construction t\ 83 Sho1d Exca~ating .:A\I ~'1. 3; Cotton Redf-Mix Auq; . 1983 15696 Current Period Participating Costs SUB ~'~. 15638 2,166.03 2,249,05 AUTHORIZED FEDERAL FUNDS TOTAL EXPENDITURES TO DATE PRO RATA % CLAIMED TOTAL AMOUNT CLAIMED LESS PREVIOUS AMOUNT PD, ------_._---_._~. ~---- ---------- i' Total Coar. ---.-------."---.., CITY/COUNTY ACCOUNTING INFORMATION ,,:'!~ErT_B~Q~LctiJn:X. t:'5,.~.~P.1~1f~1'_.Ql:.__~_l.l.?J.d..c~. ~.'ORKS 'USE FOOTNOTES BELOW TO IDENTIFY MISCELLANEOUS ITEMS, EG" $2.000" 8} Rrw bl Matena's Furnished C) Agency Force d) Uti/ilins ~:r_._T-I;-:~~~.~:~:O..!__~~:~...,_~~_~_~:~_______.,__..~.______ DOT, ~~:~~~~~ OfSTRI~UTIO"-l ""'HIIl-. WSDOT Hl'll<lqllll""''' Accountong Qr,.......-_ At'I..,n ID Ag,tr'li:)' W'Th W,,".nl C8"I'y-...WSDOT O''''''Cf S'",,, A,,, f.ng",.'1" Copy P.".-.l),.f',CT ACCl)llnll"1 GI':lI~"'''llI'l- Agl\"cyen!,,!, ~ ^i1Pj 11,1 y~< b b d. -d" , ,I ',' '. ".t .;.. _ __ ... I . 10 . . "L ~ ,. . ... , . F F k b ~ ,TI J FEDERAL-AID PROGRAM DETAIL OF FUNDS EXPENDED page 2 0 P,E. Final 0 R/W Final 0 Final 2 FA-ER 83-06 (1) Project Federal-Aid Number Progress Bill No. City/County JEFFERSON S _ FEN'LEY Period 09/01/83-10/31/83 Prepared By GC 7318 April 7, 1983 Agreement Number and Date Executed WARRANT NO. AND/OR VOUCHER NO, 15615 Schmuck Concrete Plumr;ing TOTAL AMOUNT FROM ALL SOURCES :~g~~~~~~~ ENg,~~~~iNG CONSTRUCTION (338.49) MISC.' PAYEE 21ll188-20224 15679 Equip. Rental....deduct 8 ER&R stores - deduct 36 II 1983 Jeff. ER&R Pits .. deduct 36" Se t. 1983 Hadlock.Builders - deduct 36tl 16227 115226 15655 ~~ \. f. Current Period Participating Costs :e, -.&'::. ^UTHORIZE~OTAL FEDERAL' I EXPENDITURES FUNDS TO DATE LESS PREVIOUS AMOUNT PD, PRO RATA % CLAIMED TOTAL AMOUNT CLAIMED LP.E. l----.-.~._-~.._- -...--.. .--"--.;;:.."'-. I~::::;ngr, ..=~.._~.' 1-:... ... Totsl I Cost. _ l~ CITY 'COUNTY ACCOUNTING INFORMATION __.JJr-![F:~~2-N COlT!~'!~~-1?~~0..~~~_C?~,,-~nl,Il': WORKS .. w:;,ill:'l:UQI.'Sl;_....._......,_, .....__.,...__.._._ 'USE FOOTNOTES BELOW TO IDENTIFY MISCELLANEOUS ITEMS, EG" $2.000') .J RfW b) Malerials Furnished c) Agency Force d} Utilities OJf?, \ It \~ ~, ~.~E._.!.0~~t~.~n:~.L__\!_~~~_2~'.!~.~~..___..___.__ DIST~IRIJT10N Wl'1ohl'.' WSDOT ~~"A<J'1UIV11lf' Accmml.ng GI"'Cm.. Rulwn 10 ^glHlly W'lt! W/lr11\1'I1 C"f\ary,~WSOOT D.,I'ICI SIllla AId Engon(ffH Copy r!l'~~' DI,\lflt:I Ac.to(Jllf'll"'Q O"ldl'''''OO ^gl'nc~ CellY ,~p-.,. Ho..oo.J Rf"V 10.'" ...~....-" - ~" ..,""""'~ ~ ~ d. -d" L .... .- : ..... .' - ... _' _". " ~ '<0 . '" - . \ 'i' , " " ~......' '~ '. . __ " ' F F ~ ~ oC ~ ;/ ..' FEDERAL-AID PROGRAM DETAIL OF FUNDS EXPENDED pi!<Je 3 Progress Bill No, o P.E. Final o R/W Final o Final Project Federai-Aid Number FA-ER 83-06 (1) City/County JEFFERSON Prepared By GC 7318 S. FENLEY Period, 09/01/83-10/31/83 Agreement Number and Date Executed April 7, 1983 WARRANT NO, AND/OR VOUCHER NO, 20573-20607 PA VEE TOTAL AMOUNT FROM ALL SOURCES :~~~~~~~~~~ EN~~~~~iNG CONSTRUCTION 4,763.63 MISC,' 18200 County Payroll 1983 County Payroll 1983 County Payroll'" 1983 County Se t., 1983 Jeff. County Equipment Rental Se t. 1983 Cottonconstruction Sa t.' 1983 Shold Excavating t. 1 83 Cotton i<edi-Mix Sent. 1983 -'~ Pat~rs~,r Br.O~j)Br:f~~ Se ' _' 83,," Jef~t;t~l?a~nty pnYro~ ...--r ......C:urrentPeriod SUB --::""'-Participating Costs 2,050.09 18230 16215 16214 16220 f~~~.~09~~ b-- ---',-;00,,'-- ',"":i,-'- 1~:~I:~~~r, . --2~O':0~':o.o-----'-13, 192:28- AUTHORIZED FEDERAL FUNDS TOTAL EXPENDITURES TO DATE . . - '''--..-.--.. ._-_._-~_.-._.- ....- -'--..__.~- 6,813.72 57,872.45 PRO RATA TOTAL LESS NET % AMOUNT PREVIOUS AMOUNT CLAIMED CLAIMED AMOUNT PD. CLAIMED --/O()% Q,114.21 9,1J.4.21 0 /.00;;-'-- 13,192.20 4,212.53 8,979.75, /00/0., 1l.1, 120. 72 61,934.21 r r f Conal. .. 143,780.00 111,32,0.72 ';,""" Total I eolll .... 177, 880:00'--- '~j'5-;T>"5?:-rr----~i-'- .---- -.- --..'....._, JDpJ...q_ CITV/COUN'rV ACCOUNTING INFORMATION 13~,627.7.1 75,260.95 _Temp. __,Il~l'l!_i,>;,,_ 600.00 ~-_._---,_._-- ------ .----.------.----. .----'-- --- .-:!t':!'-~~E~':'~2.!~~.g~~t~D.ET:i }: E:J:~~~r~~l:=..~_~.~!.~.r::!.'E.Q.1;.'1.!. c h1(,)IU:S OISTR1E1UTION Wr.'f"~-WSDOT tillllr1QUlilrlN!I Ar.Cou'll,nQ G"...I'l. n"WIn Ii' Agto"cy W,Ir. W""liInl C"'''it,l'- W~OOT O,,'r,o SI...", AI" [I'lQm"....' Cory p,,..~ --O"'PfI ACfOl,"I'''Q ti(L1ctNHi>/1 . Ag..nc'o' Copy 'USE FOOTNOTES BELOW TO IDENTlFV MISCELLANEOUS ITEMS, EG, $2,000"' 81 Rrw b) Materlllls FurniShed C) Agency Force d) Utilities _~~:~'_~D_~~-~:~,~ ___-.~ ~ Pc:.~'L.~i.!2!1:_~~.r .__~'.~...~.~ ?t'-!:"._~.~M'_______..___ ~ ~a?? \P~" ""';;,;:,';,,~ rony '.o;)!,., """,l('1.-:ot b ~ ~ d, -d" .- .... ~ ..... FEDERAL-AID PROGRAM INVOICE NAME JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS DA TF October 31. 1983 ADDRESS COURTHOUSE PORT TOWNSRNn WJ\ QR":I:fiR Dear Sir: Progress Bill No, Project Federal-aid No. FA-ER 83-06 (1) Agreement No. GC 7318 NamelTermlni IRONDALE FILL WASHOUT M.P. 14.70 to M.P. 14.80 2 o P.E, Final o RIW Final o Final This invoice is submitted for work performed on the subject project. P,E. TOTAL FED. SHARE Local Agency Costs Direct Salary $ Payroll Additives Admin, Overhead Consultant Svcs, Non-salary Costs $ -- $ Construction Contractor $ 13,417.86 Local Agency Costs ( 1,247.51) Materials Equipment 15,462.75 Labor 16,892.23 Payroll Additives 6 861 18 Admin. Overhead 51,386.51 51,386.51 $ $ Construction Engineering Agency Forces Direct Salary $ 6,227.17 Payroll Additives 2.752.58 Admin. Overhead Consultant Non-Salaried Costs 8,979.75 8,979.75 $ Other RIW Acquisition $ $ $ Misc, RIW Costs $ -- $ Agency Furnished Materials $ $ Utilities $ $ Mise, $ $ I certily that the work covered by this tnvoice has been completed tn accordance With approved plans and speclli- cations, I further certify that the costs shown in this InVOice are true and correct, the amount claimed IS due and payable In accordance with the terms 01 the agreement DISTRIBUTION Whrte-WSOOT H..Gqu.rt.,. Accounllng G,.."...Relu'" to Age"'C'y With Wa".", C'P'I.,...,.-WSOOT D.s",,' Sill. Aiel En91"..' COP)' PI"' -0''''1(1 AecOIJI'lI.,.,g QOh'.fHOO-"o-"'(Y COpy _..../_,~,L. .,.....:~----_....j.L",,;;.JL PROJECT AOMINIS1RA.TOJ:l nl"\T '()lIt"'I.a.>OU -o:.-'J. ....',. ....., " ." , ,.."';,', ' i,; .' ",. ~. '.,:' ' ,'.. . '. 'i.. , " ':...,. .' ':", ',': ,:..'" ''':','', , ..'..., , , -:;c ',' ," ,'.".,.; .. ,,-:,' ".<' "', ',', ", I Project Federal-Aid Number JEFFERSON City/County Agreement Number and Date Executed WARRANT NO, AND/OR VOUCHER NO, I. 20955-20988 k.. . .t Jr-;- , y ,"l' e ,. , 18273 I ", ,~8588 . 18592 .;.:' 18590 ~~ ' 18598 15696 ~{ 15638 ---..,..., AUTHORIZED FEDERAL FUNDS P,E, ...:.-.-- Conlt. Engr. _, __ U' .. _" Conat. . 1 1 f Total ~. ..'--,---------- CITY/COUNTY ACCOUNTING INFORMATION , ..... , ' < , . ",F';I , "",' , , ' , "......,\' . .. , ',i" , ': ,.' , , ' ' '. :.,.'" , :"", "p '..'. , '.:, ", " ',.. " FEDERAL-AID PROGRAM DETAIL OF FUNDS EXPENDED Page 1 o P.E, Final o R/W Final o Final FA-ER 83-06 (1) Prepared By GC 7318 PAYEE ," Payroll Additives '. ~~~~~~~a~~~ogosts SUB TOTAL EXPENDITURES TO DATE COURTHOUSE Jj':I'I'E.B,?"OI, (!)..ll.:r.L.P.f.PARTMl'.!IT......9.E:...E!,L~ WORKS Jefferson County Payroll Additives Oct. 1983 Jefferson County Payroll ": 'Oct. 1983 Jefferson County OCt. 1983 Hadlock Builders oct. 1983 Carl's Building Supply OCt. 1983 Clark & Associates OCt. 1983 Johnson Rentals ". OCt. 1983 Cotton Construction OCt. 1983 Shold Excavating Aucr. 1983 Cotton Redi-Mix A.",g .1983 ~ORT . TO"1ISEND. W^ 9~ 368 QIS1RIBUTI0"4 W".l,,",wSOOT HOldQu,r'lflr, A.tCounhl'1Q G._" R"h"n 10 "Q""C" ""',1" W.H.nl DOT ~~:"'l~~()'.' ;1~~"'D"~~~~:(;~~'~;:~~ Sl1l11 A,~ ["g,r1f'('! Cop~ "..', ",. ,\" ,,' , .- ",' :,'>', '.. " .', :,'" ...:: .... ::".:':;' " ; ': '.. ,; :. . .' '.' ".,. Progress Bill No, 2 S. FENLEY Period 09/01/83-10/31/83 April 7, 1983 TOTAL AMOUNT FROM ALL SOURCES :~~~~~~~~~~ ENgl~~~~iNG CONSTRUCTION MISC' 918.65 1,463.54 :02.49 " , , I , 45.79 , 100.71 . ~?50 '\ , 1,276.95 / ,..' .. , " ' .. ' 1 PRO RATA % CLAIMED 970.20 ". (77 .62) (983.13) - 'M__' .-'---- 2,166.03 2,249.05 TOTAL LESS NET AMOUNT PREVIOUS AMOUNT CLAIMED AMOUNT PD, CLAIMED , 'USE FOOTNOTES 8ELOW TO IDENTIFY MISCELLANEOUS ITEMS, EG.. 52,000') o} R/W bl Marerl.l, FurnIShed C) Agency Force d) UtIlities ~., "... :," ::':';:'..';,' , ,,' , '... " ';, .",', . '.. ':;, . ...' , ' ',,1';; " , " '.:.' : , ....: ": ,; " ... ,',," ":' :',', . " '..;. FEDERAL-AID PROGRAM DETAIL OF FUNDS EXPENDED page 3 Agreement Number and Date Executed Prepared By GC 7318 S. FENLEY Progress Bill No. Period 09/01/83-10/31/83 o PE Final o R/W Final o Final Project Federal-Aid Number JEFFERSON FA-ER 83-06 (1) April 7, 1983 PAYEE TOTAL AMOUNT FROM ALL SOURCES PRELIMINARY CONST, ENGINEERING ENGINEERING 4,763.63 County Payroll 1983 _p~yr011 -, t, Payroll , ',:1" Payroll AUTHORIZED FEDERAL FUNDS 13,500.00 Payroll -- Current PeriOd SUB 6,813.72 57,872.45 Participating Costs TOTAL PRO RATA TOTAL LESS EXPENDITURES % AMOUNT PREVIOUS TO DATE CLAIMED CLAIMED AMOUNT PO, 9,114.21 9,114.21 9,114.21 13,192.28 13,192.28 4,212.53 113,320.72 113,320.72 61,934.21 20,000.00 143,780.00 600.00 -177:880:00- 135,627.21 76.2 135,627.21 75,260.95 CITY/COUNTY ACCOUNTING INFORMATION Ef1:.ERSON C;:QIi.Ii.1:X DEPARTMENT OF PUBLIC WORKS COURTHOUSE 'USE FOOTNOTES BELOW TO IDENTIFY MISCELLANEOUS ITEMS, EG" $2,000') II R/W b) Matenals Furnished C) Agency Force d) Uttlllles ~~2ig,ID, WA 98368 fOlllU 1~0!3 lIIC\I 1(1.'11 OIS'f~IBurIO~ .....",,.-. WSOOT Hel:::JQu""H, "'cco~,r'll"'lg a.".." - ~"!,.j'n 10 "~1'nc,.. W,,,,, w..,.", C."",..--WSDOl O"I"CI St.lt' A.d tng,"',.,,, COP.,. P"", - 0"">'1 "(('Qunl,nQ 4ll'Io-. ~...,.' - - ~ ~,. "c,I",,'.',:r,~ ,"~'~ ~~:; If , , , ... ;., ,:,~ ',-'::',' _:~'.'g~i~~;\>_::: ,': :.':liWo"',,^' ~~j;,: j,:. ._M":j;..l i ".. '1 r \ "', .. r ' 4., ' . \. '" '. ".. " FEDERAL.AID PROGRAM DETAIL OF FUNDS EXPENDED o 8;E, Fir D~/W Fil o Fi'nal Project Federal-Aid Number Progress Bill No. Prepared By Period Agreement Number and Date Executed f) () I>' r '" .:::; TOTAL AMOUNT FROM ALL SOURCES :~~~~~~~~ri EN~~~~~iNG CONSTRUCTION 7//, t.. 5' MISC,' PAYEE 1,"((,3,:"'/ /J vJ/ir/V("':; '70:;, '/'1, 1/S,77 /00 :7/ 117.:)0 \,../,;) (" '7:,- '7')6../0 AUTHORIZED TOTAL PRO RATA TOTAL LESS NET FEDERAL EXPENDITURES % AMOUNT PREVIOUS AMOUNT FUNDS TO DATE CLAIMED CLAIMED AMOUNT PO, CLAIMED p,e. Conat. Engr. -_.~- ._, --, Conal, -,.... . * -. -- --- "------ TOlal ~-, - -- --- CITY/COUNTY ACCOUNTING INFORMATION 'USE FOOTNOTES BELOW TO IDENTIFY MISCELLANEOUS ITEMS, EG" $2,000') ., RIW bl Malerials Furnished C) Agoncy Force d) UllhttOl DISTRIBUTION Wtllle-.WSOOT H"dQt.llrl"rl Accounlmg O'Nl"-Relu," 10 "gflnc)' W,H'l Wlrr.nt C.n.,.,.-.WSOOT O,"ru'.:1 St.11l A,(I Eng,n"", Copy Pmlt... 0..1f1el Accoy"ltllg GoId..nfO(J . Agr...(,r' CU(lY Iio....' L .. .,.~ .. ", . , .. ',' ", ..'.' ,'.' ',.'.. ," ',' ,', \:',:..:'..,'.. ",'". . " ,:.' , " , ":, , '..' ':,,' ", .', "', ..., ,,' ' ,', . ',"." ' .,.,' ',:" -'.: ',,',': '. " " ,..,' ': ",. ", , ' ',' ' ,.'" , :":" " , : , ' ,"'" " ,', , .. , :",,',. ,",.. , '.'", : . ~ FEDERAL-AID PROGRAM DETAIL OF FUNDS EXPENDED o P.E, Fir o R/W Fil o Final Project Federal-Aid Number Progress Bill No. CitY/County Prepared By Period Agreement Number and Date Executed WARRANT NO. AND/OR VOUCHER NO, /56/5 ,;;c/7g-Jo~,/ PAYEE TOTAL AMOUNT FROM ALL SOURCES PRELIMINARY CONST. CONSTRUCTION MISC,' ENGINEERING ENGINEERING /Sc. 7'/ re::, ! r. (-"I N -, E. r/I.l/J,p//'J (5 ,j-,IJ;/u'i u.s'i- c. ~/9<'J/~- .J(/j;. <~~,)r,'/ 1'/'/1"',:)1-'_ - iJt~<)CI 3t:," ,que; uS r /7;'.3' ~tI!. (~';. i~)y~",( c~ ~i>P/) /,,~(._~ _, 3(. to . /-'''r.tf~--' JcJf.j~ )( If (.; Cr!;J\_) II'. I' (",I//'Jl.... . 30 "!J(~J;tl'- r "")r-- I' r /<7'J'..3 )CII':_ ((~ C./~ h' /:.. ..s rG {t'(..;, ,3t.. 'I Cr'J,:r- ,'\rPr './</9., JLI ,', (~.>. C /.l,'l[~ I~ /;; 3( ",.h'.!-".',,]" 'C::('PT'.'/'7Y3 II/ikl....ocf;:;'.),~,"_SI'::. -.3<'" ~")ucr ~ur..USy 17":<' ( .:8,;', yCj I<p, '/'15 '/0/ \, 0S'/Y'UJ), ,,~'77C, eoI" < ~ O?'O, 7~/ / I ( /0(, 'IS / / < / C? cr, / / G;J,' 7 It;.?;; (;, v- ~; I .~', ;/ " ~i /.:sc...5'5 , -:5 cJJ3'. Currenl Period Participating Costs , .' / g7?0'1"1.\ , 7~j?'7 /\- 61 <':,'(;...5/ AUTHORIZED FEDERAL FUNDS TOTAL EXPENDITURES TO DATE PRO RATA % CLAIMED TOTAL AMOUNT CLAIMED LESS PREVIOUS AMOUNT PD, NET AMOUNT CLAIMED P.E. Conlt. Eog,. Conal. _Un J ,'{. ,t I,), P. Total ~, CITY/COUNTY ACCOUNTING INFORMATION --------------- 'USE FOOTNOTES BELOW TO IDENTIFY MISCELLANEOUS ITEMS, EO,. 52,000" I) A/W b) M.tertals Furnished C) Agency Force d) Utilltlel ----------_._._-~-_._--._~--- OISTRtAuTION Wtlllll-. w5DOT HudQulfllHI Accounllng G,_n-nelu'n 10 "oency W,lh WA".nl Cln.,..,....WSDOT Dlllncl S'lle A,(I Englnf!'" Copy Pin.. - OIIl'IC' AccounllnQ Ouldflnfl')d -, Agtoncy Copy .. DOT ~~:~~~OJ,) ',..' ,,' ..."', ""'<"',:",- : .':'..',' " :'"" ",-,'. ;,,",, ,', "',",,' "" .. ." "'.. ,,' ",' ,'.. .,...',..,.,...,": .. , ,'..",".- .... '""...,, " ": ",', ..." '. , "" ,;.'. : .'..,," ,.:,,:',': " '''', .',-: ,,,', '. ,,: " ,"', ", ',', ", ", ": , , '.., " ,'" '" . ,',.... ,;''','', ' ",' : ,", " "i:: ' " ," ,.,,,,,,:', , ',' "'.' , """": ...' , ", , ..,', . ,....~~ I. :,,';; " ,'." >,.., ',,;, '>::; , ,;, ':;." ::':' ,\, '... ,', , , ,", ,", : " " " ' '. ,', '. .>: .' , " "; ", .' , . .' ,,:,,; , " '.' .'..,..' .' ,'!, '.' , : ", " '. "',',, ',. ..,' .'.'. '" ,.,';.',., : '; ,; " .',' .';' , ,<;i' , :-' .' .:" , ..."" .,'. ',' ';' :,'" ,.' , :", , ,"; ,'.',' .", " . ,,'.' ..,. :' ' ..:. ,,; " FEDERAL-AID PROGRAM INVOICE NAME ,) C'_ P. U. DATF /:- F(J/:;('. ,).', -..::~ / ~/:?.8 o P,E, Final o R/W Final o Final ;?'?-or;, ( I ) fl' 't t" ADDRESS (7ullJ}./'-N.lr1,r,i? "ro/'!I '1/J,.I'I.':~(/.I!~ ,tJA <,.<.:'t.,;? '\ Progress Bill;No, .., r.2 Project Federal-aid No, /,/:}-,f-',I' Agreement No, C;; C 73; 7' Name/Termini I/'/I./.Ii)/Y ~ ';c/LL /11;/ 1;V.,?o"To tnI' I'I.?D Dear Sir: / This Invoice IS submitted tor work performed onse subject proJect. J P.E, Tl'TAL Local Agency Costs i [ ) (/ '~) Direct Salary $ v' "::,- Payroll Additives \ \ \ Admin, Overhead \ ('j' \ ' ) V' Consultant Svcs, \ I. ,,}) . cP Non-salary Costs \ Construction \ i $ Contractor $ _1(.0 {>In, "J".J~ I Local Agency Costs , ! ._ Materials _____ ~rr~. ,....--rO"\"".': Equipment c- fl.;2...' Labor - ;q7.~;;: ;..3 '" i Payroll Additives 9'77c)~",)Z7 'i Admin"everh88d -(' .( '7'75- 7V) I '. 1J/1S/-IOU J FED, SHARE $ Construction Engineering Agency Forces Direct Salary Payroll Additives Admin. Overhead Consultant Non-Salaried Cosls ~ " $ $ -C,,;);;:: :LL~ -4- :~ ~' \ \ '. $\ -.s;2.Z(.._z~- $ \ Other RIW Acquisition Mise, RIW Costs Agency Furnished Materials Utilities Mise, $ $ $ $ $ $ $ $ $ $ I certify that the work cove rod by this InVOice has beon completed In accordance With approved plans and spocifi. cations. I further cortlfy that the costs shown In this inVOice are true and correct, the amount Claimed is duo and payable In accordance With the terms olthe agreement DISTRIBUTION Wh.le-WSOOT HeactQlllr'.fS Accoun11ng G.""-..Re'u,n 10 Agencv Wllh WI"an, Ca"I"Y-WSOOT OlslllCI S'ale AI~ Eng.n..r Copy Pl"k -O'tltlCl A,eounllng GOI4.n'~ - Agency Coey PR'o'JECT AOM"NisTRATOR DOT ~':~~;:CN "'::11- .' ~,;' :,.;: ',' ',"',,: , ,,' -: ,;'.... ,''. :" :. ',:" '" ..',: "'...,.:" : ,',' .', ,,,,', ,',': ,", " , " " ',,',' : ' " , ,,' ..- ..,....; ," ,: .''' ,,,....,,....# ~c 'l ,. , " ,T~._.r' - .- .. .1..;,;." -=t ). ~f;,~ 1 ;, t .:~- I c",r 7/.f.r...s- IV ~ l "i" " ':,i e" ,; ! wi'" '.'.,,'-A," ,"m'., rily/coUnlY .'; greemenl Number and Dale Executed FEDERAL-AID PROGRAM DETAIL OF FUNDS EXPENDED o P,E, Final o R/W Final o Finai Progress Bill No, Prepared By Period ;' WARRANT NO. AND/OR VOUCHER NO, PAYEE TOTAL AMOUNT FROM ALL SOURCES PRELIMINARY CONST, CONSTRUCTION ENGINEERING ENGINEERING MISC: /~ f /" / I ,./>~/' )'1'/,';/ I,'::, i j" /" . .Jy .1'; ~ FEDERAL-AID PROGRAM DETAIL OF FUNDS EXPENDED 0 o o Project Federal-Aid Number Progress Bill No, Prepared By Period Agreement Number and Date Executed PAYEE TOTAL AMOUNT FROM ALL SOURCES :~~~~~k~~~~ EN~~~~~iNG CONSTRUCTION MISC,' !j. '/1.. ,~(. I :.: Current Period Participating Costs ?.J7';!.1f' AUTHORIZED TOTAL PRO RATA TOTAL LESS NET FEDERAL EXPENDITURES '" AMOUNT PREVIOUS AMOUNT FUNDS TO DATE CLAIMED CLAIMED AMOUNT PD. CLAIMED ,P,E. n Con.t. Eog,. --'- ---. 1-, Conat. i ----- t~,- ---- - ---.----- ~._. ..-'--'-.._'___H -------- CITY/COUNTY ACCOUNTING INFORMATION 'USE FOOTNOTES BELOW TO IDENTIFY MISCELLANEOUS ITEMS. EO" 52.000" A'R/W b) Materiel, FurnIShed C) Agency Force d) Utilities DISTRIBuTION W"llft-WSOOT Hl&lIdQu."f1f' Accounllng G,,,,,,," - Rlllum 10 "QfInC'l Wi..... Wlrf'ln! Can.",,'-WSOOT DlllfIC,;1 S'.'e Au~ EnQII1_r COPY I',nk -Ot.lllrl Ac.counllng G~~.nrOd.."lI8nCY Copy ~/ ~ ,~ - . - .... ,-'"- :" -;, ,',. . ,.,.,. " ,'''', ". .",: r '. -, ;. . '; .. , , " ' , ,.,.: ',.' .'; , . ': ".,.', ;..,.:, "'., " . ","... ':, ,."'..' :,,'" ...' " I .,': ..,', ",',. . .' "".. ',' ." I .'..',,' ",.,<:,.,'.' ';:'~ . ",,'.',,:' ":':' , ,"',':..',":." ." ;;'OI/i?,./c7,"/L)I,' ,1//,=, f,', ~_ ," ,.'", I-/)""'-UST ; 763 I'; .' "'1.JC/:"" 0,.. I)' , ,1/'/' /., <II" I: ...,. "', j/:5(;l1' .':, '.. i /" II" N 1':-.':"';':; ,,<,'._ ___ h Uc;.uS--r- JCji.s : ; / I. ~ " I )." ,/ I', " , "",' ,,(,' , " .' .., : ')PPrEP'lie,!- ;Q9ZJ , "/"".J 'I "" ,', ,",", -' '0 '~;r"""'II;""" ,/ I":;;' .:.. v',, 01,1 :' ",.".: " " .' 1.:5".".c,,:;:5 / I;, ",-. ',' .!)'j',- u,~ I:,~ ", f-- ....---- ..'''' .. ..,................................. ....... '-"- ".. ......, , Current Period ,_~':':', i:,: ,':,'<,.,>,'~;.:_':', Participating CostsG~/_I1J) " , .. ',"DI;'G . AUTHORIZED TOTAL " " F~~~~~L EXPT~~~~ERES , 1---- , ?,E, "",,.., "'..' --.-, Con:;t. Engr. f I' .:'(., ;,'''1 . ;;.:~~. '..,,/ .. ....,.." " " ~; .." ' :--', \ ,", ':':, " ". ,. ",' , , .', , ' .. ". /~, '. .... ,: Const . " " .. ':' ',' ':".' :,,: TOI.,I I '" c.o,~, __ ,'I .,,::,.' ' .., ,'. .'- , '" \ .",' " ., ......__m..___..'....__.... ..,..__ ........ ..., ',': : ,:".", , ..----....--.---....--.. -- .._-, ...,,--,--"'-"--- ";;<', /;'::,:' ':_;':"_'/~:':'.i:;' ',':':: [JlsrnlllUTION Wtl,1t!--WSDOT ti",Hl'lll.HltH~ ACCtH.mlu1<] ,'",,: '.,' InT '0"" ..., '" ~:,:':;':\ ,'~~'~';;~';' D,;',," :~.'h ,V<"".., ,.,.'..... , : . ." ,~.' . ,.:. ,', " .. ",' .' . '. ,', :,\~\": ...,: ,,' :::'::,:. ",' " I:'," , II '. , .. ' .L::::. "" ' " , :. '."..,.. '..',:"',, ' "" , ____._ _______ ........... '...'.m CITY/COUNTY ACCOUNTING INFORMATION , > . (" ',' " '. ". ",;;::2.\: " . '... , -- '" " II ',:: ',- , , , J- '-- PRO RATA % CLAIMED -- III / - " ~ ., --"" '. '.,' ,~ , '. ...' , .',.:.' ," " ," " ,. ,;.,..."..., '.' ":',', " '", "... .', ", ". ' . ,: :,' , :,' : ' , ,,' ."', '.: . . ,:. " , '"." ,'" '", '-';":'-,:'/':-"';':",,: 9 \. ~;/ '/''/''':). /,).... , \~~~~n~~~~l~I'i <I"r /r1~ ()// <..:; '/ ,}?",{.c, <. I (.. (.. /:.:) ~/I ( ;1 D, -X", , /67 vI, TOTAL AMOUNT CLAIMED / <1'// LiP CT.'t-Xc/Z :?':l. LESS PREVIOUS AMOUNT PD. ._~. _._,.._L 'USE FOOTNOTES BELOW TO IDENTIFY MISCELLANEOUS ITEMS. EG., $2,0000) a) R/W b) Materials Furnishod c) AQency Forco d} Utilities NET AMOUNT CLAIMED .'.i', ' " ,', :: , .,,' :,,::, '.. , , ,'. " ' , ":',,, .,,- " , ..,"" ,.,' .'.. " ":" '.' '. ..." ,:', .,.. ..', ";" , .' '", ,,'" : ".: ..., , , '.. .", ,,' ,. ,;.. ""':':" , ", , "', """':':: ',."' ". . ' "', ,':" , = '.' 'J .~ ....... Lilt' lUl"", <';\':';:;,:,', ~;~~~~JfIi1~~~4)Th~~~ft;:'3!tr~:i~r:r!jy:~:~::;,~,~:tI:::j?:~t"lt1~:1!!;7:'G~}~;'7'!ct;~;;l~;~~j')~?'r~';':!i~~?:~5l'r!t'~;')i\t~~lt;i~;~;t~I~~~{~~~~J:.f;~~1;,:: FEDERAL-AID PROGRAM DETAIL OF FUNDS EXPENDED ,10 o p,e, Fin o R/W Fir o Final Project Federal-Aid Number Progress Bill No. Prepared By Period Agreement Number and Date Executed WARRANT NO, TOTAL AMOUNT FROM ALL SOURCES AND/OR PAYEE PRELIMINARY CONST. CONSTRUCTION MISC: VOUCHER NO, ENGINEERING ENGINEERING /.;:ro96 , .,....)t-+OL :.) C ;/"(, V/i 1 II) c;. I( 776.::1. t/ /5wY C'-;'rlO I'.J . /j,,,,,,- (111/ < 9'C.3.' /3/ v . i, ' .., ....,. " ,', Jb - ;jc 1-1/f' uc ,,,- CONe,!.!.': -rE /-j?(..J tn/,'/') l::o. '<336. '1/; ..... /. ';5,: , . ,'. '..... ,j .,. . I ~ , , . .t . ,.. ., , .... ..,., . i. , . - ._....._...._~._.._...... .:','. . f'-- Current Period Participating Costs AUTHORIZED TOTAL PRO RATA TOTAL LESS NET FEDERAL EXPENDITURES % AMOUNT PREVIOUS AMOUNT FUNDS TO DATE CLAIMED CLAIMED AMOUNT PO, CLAIMED P,E, Conlt. Engr. .. -- COnal. " --'---- . . -,-'-"- --- Total eo.. -.. -- .', ;,' CITY/COUNTY ACCOUNTING INFORMATION 'USE FOOTNOTES BELOW TO IDENTIFY MISCELLANEOUS ITEMS, EG" $2,000'1 Ii R/W b) Mater!ll. Furnished c) Agency Foree d) Utilities DISTRIBUTION Wl'lIle--WSDOT He/lOq"/lfteFl Ac:c/)unll"O a,_n- "elu'" 10 AO""cy W,It"! Waffanl Ca"ary-WSDOT OJIHICI SUI" "u' Engmeer Copy PInk _ C,'Hlel Accounllng Ootclen'od-~Ag8ncy Copy .., ~ - ..- ~ .L.." .'" ,,~ " '.: ,..". . :':.. ' " .",:,'. . '..' '. . ',,' .' ,. " ,J/, "'. ,. , . i', :..,' ' .." ".', ',;' , '", ':,: ", ...,.,", '''" .. "',' ,,' .' " ,',,':: . ",. ',. ,.,.", .',' .'. ,...,... '.. .' . '" "':,<> ,,',:.,",' :.,'.. "'".... " " ,., .',:" ,.,>,.-". ." ,.' " ,':, ~~rE~~@i .' '.. ~: (! ~CJ 2- PURCHASED BY OFFICE OF COUNTY j) VOUCHER COUNTY OF JEFFERSON PORT TOWNSEND. WASHINGTON 98368 WARRANT NO. ROAD FUND AMOUNT AUTHORIZED DATE OCTOBER 10, 1983 /.3(. (.) /6D ACCOUNT TO ElE CHARGED " '. ,":' , " ..: .' ,'. " ~ 18598 ..:5-Y5. ~/o, <-/.;>"-" IOATI.OF pUflCH.$(1 TO COTTON CONSTRUCTION Sf. ADDRESS P.O. BOX 128 HADLOCK CITY TE RMS DR. COUNTY OFFICE USE ONL V CERTIFICATION , I, the undersigned do hereby certify under penalty of perjury. thai Ihu materials have been furnished, Ihe services rendered or the labor per- formed as described herein, and thaI the claim is a just, due and unpaid obligation against Jefferson CountV. and that I am authorized to authenti- cate and cenifv said Claim;.t;. /) Sign'd #-<u<; () ^ t>-<-- hi,I,) STATE WA 98339 DATE NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED, AND MAILED TO COUNTY AUDITOR, COURT HOUSE. 8V {: r '~" '~, ~, .~ ',r'. f, '~ fhlUfn All Cop", to Audllor. aUANTITY DESCRIPTION UNIT PRICE CRP 525 EQUIPMENT RENTAL (SEE ATTACHED) I All 900.00 fU. l APPROVED FOR t"'AlIVIl:1'l1 -, VENDOR lOR SELLERS) SIGNATURE NOT REOUIRED ALLOWED BOARD OF COUNTY COMMISSIONEnS DATE COMMISSIONER oIST. COMMISSIONEfi OIST CtiAlHMAN OF UQARO AMOUNT 'J/U.lU $ '77~.;;J,,('! '," " ' ' . ~ .,:,'. " ",'.' ':,' ,',: ,"', , . .' ."". ::':' ".,' ..', ',' " ".:"', .",' '. .... " ".. .,.., .,.,. ':/ .'.,. ',' ", . '-': .,' :, ,< . . '. .' ." ,:./ .:., ., .... , .',,, , ";,., '. ,,' ',,'" ' '," ","",:." : -: ' ",', ""," " '" " '" .' ",' " ,. .' ' / ./ OFFICE '..' '" ,.,'.,. ,;" .'. , ;< < '. " .",;: , " '. .'.. " " ': ' .. ' " ' '. :'.." : .: ' , . "...., ,', " ' '.:' ",'.', ,'., , . ' '," " ; ";,: ".;" ..., .,.. ,.,,;,'. ,."','.: '.. . ,'.. ' ",.. ':'.", '. .'.,,', " '.:: .'.. ',,',;,. ", '.' .' .,';" , ,,". " ',.":.. ,':'.' .' ,: ': '.: ' , " .., ,<<" ',' ',.. .;"'...., ,',' , ',.: ~ (! 7~a(')() /) VOUCHER COUNTY OF JEFFERSON PORT TOWNseND. WASHINGTON 98368 WARRA~~O. 18592 PURCHASED BY OFFICE OF COUNTY ROAD FUND I AMOUNT AUTHOR IzeD DATE OCTOBER 10, 1983 /.dG c) /0 Q S'75 ~'D, 3 I ACCOUNT TO BE CHARG~C TO CLARK & A SSOC1ATES DR. / AD DR ESS 315 EAST 8TH STREET ST, COUN~~RO,!;~:g~i:~EN ONL r I, the undersigned do hereby certify under penally of perjury. that the materials have been furnished, the services rendered or the labor per- formed as described herein, and thaI the claim is a just, due and unpaid obligation against Jefferson County. and that I am authorized to authenti. cate and certify !Wiid claim. ~1 a;-) Signed ~7 ~""' (title) PORT ANGELES CITY STA TE WA 98362 TERMS NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED. AND MAILED TO COUNTY AUDITOR, COURT HOUSE. By DATE QUANTITY OEseR IPTlON UNIT PRICE AMOUNT INVOICEij "Ai!. I' ..:>-2" 73 30 CONCRETE CYLINDERS 5 @9.50 "7.50 t" j; ~,{, K . enD PAYM-FNT $ d7.S"(l VENDOR lOR SELLERSI SIGNATURE NOT REQUIRED ALLOWED BOARD OF COUNTY COMMISSIONEns DATE CQMMISSIONEH OIST COMMISSIONEn 0151 R.tum All Cop.., to Audllor. CtiAIAMAN OF BOAnO t.atf! P"'l'rnt:"lll fin,l"ce ch<'rq~'1 .....ill 1.("\ imr'os....r} on unr.lid h,l<'nc~ 30 dayn ..ft"r d.~, of billing .,t th<.> p<'riodle rata of 1.5\ par month or an ^nnual p~rc~ntag~ r~tr of 10\. i,:; ':, '. , ':i i ::'/ :':" '.,:':',,:' ':,:", : .',. ....' ..".........,' . ',". ,r, :.' .... '.' " " .,. '. ". ""., .: <.: ",r. ' :,.'. '", :.",' ..'.i '< ," ,', ",i... ":,',> '. '. , " .' ',', " " , ", "i" 'x " ." ...., , , ' . :' , .' , , , ,,', ' " " .' ,. . , , , , ',.. ." '...;,. ;..' ':",' '.... , .' ",' ,:', :,' " " , ' ,:.'" ,:-', ' ';" ',,' ' ..", '\0. ',.;.: :- ' ' . ' . ',' , .', .: . .,'.' ....,'". ~. ..:' , '<'..' . ,.'. '.,' .', ",.:, ',' .'. '. ",. ,. '. : '" ,,",' <' '" ':' ' '"" ",: " " "', ,,'.../., '.'" ":', " '" ," ' ",:..',> ',' . , , " ':';, '". .,"', ".', " , "', ' ,',' " " :'.' .' ".. :.'." <" .- - cJ 1''7,30/ / / VOUCHER COUNTY OF JEFFERSON PORT TOWNSEND. WASHINGTON 98368 / 16214 WARRANT NO. PURCHASED BY OFFICE OF COUNTY ROAD FUND AMOUNT AUTHORIZED DATE SEPTEMBER 20, 1983 (I.lATO:OfI'URI;;I,"'U /1e. 0 /eJo ..')(6. '/0.3/ ACCOUt.T TO BE:: CHARGEO TO COTTON REDI-MIX INC. DR, AD DR ESS P. O. BOX 447 ST. COUNTY OFFICE USE ONL Y CERTIFICATION / I, till:! unutHsigned do hereby certify under pCllalf'Y 01 perjury, that lhe materials have been furnished, the services rentJered or Ihe 1<llmr per. formed as described herein, and that the claim is a jUst, due and unpilic.J obligation a. gainsl Jelft!n~.n ~nty. and that J am authorized to aUlhe,flli' cate and certify said Cla'm.h~ (,J .-;-) Signed (.;e-~ httlel CITY HADLOCK STATE WA 98339 TERMS NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED, AND MAILED TO COUNTY AUDITOR. COURT HOUSE. By DATE aUANTITY DESCRIPTION UNIT PRICE AMOUNT INV.M 2641 a~..,..<J ,.f'". HI?:J 2 YDS. 7 SACK MORT OR @85.00 lAX 170.00 1'. lO l~'.lO .' ~.~~.. '~:i, t l;ft" ~, "y,r)" fen I=nR r:-, !I 1/[ ~~ T $ 1;/5, ;J..(, VENDOR lOR SELLERSI SIGNATURE NOT REQUIRED ALLOWED BOARD OF COUNTY COMMISSIONEns DATE COMMISsrONHi DIST COMMISSIONEH OIST R.IUfn All Cop... 10 AudllOf. CHAIRMAN OF BOAfiD_.________ ,:; " ',/ :,- . "'.", '. ,,:" '" '..',... .'...,..:.. .',' ,..:,.":.:- ":: ';:," ,'. ." . ..", ." .,.. '. ", ," ,.' . '..,. ,':....>,. '.. '''':', ':, """ ',.' ':': :',', " ' . ",' ':',: :....::.. "."",:, " .,.-: 'I.:' ,".,..'. .,.. ".", . :. " :". .,...: '., '" ',' .." ,', , , - ,:,' ,';' '" ,j/-," ," , ........ ... ~.. ... . . ...... ;.< . , ., '...'" ",' ,"', :,' ,,', ' ",,', ," '."""",' ..,' '.' " <)': :, ,,,: , ," ", ' :".'.' ':' ':,' ,", .' " ,: ' .', "':' ' " ' , '" ,. .', " . , ',:" " ','" ' ..' :,."',". ",:, ',",,"::, '., ..,:. '. ,'".. ',.,' '. .. .,,' ..' ,,>., ,'."..,'.' ..,..< ",..,.,.' .' '. .'. ....,. ',:" ,.,' '."..',. ',. .' ", f '-" VOUCHER '-'" COUNTY OF JEFFERSON PORT TOWNSEND. WASHINGTON 98368 V 18588 '-- ' (!. ;), / /') /") Ii j / WARRANT NO. PURCHASED BY OFFICE OF COUNTY ROAD FUND AMOUNT AUTHORIZED DATE OCTOBER la, 1983 TO CARL'S BUILDING SUPPLY DR, /lr:. () /0<'::' S'T..r 33.31 ICe ACCOUNT TO UE CHAA'GEO OFFICE t-) ~i) - ADDRESS P.O. BOX 5'+8 ST. COUNTY OFFICE USE ONL V CERTIFICATION I, the undersigned do hereby certify under penally of perjury. Ihat tho materials have been furnished, the services rendered or the labor per- formed ilS described herein, and that the claim is a just, due and unpaid obligiltion against JelfersanAcou I;'V. and that I am authorized to authenti- cale and certify said claim. .. /1 V Signed - t.u~/ E:::r.. K';~ !title I CITY CHIMACUM STATE WA 98325 TEAMS NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED, AND MAILED TO COUNTY AUDITOR. COURT HOUSE. By DATE QUANTI TV OESCR IPTlON UNIT PRICE CRP 525 < ~ 0<', a ,cc "'~ nn '0 nn .3 '1"// TAX 1. 40 f ~. ,;"on 1 n" 01 an.. .,'<..J 10 00, t' 3:/7/ LESS 10% -1. 90 ~ IA}\ " ." 1" INVOICE~ 63176 5 211X41tX20' 19.43 ,': LUMBER .- "U , ^'U LU"DC.'" 'r^V '~.~~ r):tl7~C.' ,~< u, I~ ~~~~D' \9b.ll~ ";. ~~ . ".. ~ eno LESS10% -1.58 . Pt.'Y :NT '^ ! . ! ! C'!!J' k.:;>'; AMOUNT 19.40 ! u. " 0' " !" ." $ /.?.-j,-I-2.. VENDOR lOR SELLERSI SIGNATURE NOT REOUIRED t } d,,, ~' 1" ALLOWED BOAnD or COUNTY COMMISSIONEf~S COMMISSIONER DIST COMMISSIONER DIST DA TE A.tlun All Cop", to Aud'tOf. CtiAIRMAN or BOARD ",,' , '.,'".. ,"," ':", " ","." ,',.,,' '. "", ," " ",,' ' ',':.... ,,' '., ' ':,',: :" ",..,' ...' ", ...' ",:, '..'" '.' , ';' . ".. . ..,:,.::," , ,', ,....,'.., ' . ,'. :.. <.,. "Y,:,' : '...",'. ,."",..; ,. .:' ":.' :', '.,' , ,..'. ',,: .-.: ::.' :,'" ,.'" .. . .... ... ....... "; IIr... ,,'r;:::': ,--,,"" ....,; I VOUCHER COUNTY OF JEFFERSON -....,; 18590 J" 7 r ('I("l/'l / / PORT TOWNSEND, WASHINGTON 98368 WAHRANT NO. v PURCHASED BY ROAD FUND OFFICE OF COUNTY AMOUNT AUTHORIZED DATE OCTOBER 10, 1983 /.3~Q /,-,0 5"7,;:), yu~.;;- ID"'L OF ",.lIlc....!Iotl ACCOUN'r TO ur:: CHARGED / 01-' FICL: JOHNSON EQUIPMENT RENTALS INC. / TO OR. 'OUIl FIRM ....lolL / ADDRESS 3360 HWY. 20 ST. ;~Y OFFICE USE ONLY CERTIFICATION PORT TOWNSEND WA 98368 I, the undersigned d hereby cenily un~er penalty 01 perjury, Ihal I'~e CITY STATE materials have been furnished, the ser\llces rendered or tile labor per. formed as described heroin, and thai the claim is a just, due and unpaId obliyation against Jefferson CountY,and that 1 am authorized 10 authcnti- TERMS cate and cercily said cl8imA V . NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN Signed h a.k l.iZ~tltle) TRIPLICATE AND ITEMIZED. AND MAILED TO COUNTY AUDITOR, By COURT HOUSE, DATE QUANTITY DESCRIPTION UNIT AMOUNT PRICE INVOICE# 17711 PUMP AND HOSE RENTAL 503.54 ~~~~) I~~~~ ~~~ :::~;: ~:~T';~ 7~~'~ INVOICE# 17989 COMPRESSOR AND HOSE RENTAL 108.04 'u ~ u K~N AL I). I 112b. y~ ._- S:OR ~ PAYMENT $ ;.:J,,;J.('. <IS" ALLOWED VENDOR lOR SELLERS) SIGNATURE NOT REOUIRED BOARD OF COUNTY COMMISSIONHiS OAT[ COMMISSIONEB OIST COMMI$SIONEU OIST. C.1AmMAN OF BOAAO__ R.,urn All Cop'" 10 Auc1!1Of, ~ A ~,/': ,', :':".',:, ::: " I,' /I..',: ........' , '''', ' , ''''', ", i, '"" " " , ,', " . ~. ',;' " " '. ,', " ..',,'.. , ..,. '. '. ':' ' " , , ",,', ....: ,"', "," ,.' , '" ',' ' ," :' " ," . .,'. .', ',' ",' ., ,,', ','", ,,:": ...' ,.: '.'. .:,,:' , '.:"., ,': " ,.' , " .':,,:', ..,' " ">",.,, ' , ...., '~~ / , , ! ~~~!;.: ','. .--' :,S:-;-0'OcJ (J // VOUCHER COUNTY OF JEFFERSON PORT TOWNSEND, WASHINGTON 98368 -- 16215 WARRANT NO. PURCHASED BY OFFICE OF COUNTY ROAD FUND AMOUNT AUTHOR tZE 0 DATE SEPTEMBER 20, 1983 /3(.'-' /uc" ",,")'7'S ,-/c,3/ A.CCOUNT TO ElL: CHAI'l/,OEO TO SHOLD EXCAVATING INC. DR. ADDRESS P.O. BOX 1'+5 5T, COUNTY OFFICE USE ONLY CERTIFICATION I, the undersigned do hereby cenily under ptlllally 01 perjury. 111<11 ttltl materials have been furnished, the Sel\llCtlS rendered or the l<lbor per. formed as described herein, imd that thE: claim IS a just, due and unpaid obligatIOn against Jefferson County. and that I <un aulhorized to authenti. c:aleand certify said claim. // ~J J Signed ~~"'-/ [1 A c-r.------. hltle) APPROVED FOR By PAYI'IENT CITY HADLOCK STA TE WA 98339 TERMS NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED, AND MAILED TO COUNTY AUDITOR, COURT HOUSE. DATE QUANTITY OEseR IPTlON UNIT PRICE AMOUNT INV.# 26'+1 e /Yl C #,('" 10'1/ 70 YDS. SCREEN BED GRAVEL @9.00 AX 630.0 " . " 0/'. L' r ,,' ~' ~ $ ~ 79. 11 VENDOR (OR SELLERSI SIGNATURE NOT REOUIRED ALLOWED BOARD OF COUNTY COMMtSSIONE'~S PATE COMMISSIONER 015T _. COMMISSIONER DIST __ ~" p~', 'hlufn All Cop... tOAUlh1M. CHAIRMAN OF BOAf~O___ L; '.. .J;l: ,,: ,,:, . :".".",.. " " . '" . , ' :,' . ,'.' ,', ;"i,~.,: , ,", . , " . " , ': :.'. ...... , .,:, ., ;.,:(',: ,,' ': . ':', . '" ,:".:'.,,:, , ' ':. ", ' , " " , .'.'....',;" , ,', " " /'.. ,', , , . I I:' ..' 't ~'~. "'''':, , " '~ < <,.' <, ," <, '" ' < , '" : ,,<, .,',' : , t ", <'.' , . <, " " ,." , " , .' ~." . " : c' ":: " '"." -: ' '.' <,:,' " " " ,:',... ,: ':"" ,.' :'.',,', ," " :' , '., "'"""" ", " : , "", "" , ' , . .. .. '" " ,,', .'" '-:., ".,'., " '<", '.' ,': '" '" " " " ;: :;; :" , ",: .,' ',',q '.'. "., . '\:' :."., "'. (.' ,:! ..' .,', , ' <, ':' ,,\ , ..' ',: " ":' J J././. tJf_..~ PUReHASED BY OFFICE OF COUNTY VOUCHER COUNTY OF JEFFERSON PORT TOWNSEND. WASHINGTON 98368 WARRANT NO. 16220 ROAD FUND AMOUNT AUTHORIZED DATE SEPTEMBER 20, 1983 (""'L;.H """c""',LI /S00 /00 5.:.../::;;-: G V 3' / ACCOUN r lU tH~ C..AHGI~t.; TO PETERSEN BR~Y~7,~; :..,}NC, DB. ADDRESS 2008 EAST VALLEY HIGHWAY ST. COUNTY OFFICE USE ONL Y CER-TiFICAT10N I, the umhHslgned do herellycerti1v under penaltv of peljlJry, Ihat 1110 male. ials have In:en furni'Stled, tile services rendered or Ihe lauor per- formed ilS dtlscribed herein, and that the claim is a jllst, due i:lnd ullpaid obli\1atlon against.Jefferson CfJntv, and Ihill I am authOlized to authenti. cate and cerllfy s.lId cl.llm. k -) Signed -/"-. r-;. f.1" ((" ^,~,.,;,. hilhd I CITY SUMNER WA 98390 STATE TERMS NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED, AND MAILED TO COUNTY AUDITOR, COURT HOUSE. By DATE QUANTITY DESCRIPTION UNIT PRICE AMOUNT GONTRACT FOR SUPPLYING BEAM GUARD RAIL GUARD RAIL SUPPLIES PER CONTRACT APPROX~'~F. GUARD RAIL AND U ^ ll.D.WAR.&- 5 323.04 , . " $ S 73(',:<'/ VENDOR lOR SELLERS I SIGNATURE NOT REOUIRED ALLOWED BOARD OF COUNTY CQMMISSIONEHS DATE: COMMISSIONH~ D1ST COMMtSSIONUI OIST CUAIHMAN or UOAIlD __,..___ R.lu' n All Cop.., to Audl1Of. J~i=Fi-'~:..8!~ ;;)'.JNTY C:f'IGII\!:::E!':::. C';.'FfCE ,.': ','" ",; '" ,:",:.,', , " " '.. ' ' :,', ,':: :',": ," ;:', ,'" ,", ,,' ,', .,', :. ;,11'." '.'. .' ,.' . .:' . ',': ' '. '," , ,':., ,'. ,', , '".. , ", , '>' ',~, " , " " ',,',', . ,', ,', :,' , , I y. F j.\ -l lit!: ~".' r ~;;" ... " .:, " ;. e::,' , <"..., ''', ;', '",:' ': ,." ' ," ,':.' .,' :) ...'.' , ,.,.':,.." ",,',:',:,.. ' .. ,,' " ',..,' ,',', ,,' ',. ,,:.' , ., '" " , .,; : '. ',' ';'.;, '. "''',' ,'. .'... " ' . "". , ':' .',' ,,'. ... ,..'." .'..::, , ... '.",'. " , ,;'.' .., ',', "';' oj';;:: , , :. ,>' , ,. :, ..'< : :, .,' ';'.: '"" ..:,' , " ,:,. ',' :., ..:: ~ ../ - - VOUCHER COUNTY OF JEFFERSON PORT TOWNSEND, WASHINGTON 98368 18595 WARRANT NO. PURCHASED BY OFFICE OF COUNTY ROAD FUND AMOUNT AUTHORIZED DATE OCTOBER 10, 1983 TO HADLOCK BUILDING SUPPLY DR.. ADDRESS COUNTY OFFICE USE ONL V CERTIFICATION I, the undersigned do hereby certify under penalty of perjury. that the materials have been furnished, the services rendered or the labor per- formed as described herein, and that the claim is 8 juS1, due and unpaid obligation against Jefferson .Cou,tv. and thai I am authorized to authenti- cate and certIfy said claim. ~"". .-;) Signed Q Ae--- (title) ST, CITY STA TE TEAMS NOTICE-TO SECURE PAYMENT THIS FOAM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZEO. AND MAILED TO COUNTY AUDITOR, COURT HOUSE. / 8v DATE QUANTITY DESCRIPTION UNIT PRICE INVOICE# 113301 15 # DUPLEX NAILS #16 12.00 ,::ll'.....:> lAX .',j'+ INVOICE# 113297 158 SNAP TIE SHOES 197.50 ""...."" ~ KULL I t: WKlt: :.~~ ccc , n' IIf. p (;]..S TAX 15.82 ""dL '- ' "", ~~n ?"lfh"lf?n' IIM"CO ~~~.~~ 30 2"X4"X8' LUMBER 4 3.50 , OU^...O~. 1<="'" HU "'" 1..:> T'V ~~.U~ ::>'d6t'J . . ,. u . ~n"~~~'~ Tf;~~" ~ '"'' ~1~~9 ,~.~~ 8 # #12 BOX NAILS 4.80 mur'Lt:X NAI~:> 1''''' 1 n~, _h'~~ APC~~~f:fNrlD TAX 2.95 AMOUNT 1 Z. 9'+ 218.63 o 3 9? 40.73 $ CONTINUED VENDOR (OR SELLERS) SIGNATURE NOT REOUIRED (Jf/e- :t-t"/_=z. R ALLOWED BOARD OF COUNTY COMMISSIONERS DATE COMMISSION[H OISl. COMMISSIONEf~ OIST. R.tur" All COPI" to AudItor. CHAinMAN OF DOAR 0 ','r ::" , ' ., ,", ,'''', : 'I'~ ,<,.. ':, :,'" ,', -:.,:, '; " ,:" ," ',: ',': '.. ,'",' ',,', ,:>:,:', .,' r:'."::', '.,.'" .',' "",'.,. , ..,'" ,', ,..,', '", " ,..' .. ''''. '", .' . ".., "', "..,,:, , " ,....'.,.. ", '.. ....'.,',....,.,........"". '::;"'.. .,.:' . ".', " ." . . .,..' ',' ,.,... '", ...'." ',..'." . .' , ' ';' " " ,..;,.. " ,. " ., " . ...: "'" . ,< "-~,A.,...<>i!' ,., '''"'' VOUCHER ItitIJi COUNTY OF JEFFERSON PORT TOWNSEND, WASHINGTON 98368 18594 WARRANT NO. ROAD FUND AMOUNT AUTHORIZED DATE OCTOBER 10, 1983 (O"TI. or Pl,IRCHAlILI ACCOU!'4T TO liE CHARGEO HADLOCK BUILDING SUPPLY OR, ADDRESS P.O. BOX 395 HADLOCK ST, COUNTY OFFICE USE ONLY CERTIFICATION I, the undersigned do herebv cenify under penalty 01 perjury. that the materials have been furnished, the Mlrvices rendered or the labor per- formed as described herein, and that the claim is a just, due and unpaid obligation against Jefferson County. and that I am authorized to authenti. <2le.nd:::~:d"idCI'i4.z; tl R~ lIitle) STATE WA 98339 NOTICE-TO SECURE PAYMENT THIS FORM MUST BE MADE OUT IN TRIPLICATE AND ITEMIZED, AND MAILED TO COUNTY AUDITOR. COURT HOUSE. OATE QUANT ITV DESCRIPTION By UNIT AMOUNT PRICE TAX .14 1. 94 TAX .17 2.36 TAX .35 4.85 TAX .65 8.97 CRP 525 ~''t<'E''AK APEROYED_frOR . PAYMEN CONTINUED VENDOR lOR SELLERS) SIGNATURE NOT REOUIRED ~~ Al LOWE 0 BOARD OF COUNTY COMMISSIONHIS OA TE COMMISSIONEn OIST COMMISStONH~ OISl. CHAIRMAN OF BOARD Relu," All Cop... to Aud,tor. . ..,.. ~ . ' . ~ .... j .... t " . . . . , 1.1 . "" " " ,'".." .' " ..'". ',., " . " ,,'.,' '.>. ,'.',' '.... .."....' :" ',," , , .. .. . .'.. -'.'.,' ,,' ,,' ," ',' ..' ...,' :'/ ,'. ,'".. '" ,", . ..' .."... ... " '. ... " ",' ,"" ' .... . " " , ..,.>,,' ,,'...: ,'.. : .,: " . "., :,,', ,,:.,.: .... " ,.': " , ,.,,':.....' " ,,'>' ." " -: '.. " <:: '.: ,... ,'. ": :,".. ",;' '" ',' . ,,':, ,..,.... Jefferson County Department of Public Works PROJECT TITLE ,Pfl'!,/f.l;7",[.,- ,r:::::;/,/ PROJECT NO, ~;,,~ LOCATION fl'eA-' {)4/.t:': WORK PERFORMED BY ~#-'l7-'"," DESCRIPTION OF WORK /A.:::-T. J/L':'''f .c;'IP~'- '" ' " ,"', : ..,". " DAILY EXTRA WORK REPORT DATE PERFDRMED $E"{'r-I .. DATE OF REPORT ;nF.F (I ,.,,~\,:!~,.J "1 \)...,'\ $~J~ AMOUNT AUTH~e:l~~~ NO~ _ PREVIOUS EXPENDITURE $ _ TODAY $ _ TO DATE S CONTRACTOR JOB NO. CONTRACTOR REPORT NO. EQuip, No. Hourlv Ratl! Extend~d Amounrs Equipment Hours 7,'" 'C7e':rl .cr- 1_ ,n". 'j",'1J J :2... (.- "/-/'=1,-;",- I/O! 00 11 I I ~7'd I ~! I I '2.7- :5 vi i1",~',. -'I ')'l,,",'" S '), .. ~i ',:' ".(,.,.2~ ;::;// '". .Co '(1 i~- i;;" ~" .~, ',) d.. -',_'_ MATERIAL lind/or WORK done by specialists Oescrilllion ND. Unil Unit Cost I I TOTAL COST OF EOUIPMENT, MATERIALS ANC WOAK ~ .......... -.... : :--/'/D 2,') ''::'( / , I I , I i I : I I P.R. Hours Hourly No, L<lbor A:Jte _.~~ , " / k-::: .;... i? ~" k,/ k/(!<.. . ~.,( " ,/ ( ",II" - c/.." L "::;',,,-,,.,, .- ,dll.,.i i'f / / H..,~,;" ~ ,~ 1'1" ..,...., .T~.I...P -;)~,:, Ic,'r 'X":" L,'. r'" - ,,,," / .JJ) ---J,;';/.. /i)1 'It' P, Ii); If r / fA ,""g. 'Lf'~., I,":, I";? I..;~,",--I;J..:&.. ~~/~'l ~l~;;: /."":>/ -fJeg. ~.~ .#...;..;t '/5}'L/.,- ;.,~ Q.I.. 'f .~(~; * ~~.JS::; R... 8- Ie ' 7 7 -U;i-X -;;..' I<::.:Y;I/ flelJ. ~ o Ls::J. AW!i"'...<"- , Reg.:S /' I~~ O,T. S" /,,17;" Reo. ! suo TOTAL Auded PQrCltnlag~-(Sl!C Speci:J1 CO'lrlitlonsl / ..), /; : v. Subsistonco No._ ~ .z:,@$ Tra'lol El(pons,: No...L!.-Z:.....@$ /.} OthOf_ ) ) Extended Amounts I ;JI~'o ~(.,\l{'~;'. . ft.>?) r~ '? (t'rl~.; ':;.--r,I/c:.. ;;""7J,2....2. ') I' ,,'::7' I <::.l;t7;T ';I..I{,) i I I :'... !/t. J ~j (/lq<7 ': /V:"J<;' ( ~;': ,,:) I '. TOTAL COST OF LABOR A 13:~') I,~,;l 1'//1'1,1 i + _% ON LADOR COST (Al, + _% ON EOUIP.. MAT'l AND WORK COST (B) I TOTAL THIS REPORT II') ?~=) !"IC~ ~ OlSTRIBUTION: 1. Proj, Mqr. .....Cllicl.' Use Only 2. FlCld Office IPd~" eSI. no.~ J. F ill' I Chocked bv---1 Subrnitltd- Conllaclor rllH:omm"'''cJed_n.~, Ploi. Rell'l"uml.tl"'" Wd.y.Fi," Form 15.5 " : , ",,:,:,,:, '.' "':' ':.':,.;' , "'" ' ,'''' ,,,' .. ,'.", , ' , II.:. ,:",1,:, -;.., .' " ..', \ ',:. ": ", ': '.. . " ':,::':", 'I ",; .'. ". ~.: ',' :,:',,: ;..,,",,' ..,"', ',', '" ",i ,', :' . 'J., B , ,...< ",'; , . ' ' ,'::., "",.'.,. ,,: ":, ," , , " . ' " :' " ' . , "'" '," ,i' , ,'" ".".", ". .' '.', ,.' ," ',',' "i, ,,' .':'," '., ,'" ,:,'>" .' '.'. ,.'.. .,' ..' ' " ' " ..' ,,:' :;, .' .".. " ..",",, ,",' '_,', ..' " i, ',,< . :,'" '., "0;' .. ,"," :, -';<. "', , , :, > " , " '", ,.. ',..' :', ;., ,:.. .: : , "" ' ' ., .- i ~.., ,.', ~, Courty --. Jefferson '. Department ,f Public Works DAILY EXTRA WORK REPORT ---------- .. -_._--,"- --- ...-.-.--....---..---- --- :Ii\o/,) 04LI;' rj/ DATE PERFORMED 0,C/-l/...z REPORT NO. PROJECT TITLE "'" 7 - "',,) AMOUNT AUTHORIZED $ - P~OJECT NO, ,):J.. " LOCATION ',U<r...',O'/L'<,' h'/I/I/ec( DATE OF REPORT PREVIOUS EXPENDITURE $ ~ TODAY $- , WORK PEflFORMED BY ~-F,c;;.-,;; >c;.{J (lfJC( A.''l V 111"".11',/4-<'/ c.?-/-,'TZ TO DATE $-- I ' 1 CONTRACTOR JOB NO. DESCRIPTION OF WORK //1''<T--JLt. ,;., '1' h."~I< +- (l",(,<,,,,T CONTRACTOR BEPORT NO._ - Equip. Hourly Extended P.R. Hours Hourly Extended Equipment Hours Lobar Rate Arnounts No, Rnte Amounls No. 7.5 '?~<.'> ' /' ,~r :2\./ -L7"'IC"O ,'101 - .r?",!".., , 'J,~ ,.4.//;_1 <Ii,' p;r. 4:;',,",,(: . Iii ":::.. }~;!?,~ , lS: _<Z= ! 1 f'"C:<u'Td)> ,;-; (l j.~1 / -=7L Reg. '5" ~:~ '" I'I?,.,? 9~) /~ I~ I ~ , ,1-/0)" /'7.> 1",1'''' i - ,1.'/I,.,L , 9/~ AT. ~rtp:.; ,- W:!l,. (!'~ i lJ.') 1 : {( 14-i.k"'5' j::?4<<./- 0'~ "ea. P' ;~'j- ., /~_I <Y'_ ',~:2:lZ~J /:;' 1'/.:'1 I I Jj1"'; <" ;:r;'. J. ..' yy~ ,o..:r-: "j~~-; IDI7-7 0"();'.7J .11'1/'"; fl.U)..~;A' -~ -Oil"'''' 5. ~,'i./""/') 1 ;C;!/O. 41',.("f',M,;, ' ',/<f'FF 8 Reg. K 16 'pI/' 'Ci.,IS) <:" .....- '~II' r,";,J ,.,,7 I.". 3;1'3'1 l--- 0,// .t/,., .''.-0 ", 0=1'. v-' I" !.,'7 <;_(,1/( 4 I ( I .;> I Reg. 1 I I , ! , O.T, 1 I I ! Reg. I I - I I O.T. , I I I I i Rt!g. 1 : , MATERIAL andlor WORK done bV speci31ists 1 Description No. Unit Unit Cost - SUB TOTAL /, <),"/ J;;:.I) 1 ! Added Percuntage-\Stl8 Spacial Conditions) /'/,<' I{'V ? -;:(7 i0J - I I No..____ ..--@$ (' (- ")'-/1/.5 Subsist once 1 ! TraVEr! Expanse No.._@l$ il I' /..J.-r),\ / ::I :'i/ I I .~ I Othor_ , I TOTAL COST OF LADORI A "(I '7 7C7 it: .:' TOTAL COST OF eOUIPMENT, MATERIALS AND WORK ~ ~ Is fLI '? in ------- --- (AI 1 For Qflice Uso Onlv +- _% ON LABOR COST I DISTRIBUTION: 1. Proi. Mqr. ----r- 2. Flf.~td OlliclI Pd.one't.~ +- _% ON EOUIP" MAT'L AND WORK COST ISI I Subn,ilted-Cont r IIctor J. Fill! Checked bv TOTAL THIS REPORT 1/ ,/J l,f.-/ Rt'c,;-mmf'ndl.H1-Rt's. Prol. "epre'tclnt3ti...~ ""'V.Fisk Form ,5.5 , i'. '; "i ,'., "',',: ,', ,I':, ";,,,.,' .' ' . ,', ,..," / ....'. ','.;: '.' ' '..., ' , " . '. "., ", .' .' ,',"..' "}':'",' '" " ,:','",," "":' , " lii:.. -~ " , , '< ," ,,' :',' << ,,<" ,:,' "', , < .." ,'< , " >: " :,,':: ',":'.'" ':< :..... :: ,,< < ,,< Jefferson County Department of Public Works PROJECT TITLE J rQ 11 D?/,. Fi 1/ PROJECT NO,5';L ~ LOCATION I To'" !J4k ,T ~ pp. C, ,.f.; " ti,~.,}" c, r /' ) WORK PERFORMED BY 5..ej ,p (f"i'71f"~i- DESCRIPTION OF WORK I EQuip, No, Equipment Hours Hourly Ralt: Lj~ "-VI - <<...... J :'7-) I "5 I "5. I <G I I 2 ..-;.,., I ,,<< : , I I 1 I I 75 ..3 '165, Cq 7 fb("',;;'i.; j'. "/.- ,.;1. ;(>_,r.J ,:y. , " ,',j ~" Cb. 3" / ;--<;51, ;->-'-11.'1" 1.,....,..-1" Pw..~/ p ,'..... p~, l' f .''1 1 UlHp. <{.::- '\,3. 75 ~.5":'; ('f::":,-- MATERIAL and/or WORK done by spocialisu Oc,cription No, Unit Unil COB ... 1 , TOTAL COST OF eOUIPMENT, MATERIALS AND WORP< DISTRIBUTION: Submioed-COnlrlJCtOr nocommcrHJcd-R<<!I. P,oj, Aep'e,onf.t'\f' W,hV.Fi5k Form 15.!J ,,, Extended Amounts /?'0 -- J"-/!~ I __7r:? I/(? ~,/ 0::- :,:-,'/ ,+ : tl'!- : ! I ? -" ,....L/( / c" ....J-.) , 7(/ I ><;; 1. Proi. Mqr, 2. Field Ollil;l' 3. FJle , , ,'..,' ,', ,"" ' ", ' " .' ,,:' <' :.', ,', ',"", "',:' . ' , :. , ',: ',., 'ii, :", " "",, ",..' ;":'" ': :' DAILY EXTRA WORK REPORT "" ,-/ '< DATE PERFDnMED '1-'" - .." ~ DATE OF REPORT REPORT NO. AMOUNT AUTHORIZED $_ PREVIOUS EXPENOITURE $ ~ TODAY $_ TO DATE $ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. (j, .~, .,S" ~ - ~;' _.:..' P.R. No. HourlV Extended A.lte ArnounlS - ..1?'$O //0100 .. I - ;<{l"1;( ..2/03(" , I , , , I , I , I --Lilbor Hours r,~ ,v,S /VI e.. '/ .o?v- ;...(1' p.11 ~.. O.T, '" R.g, < C.T. ,""'1 Reg. C.T. '}_- -;z - .3 '6 tv\.o;' 'y ~, '-'-" Reg. D.T. Flo:g. z Irr l.::;;r) ") ~ /', 1/E:3 .j) ~C/. i5b P/,,' ,;" 1) '33 I' 1 I I I I :i:J5"l-3'?' 5,;;"O.=;-- ..-;;,;. \ \ D.T. Reg, e.T. 'l. Rcg, SUB TOTAL ! i i I , Addo:d Perconlagc-ISee Spucinl Conriitionsl /' /1' ~ / t . No.__@$ No.._@$ , : Subsistence Trilval Expense Othcr_ TOTAL COST OF LABonl A >- I 8 (A) (8) ,;"'7 '71V/ " ,/ ,:J 3'::'; '1'1 I I I (.,.. /.;;!y:;)' I for Qllice U\o Onl.,. Pd. en ell. nO.--1 Checked bY-----i + _% ON LABOR COST + _" ON eQUIP., MAT'L AND WORK COST TOTAL. THIS REPORT , ":".':': '; ;< I:' " ,<,' ;, ,,:'...',' , " " :","' <,' '<: "..;1,.... ,",'<", ,<"', ': ' .. '.. ,\ ".' ',' ,',:':, :.", < ',. ':, ',': ' :.' .." .", ," '';'' , ' , ", ,<',<, ',' " ,,", ' " , , '<'<"''':'':, ';,;;;,-,, " "~;.,, -,;'f:.'-"' .,;..' "-,' ,'. '-P':-.,; "', ',:.<::'::.::''';- , c"--;'; .:t.. ,-' '~.',i, ~.'''<;,.' r ";'.",",' , 1 ::" ~': Jefferson County Department of Public Worl~s PROJECT TiTlE I rd 11 tJ q [...(' P~OJECT NO,S 1.. . 5 LOCATION WORK PERFORMEO BY r/'P /2{' DESCRIPTION OF WORK .7(. K , .':/'.><,:(,"~ ,"';"; <;: ~ '-:"" ~ ':'.'fl' .';.;1:::,;...._,,<",:' ,';"-; .1.;,. . ", ;' ~ '-::';,;;:" I roYl (!'- (...; Co /.. ,', (,"'/1 V D</'- ......-:: -.-, j:J / n' ,,: ~ ~ ,1- 1"G1!(i1"",?-,. - Equip. No. Hours Hourly Aate EQuipment '15 C/',7'< C~.,...- /'3 O'/}5", P,c-i' ~ ~ Hr<lr"., iJ,,("~ 'fP 51. E:1)q-'I' "....s ~ ,; r" '''If ~0 C,r.:;::',,... .O"5''''_''C~, T. 1/3 .5d 0""1 p "1 :2. c "..( tV ~,., /J 17 ~ -;',--' () h ,.J ~~_ t"_" _..._ :1.."- 1) jy '"' 7' f ':; B'~ H.5 ",0, - /'/,..)- 1'7:'. /17..', ~- 91 - '''! I II /!'i - , I I I _? .3" P: ''1-'1: !(...,;;.q ^': r;::.qS.{ ;;::-;::Z':'< '---, I . "~, r!4J.1-jo :t. ~ _"::>":'''''''~ ~ I' .' ____.~ q., MA TEA IA L lInd/or WORK done bV specialisu Description No. Unit Unil COS! - (")",Qrr-y J{ , . '/('75. c{; '/'? I flV~r S"':~ .' S",J: / " .'/", - ,'. TOTAL COST OF eOUIPMENT. MATERIALS AND WORK DISTRIBUTION: Submi1 tl'd -Con tr ilClor Rltcommended_R"$. Proj R"ptt"\I!(lUtl.'r WiI.y.Fhlc Form 15.5 ~ .... I~ Extended Amounts <:',,! .' /</, .' 'I)! - /t;! ,/.:D' - ,1";~f- .' .;~',y...J-::' d ,~,.L - />,1 I :' '/l/ov Co ., .l'J !..il.... .'It s 1/'1/. '/(/ _~ :. r:! :') 2.1-- ,; !-- ! I ! ~ ~ .......... ...',', ' ,"',,/::;, >:':,:',;,,-,:'::"'.' '."-,", ,,,', ," ,-."-,;",, ';'~ ' : ' "(-, . .'" ':-.<"'; '-,: .~ ,,: ,:;:' -,:', :': -',,",',-,!;,,'=:' ~: '.' :'" " ';'. ~ ;.(':',: ;,,"',' :.::/, ',:':,':, I';. ~,'~: ~.~:':~, Hours Hourly Rate i I'" : ) I / i I ',.,:::":-:', , -,: ,~ "-'.::::,\:'\ ' ~ ',( ...., " ;;''''':;';,::,:, ," fr:T;- -S - Reg, - O;T. '. - Reg. '- - /0 l:-"-' /6 :77 /0 I.q.k: , I l~ /t.'<>~" .~ ,:' :, ,:.i,: r:":',<-,';,, , , ~ ,;-:': ,", .O.T. ~~- Reg,.s ..{.s- O,T, -:kr Reg. ..(" O.T. Ae!J~'--- O.T, .~ , -7(':>cH.: Ie ! 9"7 jU'Y:' ,',"":"':' ;,'.;, !\:,,:-;::':_'.n, .,';;,';: Reg, SUB TOTAL Added Perconrage-ISeo Special Conditions I /''//.. II j) J..N --" \" (':..: '." " ,'" " :,\"':"," :', ."," .:. , :,';."", ;':,,", ':.,'/,""; ::>;:-"f;':', " " i' ';--'-.;' ,,', 'y No.___@$ No.._@$ TOTAL COST OF LABOR I A >- I B (A) (B) 1.Proi. Mqr. '1. Field Olfico 3. File For OHice US" Only [Pd, Ofl C\1. no.--I ICnecked hv----4 t _% ON eOUIP., MAT'l AND WORK COST TOTAL THIS REPOAT ': ;,",,:,1 ,<"; -.':'~~', i: :"'. ::i;::>';';:::>,', ?:,,;::,,;,~:t ":':- ',.",:' "..,::'-', ;_.;'i " ",'-'.'~':' . , ." ';,} ,: , ~. :~~\: '..;':}; 1-'.' . '. "'->"'-" .r.: :,:r: DAILY EXTRA WORK REPORT REPDAT NO. AMOUNT AUTHORIZED $ PREVIOUS EXPENDITURE $ TODAY S TO DATE S I~ 0/-;'1"'7:'. ~~~~~:~~~: ~~~~~~ NO DI\T~ ~'RFORM~O y-I., -'7)3 DATE OF I1EPORT I:::: I/ed I" 4rJ ~.-'id ..:;." ,,::,: ' ,.'",',i,:': ' ., :" " :;, ,," ,',....:', ;,.., ",.:'":,,, ',,':,\ ',"', .. ':', ,';.. , '..' .. , P.R. No. Labor R<,.,..""r, /L(fen jel ^ ~,r-;- /'Yllf/;N. i/ic(j.J; f.(;', JJ ~5S d'i;1t ,,/ /-blf")ICJ/~. j,") ':";:' f.; 51:-:. .'~'l,/ .~/. L),., .:i l-F " ,j/ J ',-:' a:D0'1 '.)-;'711"'''' qc./(f;--m'l" j-- .13',! I 1/ ".;""", SubliUence Trovel ElI'ponso Oll1or_ t _% ON LABOR COST ',,', .;" :" ,.'" , Exlended Amounts f .7"00 ~? ly:J. 'Cf/i,;;:o .6'(, ,'p. '- Jj,iHi-!' Af.;;r ~i.f S;.?',fo , I 9-;'<$",;( ~:,'(.,! Ii'r. '/'/5:1:"7 -f2-t(;:-1 (:;8' ';'/:9-,03 "";-" I ,7'( : , , /Jt?~ 7.),/1(,9 ?(,;.,.,"~ l.:l~ , 'I. ' ',." ,: ,', " " ,.,'. ,',"..... " . ' ,', :,'. '" ~. ',,' . ..: ' '.; ',': ': " . '.' .'. .....,,', >', ',,"',',.' , .'" .."~."... . " ,,' "',.-' ',:..., ,," :,," ...' ',,',,' .,"" '...:,:' " :..,,:.. '.'" :' . ','. ; ,,':...,.. ..::......" ,: ' , ..' , < " ",." , ','...,..', .-, , ,...,., , "'h ;~~:, I', '.t~'" ,,,::.' ..';:'" ~,'-,' , ~ ~.' , /- Jefferson County Department of Public Works ".,.... : :., .' '. .. " ",' , , '" ''', ..., . ::. ". , .." ..' ,', ,... ',' , ' iif DAILY EXTRA WORK REPOnT \ PROJECT TITLE i 1"01/ DC( f -'J r; I f 0., ,1 _ '3 3' I DATE PERFORMED 7 / P~OJECT No.6'? '? LOCATION J rO/1 Oq I".: .. DATE OF REPORT WO_P-EftOORME~8"(. {l,;( I,'n 13,,(1C/4 f.' q tll-} fOo/I?'!? 's - Pi, r I" o7'TI- "'f",,;?ed 0,.,." y~(. OESaftfl!:l;:fO@FweRK rT:.{.:c;. (le- II: -;/ I"p,., Ver r. ('e "c;, - c! 1'<'1.</.. Equip, No, Equipment Hours '15 C/5'5 6? r- .3 ./ 5'3 7:.../?cy L,;<Jcl.;:,.. ,-'7' f7'~ I, : ,,: .,,-: ~>.,{,) fJ ~I<' Q. -:' ~"~' C~"5e - c.<i' T. ILl ~ 3 5"yd c,,, 4'(>, 9 ..... '71 :; i'd J] i.f~)lP ~j L/"' c;r'~ 5 d U'I'NP- -!it \/ 4'~ :3 vd [i",'lP "7<' V "::.2 ,>,d. j) <{ "',? Sf 10 '13 'S \<=1 J) ""'f.) 7 ~.. ..,,, ....., .1' Ti. ,,", ,~/ ,..'" P .:2. ..,. 1]""2::1 ~~'... 7'r'/j!, ..f;, "'I.Ph -.. ., ',).....,. '"-.,' . .1" lJ,r" P/d;PJ1 "'1.' ,;,p. -1.. l.-f '::"\- '-, ",.1 .',. \' MNfERtJtC-5n-d/or WORK do~4 bv Ipecialists Qf!!crlPtion -- No, Unil Unh Cost - /~- eM' r y,,,,t,,,p, .ct / '7':' 1 - HI'",-(JI~"; r.C-Kvp ~'1' 1/.5 O.<,~r;, t'<-I< 1{f7_ ~ 'II;' 1 0"&-,' , ~ '" , IP ~ 'Oh 1",' r PLr 11 11-'1- .5-:5 I ('r-- 7'7 ;;";:~T2t6sT OF fOUIPMENT, MATERIALS AN; WORK 1 -' I '101"- ()O - 15' ' -0' IO~ '/'1' 'i I " '7 I .. 01- 0""- 9'" I I I DISTRIBUTION: SubmItted -Con Ir.Clor Hl!com""...ndt!d_RI!\, Pro;, Rt:>pr..sC'ntlltlvlO W.r.....Fi.1c Form 15.5 Hourly A<l!e EXlended Amount'5 /:J n r::-=' POI_, .~ 'J' - '/~ I) I - V ;?I : -- '/;I! . '1.5 ,_ ;;~ e-.,l _._. . O)(J..;;.+;' :. I" . .?~~~y./ '.......r /I/!., '0.' " 1;'::;'.1.1d i \ "j; --!;-..~ :; ~': ~'C"O ~ ..-- ~ 1,Proj,Mt]r, 2, Flf!ld Office 3, File REpORT NO. AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE S _ TODAY $_ TO DATE S CONTRACTOR JOB NO. CONTRACTOR REPORT NO. Extend~d Aml.lu.oAsb ~ "':tno" :2 ..y:~ , $' I~,;: ,.,'q~g- "'7'5,2 7'-";? ')>X~t //-\' ~'!? ~7:i; {9!;'t.- ? l'lt. .t,):7b' ~.'"' ,:, C~,',C:+3' \;> '/ ?!Q.?- /)')t)17fVC= 1/()"',1-4'+'4,) /77 h/~T.,.+i;- ? r, 1 ?';1':?A...K' I p.R'1 No, /.'I<t.y.'" ~ I' L<ibor Hourly H'I';'f'. 1A't"""p, ......,..3 1/ ,'<!,c, ,Reg: -Z;'?- ;O.I!5~ ~~:"(!I~,-!., Ae". ~5" IL W'~ ~- 1-<=, <:; ) 0 :9 'f Reg. ~ J() t .."';' / ~1'-; *' I,,' I~rz - Reg. 'j'-r-~~.J~~ ,./ O,T, ~ 10 '-1'/ ...-"' Reg, ~.!t fc-' f72:: ..' O,T.::; le i"~l- - Reg. T Ie: !:5~ : <"~I "~I: ..:.' ..'...,:,:< .' ',',.". '" I, .. ,,', :'.'. '. ,;:..':, '".. " , '-':"" :'".", ,:' '.' .",':, : :'. ", ';.' ",',' .,..., :"" "', ':' ': ,',:'..,:'; " ','" ,',' , , ,'.. .'." ",: ..,...:: ",:. :",' """., :', ,....'," ", ., :' TOTAL COST OF LABOR I A >- I B For Of licit U,a Only I + _" ON LABOR COST (A) fPd,oll-=n,no-,~ .. _% ON EOUlP" MAT'LANDWORK COST (0) I Chec:kfld hY_~ TOTAL THIS REPORT I, ~/' /'7 :?;( W, {I ;em, II J';q " '1-", .;,.IC C; II e r/' jvl<:..<:.lor/' II ~>IY'r ~~, ACl,'uvl,,?<;'" ,J-eJ"( r1 -<; g: / I ,lle ,"'Irod 1_,'5k.:.. 7<,,/ k:> pf2 I)I,,'!; I-IO'!" , 1'-/ (.' .Jr' C . t}; c. /< Vt-/Sr:., L!... ~,,,,'d. K, \:c:..(:" , .7"';,7<'5 Pc";1 rq:o 'i{c,,-!t_7 _.:)" .:r::. -<~-~?__.~~ (1r-':/-Ic( ':" 7t/ ,~..J _ i' SUB TOTAL Addod PllrCOnI1l9t1-fSl!o Spocial Conrlitioml ,2/;-:., Subsistence Travol e.ponsll Olher_ Na,_@$ No.._@$ .', "i ','.. :' , ,",,", 1'11) !~L , ( 'I,J '7 :'.0, I I I I , ,,'~ .. : " . : ">,:";~!::;i,, :':":.." i~, ,; ,t ~'" ":',::.,"'_:,' '. (',.. .~. , .. ':'<:>:-,>:, 'f~' " ,; ",', ,...~ ,.;" '/' '. ";'." "':-'0 -',:'," ,.~ :. H'c.,', ,.:~ ,. " "';,'":,.i,: . ';i'.; ,~'~:!, ;:;:.~: I f~ CO,..; " ';."'.. " -:"':':"'."".' :<"/',',",2- :,;::";;;'~:'r',::~':':--,'~ i ,:'..; " .Fi\,:r "':,:::...,;J.' '. : <:",;.;; i:,",'_;:_' i',:',:':\'. ....,.. I>; ....T~,.:' \". ,:.",", ,;',\;,;_",:\,":i'" '-",'J>y,", :;,:...., \,-,:':; , .' :, :~';',: ,-:: , -C'-;"':..:/.:;<, ,",:: ,"''':'1 ';i.t:'~;-\:;:I"~' ;.,' .,.;'-:.,:' ::...., ') ":.:'~,~;:'..' " -,',i.:. ,'/.,'.:::, ;i'" ',::'{;'::C':'~~~:;:'.:: ,"'.I ',"":: ,.,,~.~\}; , ,~ ; ~',' ',::,:> ,.~ ,- ;~:"<:::;;";;"'-:':"<:"; ::..:i:~,,', ;,' ~\:~ ':': ;.;..':,0-...-;".:,'......, ~ "'"o'::,-'~i': """;::-'\<,:';::':: '>",',':;-::; .,,". '-:'::;' I',"'.',' '" -i) " :".::i,}"'l' >.,-:,:':i) :':'1': '"-,,;,.:,, '''.';-.' /,;'; '--,'i ,1':-.:.:;;-. '>---. '-'::';:''';: '. /t ';:::,:) ',,,...-.-'.,'i .." 'c '^"....'-...-'. :'.;.;',.,;;'.. I ' '., ~ ,'";, , F ~, -.. h_ .. .h .. .~ Jefferson County Department of Public Works DAI LV EX T RA WaR J( R E PORT .--'-- -'------.----.. --.--------- -.--. ------,-..-..- I t- o IJ D '1/"" /~, / / 9 - q'- <;.3 REPORT NO. PROJECT TITLE , DATE PERFORMED AMOUNT AUTHORIZED $ - PROJECT NO, 5 d. 5 LOCATION Iro?, 0 3.1 " DATE OF REPORT PREVIOUS EXPENDITURE $ - fd{! . jJ -"J)~.,.. C- . ~ TODAY $ - WOR K PERFORMED BY C 0 - .. Zh !,.(/';y " ~i5.' C,../'_,- TO DATE $ I.~.>.f- P-II-' 1.(1/. / - '-7;; CONTRACTOR JOB NO. DESCRIPTION OF WO RK I "'" /_/",1 57',...,,,, ;\1 I /e: '-.;:--. C. " ; ~, /.J X d~ ,- CONTRACTOR REPORT NO. EQuip, Equipment Hours Hourly Extcndt!d P.R. .. l:iJbor Hours Hourly Extended No. Rate Amounts No. Rilre AmounlS ~5 q,<'G - C .., /. J.f V //01- / frO! .- N "-<:-1 -a f'/ J4~ ,; ~/ ~ C>;f,~-:? 11- 1'1:-"-' 9/1..:/ i'J ?,o P... f:{ Cor/',~s C ..5 -G - G-p -r .. ff %iao /(- ,) ] - . 4fJ~ ,J; :;-'7 .- ... ~ ;., - Reg, I "29:' I~,!~.,.. :?<JI /t;, 3 ~i'~/}/,(').~ p;,,-t p, /1- \, Ii" .:fl ,.- L. " '72" </ O.+.- / '1 "" I 0 , ::-7: , '9'11 S'( 'f .511 .. / ;";'- :5 1- L-4 :~ C".;.~ I. e - l- I ')... / 175" .J I , - p : I ! " . 'V.? " "' , Reg. I '" '-;1 I c_l .:1. " 9'-(1/(. "i ,..,~/ J'":'"''wI ,.,. C ~o,!.:'.I~ P..cC I :L /175" .J 1 : - i-' ~ 'J /7l / '\ " v - O:T:" I" q(. : , ~ f{'-/I! (" '< ,"" ,., i '" <', ;r'~..r;~ q:l- C : I""r-"/" " .:f"J" .; ~ - iy ) ,] : , . L-.Jq2! .- 1"/.:;/-- //::. 7:, ;; Reg, / " /, ; ,,:' , .:lS" ';?;2.1 ;?d I<,,?of C C . It, 1- C'l';Jtf"r~;-c;"'. 2. I : C.T. I I C ::I Cf . Q t-,. " / " I I f) ,ill' ///)J t.~ Reg. I ,. ~ Ct , I I <:"0 q ~ C. ~. ,,,- I :2. ! , O,T. , ! ] ] Reg, I r I I a,T. ] ! 1 1 I ! Rt'tj. I I MATERIAL and/Ot WORK done by speciillists .:::;/I'()9- {/l/!"- '-_C- ~\qq~' Dllu;ription No, Unit Unit Cost -. un TOTAL , ! Added Percentilgo-fSlto Spacinl Conditions} ')/;', "" ,,' Z?~3 ) ~ I , No.___@$ .I) r. :::e 4 . i':l <~:.:.<;{;,.. Subsistonco i i TriJvol Expense NO.._@$ , ~ r " ) " ~..:i:Z:4.. I ] ~ I ]4- 7 Olher - I , OF LABOR I A /"7 /I ! YJ7 TOTAL COST TOTAL COST OF EOUIPMENT, MATERIALS I\ND WORK ><; )- I 8 //<;'1.:= . ON LABOR COST (A) I OISTR IBUrIQN' 1 Proi. Mqr. Fo, Ollic~ Usr. Onlv -" , Z, Fu'ld Office j~d.oncs,;v~ . ON EOUIP" MAT'L ANO WORK COST (8) I I, Submi llCOd - Con tractor Chccltt>d bv -" I 3. Fal! I TOTAL THIS REPORT } 1f..,-;IZf 1 noco",mttndlld_Aes, ProJ, R.pr"-IC'"Ut,v. Wilo'f.Fisk For," 15-5 , I , . I i ;? ,,',"<')' I,;, ': '.1; ;,; : i::/:i{),i:::,'i;,",;i!.;'i!j!i;' ),:i' 'iC,i:' I;, ", ....;';'(.. .r......,.......i\i\,,\..'.'........<:i ; '.' ...,...' ..:. " '". , , . r'-'" , I r "':,',:.'" , ',,', , " '': " "',,,',' " , , ,,',' ,,' """" ", ,',' ,,", " ',:, : " ..", ",,:,,' ,,',,"', ',"',,;: :,:,', " :: ",""""," '..,.',.. ,":",::',: " ',' ,', '::'<" :".',,', :,:: " ',,, "'" "', ..' :' , ), :.':' '..,',' .",,';' 'i,":,:' ': , ,,',', " " ",', ,'," ;"':' ': " ,'" ',', :. .,"".',:, " ' , , ',',' ,i ,,' '"", ',' ", ','".>,: ,i..: ",' ",'" " .. :,; '" " ", ' ," ',.: .:'" Jefferson County Department of Public Works .. , - F jf I r~~,:)'1 /?- PROJECT TITLE fro!! 0/)/,<2- I ' P~OJECT NO:!2'1.. ~ LOCATION -"..," - COy,S r WORK PERFORMEO BY d /1 l~'" DESCRIPTION OF WORK r: 'I ;"4"d. 1'. /.. (1___ I~ /I,olv- r ~,,-,. ',,', :..> " DAILY EXTRA WORK REPOHT 9 - 7-:: :5 AMOUNT AUTHROE:I~~~ NO,S _ PREVIOUS EXPENDITURE $ ~ TODAY $- TO DATE $ C i'!,lr'~-i . -....r.. ~~~~::~~~: ~~~~~~ NO. DATE PERFORMED DA TE OF REPORT c. ,.. e...v Equipment (3 ci 0.; ~ -r., <;'....r1 c.-. IVl-, I/:,pl i ;.: - C. ,,;;.. ..,- . j= c:: /'7",..., "'" ~ Lobor Equip. No. Hours Hourly Rate :.; "I": - ":i .. I !75' <: " I'/'.) , -, ~ <;,i.;!.5" bR /),? I .- 6- , & I C. I ! I I , I 75 61).. 4,1 3 1;1"", I C;,C" <:,0 r: ,', 7,5;; - C-'i'/' 6'17'4'~.;r-'" (!.41'1'/ A" C,I'.......... VI eo" .tr'. FO""-I'.,~." {';c..t"." CI, r. C.,C..'ln' -$'.,.. Cj:,.. C.O~dPI"_.s''''r. Cflr c.. f_ a.,.. C c,/, ." MATERIAL andlor wORK donI! bV specialists DlJseriPlion No. Unit Unit Cost - 7 G.-_..~. At ,,>j,i<..-v '1 ,./, vL:V~ 1 i -1 TOTAL COST OF ECUIPMENT, MATERIALS AND WOAK DISTRIBUTION: Submit ted-Con If ae tor ReeQmm~ndt'd.- A.., P,ol, R."''''''!''lat,..... w,r.y,Fi,k Form 15.5 EXlended Amounts 1(, u I - ,LI1 - 1'/' - "/'71 ? 'J~ i:'\ S;21 - \, , , i ! Iv';:' ',;Ie. , I I ~ ........... ~ P.A. No, Hours Hourly Rate 0,.1'. 'I? (: II '''10 Reg. :w.:; /<015"2... Q.,.T. /,;~. '? 10 '6'2- Reg. '.,1;: If Ie> :5-" D.l'. 'j ,.I 10 !3S- Reg. 1 D;T. I Reg. 1 I O.T. 1 Reg. I D.T. I Reg. ! J..i~tlr"" :73 J. , './i'r& I, 0 cJ.. , 7Of:i, II /v/cc..!-:<t-y /":<,1(_. 1.,I-'e,I.;/i: r-::t;l/'l 7q: . i.l) i'<! I/O ,"'\~-)/llc.llr (llfl' ';',,,, ,,' iYI//{!{.C SUB TOTAL Added Porcunlaoe-ISue Spacial Connitions) l/i'J /'l,V/-'1 //rt.;..':;" SubsiuoncQ No.~----Z:@$ i)//?.1 Travel EIlpom8 Other_ No.._@$ TOTAL COST OF LASORI A ~ I B (A) (Bl ,. P'oi. Mgr. ,. Fit'ln OHic, 3. File For Olliett UI" Only + _" ON LADDR COST IPd.onf!U,no:~ \Checl<ud hY~ + _" ON EQUIP.. MAT'L AND WORK COST TOTAL THIS REPORT ,.. ;' ',' '" ,:, :, '.. ~; ':':' ".., , ."'",', ,"",".., ",:", :'" ". :,~' '... '. .. . ,,". '.' , . ., .' . ';,' i. .<, ", ,/ " ': :" ,'" ", ,:' ',' '. .'.. .," ,. '..'.. .":< . .' '. '.. ,. ',. .". "......,.. ','.'... .,'.. Extended AmuunlS C;L?O 5?'/VG, , 9'11/0> .,nA/1O ;?'"/.I?'U t,(2L!L;9'_ . -?9iEe ,"7 i I 1 '1 ()~"1?)j' "1 /) L/irJ I 1::J.:~27 : , '7,.) ii!'7 '/'701.5 ) I , : llu.(' !t:? ':i. ,;/ ,~'i";_. " '" < .' .. ';'. ::' ': ' , ""'" ,: .:,j :'; , ' " ,.' ,....".' ,..,: .,' ".. " " ' ' "" " " '..,' "'.' ,'. ,,< ,,'...,' ,d. .' ,',..... ,.'.". ,'"" :' :: '.:' , , ' '," ,.... " .', ",-",' , "., , " ", . .. ',' .. ',::, .",..., ' ".', ':" ,,".- ,; '.,',>,' "<'..:' '..,.: .,,>' '.'>: .:.,'; , , "..": .:., -: ",,:; ': ,':' ,C, .' : :"" :", , ,"", ,:' :.:' ,: .' ',' :': . ': -,",: :': " Jefferson. County ..t PROJECT TITLE / r 0 h () 't (of" P~OJECT NO t;'1..5 LOCATION WORK PERFORMED BY rF..e.f{!. DESCRIPTiON OF WORK P., T Department of Public Worl<s _..._.---_._~. . --.----.... ..__._.~---_._._.- -f';. / ( /fo-l1 f)q/6>. <!<>- fJ .''f}.-t/. W-"''''- I') l(.jP ~~ I DATE PERFORMEO IJATE OF HEPORT DAILY EXTRA WORI< R~PORT 1f. 7, - /3 - '2?"s AMOUNT AUTB~E:I~~~ NO;. ~ PREVIOUS EXPENOITURE $ _ TOOAY $ TO OATE $ CONTRACTOR JOB NO, CONTRACTOR REPORT NO. ?J<.P' '. p,/ (-,' " l~',' II c.o "t > r - e. V'-{! ___ . 0;,./ e..(, / vc..- r EQ'Jip. Equipment Hours Hourlv Extended P,R, Lobor Hours Hourlv E .1tndcd No. Race Amounts No, RatD Amounu '13 : t "I D"tLA,J II V' Cil/ "AI'- ,~' O,T, ,j .' I~ !9'D' t./"7I-:s17 t;r.- {i Yd ( , J/ ./ '01- '?7!. v\ .. ..cJ(: C JqH"~ Reg. .q~ o !6?- 'X"LjllC, 7:3 >vd (/ .J--II, .. r;1 S 4--97-' O.T, ,~ .... ~ 11.Q,11 "IyTs'l 37 fyJ ( {"1./ 01 J 1")'- dah,/sDI/ T II 11'1, Reg. '0.... It> l?r ;r ~ 13,;l. 7.3 "tyJ. ( r I ~ v' en__ /171.- O,T, 3 'j '3 : '17> (/),/15'/ I I }..J.o 'i/ -€. - Flwd. Reg, ~,- 0 '16"~ -" / ':;;'&' T I 0.1'5" ~- I~ ';:...:> '-I:if3'T: VO T I L /,<;1( e. 'TO/IV Rog. ~ -::; 10 15"7 X'YlSb ! I O.T, S .{; / (, 1(8 901-10 I . I Uess ~7Mr; , Reg. ~ v',/ /0 109 ,f(,13"::>, I I O.T, T " ' I I I Reg. ! I MATERIAL andlor WORK don. by Igoc13111tl Delcrlption No. Unit UnIt COlt ~' -r VI u " . ./ U oS' ". I () i.) 0"4,.1"/ ([I/>C"/( J qt, :J., '1)1 //(. " ' l./c'71~/ .2 I I Addod Porcontoge-ISee Spaciel Conditlonsl "I' SUB TOTAL flu}) I ';"7')':"',1- I? '/ 10 '" -- ':f;vl.,'-+7c?:-t:-fo, .l"-')~ Sub.ruonel Trollol Eltponle Olhof_ No._QS .') I~- No.._@$ ;) r 4lJ I(~r.~ Submlllod-Conlrnlor O,STRIBUTION: 1. Prol, Mgr. 2. Flold Olfice 3. Fill For Offico Un Only Pd. on Olt. no.~ Chocked bv----l TOTAL COST OF LABORI A ~,(~,?i/ 0 >- T B In / /r;--!7J, t _" ON LABOR COST (A) i t_"ONEOUIP"MAT'LANDWORKCOST (B) I ; TOTAL THIS REPORT ,1,1 II /il/, TOTAL COST OF eQUIPMENT, MATERIALS AND WORK i ~ ........- .......... nocomm_ndcd-Rel. Proi. At()ffSenmiyt Wil..,..fll.k Form 15.8 , < ,:" " . .,' ':', ,''; , " , ..,',': .,'-"...::, , ':", '''- """ , "," '.' ". ., ...' .:.,..' ',...,... ,,' ',.. " ':- ,',:,"":':'.',,', ,''': ': ',', ',:, , ,," " '. " .,", ".,.. ,.' " ,',' ":'," " ..' '.. ," '" , ' '" '::::. ',., : " , :,' " , ' ',,',' ..' " ....., .j, ~/ "', ' " ',' '~' '::, ' , , ',,'. ',,",' ..', " ..., ';, ,',,', :;, ,.'" ,', "",' ,', ,.' " ",.,'"... " ,,' "" :',... ','..'" ." '",.' '" ' ".., ':', ',,' I...... .." ,..' :: ..', " " '" ' ; ,', '.... , ", :' ":,, 'e,.. "" ;..' ':: ' " ... ' '..,,', " ''', '.., ,,',' :, '".."."'..' " ,"".., ,: , ....' . ',' " ::~ ',. , ,,' .,,' ..." ,....',',,'. , ",," I;" t-.~ ......... Jefferson County Department of Public Works PROJECTTITLE ! frO 1'/ Di(fe. n If DATe PERFORMED 9-/3- <63 PRDJECT No61. tj LOCATION I r 0 'I Dq/e, DATe OF REPORT WORK PERFORMED BY rJ< {2-1? Co - 1..1 '",4 '1/' v ~ p<.- Co '1'7 r - Gre..v' DESCRIPTIONOFWDRK PIaC!..c.d ,(f,lfl ((,1/:1 .8~/~ /.i.l1d,;; o+' c."lv.....r f'tlr/r/ +;(1 r~ c.~, , J. ... DAILY EXTRA WORK REPORT REPORT NO. --r AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE S _ TODAV S_ TO DATE S CONTRACTOR JOB NO. CONTRACTOR REPORT NO, EQuip. Equipment Hours Hourly (!x1cndcd P.R. Lobor Hours Hourly No. Ratll Amuunts No, nalc 7'j '1-:>5 c'"r- )~ l/,f'oi=:= - 17 ~/C .- O.T. .s- 'I () (\"..R 9f{'t) /3 - C"Sf? S ?:i.jP{/'./?4>.-J~ I "J... 75' .." r)l.lcl- - 11t.r:../.. -a,.'/' fie, I. Y I~, Rog. <;{ If I 'Ill If..,~ 'r.s'c) - ~Je. f3rd/!o<:. Nd:.,., I '2 . "':fIc)O S'C!t)1 ." O.T. '-/ . jh IS b 1"9,'''; W"c.{: <I' pc,c:.k." . t:, "/1"/.' 1 :?1 57) FO'OJ 1,,1 b r< a c./( Reg. cr: ..~ II 100. (Jlf- w~c.k,~ P.,c/( e,. .; ?-./ ';>CI " 11..-/(=' ..' O,T. '-I' )$ 17 'is f, 14'0 L:CJ9du- . }Jo "'5.,f,. (,~ ",'(,:.:1 -' I.;JO' .- LOpe"'?'"NI j.) e".!.o Reg. 'B" '. 10 15~ 'i:, 53 7'z ,.. e.,x. /.O<;d-l!... &, - ?'~I - /7Q' - O.T. Lj , }iP ISo l' 3 I.G,...~/lty,.,.s F'.'c<:'f " /J " 117.) ..?:J '75 13:/f 1+0 'vor~d, R,g. 'fr ~ II lbo '\': '?I C;..e,..v Pre!:", '/~./ I ! 7;; ',I 'en O.T, 'I J5 I~ ~~:> I I II/Or u/o 70"'/ ' Reg. ''I': ) /) 1A-~~ I I O,T. I I I I .' I 'g, MATERIAL and/or WORK dono by speciollsu Desc:rlplion No. Unit Unit COlt ... I Addod PorcanlilQc-ISco SpoeiDI Conditions) SUB TOTAL /)/1/, //wi) ! I I I I Subsl510nco Travel Expenso Othcr_ No.___~$ rJ or-: NO,_til$ /) I I'i ,) ,) TOTAL COST OF LABORI A >- I B (Al (8) TOTAL COST OF EOUIPMENT. MATERIALS AND WORK ~ ..-/ .......... OISTnIUUTION, ~:or Ofll~~~.:0t' Only .. _% ON LADOR COST Pd. on eu. no. Chocked by + -'Go ON EOUIP" MAT'L ANO WORK COST I TOTAL THIS REPORT ~ /.... ), 1'1_:':: S",bmilluJ- ControlClor 1. Prol.Ml)f. 2. Fiold OffiCI! J. Fllo Roeo"""",..dccl-Ru, PrOj, Atprfuntl1ilo' WiI,V'.FI,1( Form 15.5 Extended Amounts Y")!'S7':l CJ/!7D r'.r, 100 Y"t" I DO (..311:2 xVV?' ('J 'no 9:?l..0o ('7 l(.Ji? Y",2',\"O I I I 1./-'5';:/10 :/ o,\" 1.3c "':'/21'?0 :<;'/:X'Z I 1/(:' 10 Ie,!, 11 I/) :,...,- I I I::' , , ,'" <, ".. '.. ." ...'<..,' . '., ...' ...,...' ." '..'. , ,"'..",.', '.', ' ',.,.:'..' :', " ..' " ....','..... ,"':" ...'\ " ,,',' " ". \..,' "'I ",,: ....,,',' ,", '"' ' " ' ' , . ' ':. , .. .', ....,' , .:,', '," .. , .' " "/:i ,"" .. 1.. i:', - , ,."., .' ".. .' ,'" t,' '. , ,". "."'," , . ",,'. , ,'...,," " ';'.:' '.'.... . ,,',;' ':< . :'.i'," " '" " '. .,', ..::, '. . ",. ,','-,." ", .. ",' ,'. ::.).:.'..'. ',:, "..: " " "", :". ' '. ',' ,.':' , . ",:. ,:'" . .......' .' . ,'.'" ,',' ' "" ',.', ',":, " '.' ,", ,'" . :' ", ,.: " ': :.' ',".'" " "... ,,' ':, , , .,', " .'. " : , -... Jefferson County Department of Public Works DAILY EXTRA WORK REPORT REPORT NO. ."-I~ AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE S _ TOOAY $_ TO DATE $ CONTRACTOR JOB NO. ~pNTRACTOR REPORT NO. / '"',' PROJECT TITLE J YO ",,~ 0=- I- P~OJECTNO,5?-::; LOCATION )/'''''' LJ<. /02 WORK PERFORMED BY ~ ff, CD -)/, <5 /, "./<J Y t::;2-~ r 9-)?--"c;::: DATE PERFORMED DA TE OF REPORT C& -'/ST _ c:..,.E:::: ~~' :"1;',,;7,4'''' 1_:/"::.1 c.;' c.:. I: ../0;-." - s,......." I .::;:.. (t..:. .~.'... ...:... '( J .'r.. DESCRIPTION OFWORK f?,T'(!.:P 1<1? ell .vesr 5': de" C'{2c~-~"~ r..,{I.,,04.. ~'J ..';'/ /(.'"J'I,~.rIU. ut..._.r.l-_'-. I Extended AmountS Hourly Rate P.R. No. Extended Amounts Hourly Rate Hours Equip. No. Labor Hours Equipment I I A.g. ""i 1--;i)I~::::1, XL/!/&, , .- 0+. 3- '0' ~ / IL/7 Reg. <;" ~- -/,:; lop '1. <::: ~ 13 :;.. J;>;f. -../ /::; :';: 7 !>,L/15Z. n.,;, /" P5 I',") I<i" ':(0 O.T, I ,~. I , I b V:/ A.g. .. .'. I;) '. .yc.. 13.). 0... '. ,:-.' 9Col9 A.g. -. , _ 1.8 ':;,:>",3t Ir,...~-'Y,,- - -;"'1"''';. O,T. ."/ ,.:,,' 148' 31 !<;7~ Rr.g, .':J-' /!, 1~..-2... 7Yvt, ._!....:..,'..;;.i. !\'~.... .-/'..! /;,-,.' ~~/VrG:. ._...._--:::7':;u:.:-~6+r~:'- /:-i'!J!~~.. Add.d P""",...-15.. 5p.c;.1 Cond;"on.1 ,-I,J .,,,, ? (; II If - Subslstenco No.__@$ ". r / :) 7:I-/tr. -- r"voIExpon.. No,_@$ ....,. "';-' -;10::3'1.. I -?:;l!" ')--) ~7..:;A.. -1(,1 7"0' - 7(:.,)1 -- /ql :;<._ c,;'D' I I I I : ,.q~ .. ~ ,./ p (/;;.'1' (l- ~ cK. [; l< ,:.t~ /;-0 '-(..ci..- f)~(,J: 0 f_'..._/- 1'1;<.,':f// trc<ci:: D~,'",,,p :r;:::.,.!c.:.:" 1'-13 5yd, 6'~d ::5c~{ ~'.4 ,~~.J. 01 .. =! .' 01,' 01 .. .,t ....... . . :,. l;.:; ~,'~ . J);.cJ.. .,,(//)15-"-'- ~;f';"I' .. I- :;/\ -'- /'~. __,,~-,;_:~;_:,,"~L":F.'- '/:5 '13 73 :n 7!,. 'il ?, ,+- -> .' ,,/ ~I ./ Ie ~ ,. l, I ; c:; 1 -- C; I-- IllS' . 'I .6'.~ d z; ~(..: I'" -(/... ltc /., e,r~.....' ,~ ..:.....~ {.-' /;.2.. _:.' ._ /' "'" ,...,. -," 5v" \j" ...., :: .... .- MA TERIAL nnd/or WORK done by spec;3lisn Dltscription No. Unit Unit Cost ... Gq ,;;"t- '" !(... c ( \')0 f:-_.~ "lO' 41' I, 7 Pi T ;:'>'-'1'. 1\0 j.{'4,.,i-s J (;0 t"~ I' -..7 .-- ") .4';;-'1 -:0' J'r I.-:...J'"'< I I / I 1 I ! ~ .-/' ~ Othar_ TOTAL COST OF LABOR I A >- .\ B t _'" ON LABOR COST (A) t _",ON eOUIP., MAT'LANOWORK COST (B) I 1 I 6-11(;, '....D 1 I/'/" I/o TOTAL COST OF EQUIPMENT, MATERIALS AND WORK r For Olllee US!! Only Pd.onl!H~~ Chucked bY~ 1. Proj.Mc;r. ,. Field Offico J. File QISTRIBUTlON: Submilted -Contractor 7? '/1.t.:O TOTAL THIS nEPORT Rl.'com",ended-Rl". PrOj. flctprItSt'nt,SII.." Wirev.Fi.k Form 15.5 ;::;' (,; ',i', ..".',,; .,' , '<.,:', ' . .'". '. ',. iY:;: '..... ',. ,.'. .,. ..,." ." ,," ' :,.... ..': ";'" ,:' '. "", '... ...,'''' , :,.':" ',".", '''', ','.: ' . " :', '. "'.'" ::. '.'.' ' ,;",' '" ",' ,', " , '," .. . ''',:' ' '.'r '. ' " '.".' ',',,','.,' , " .,' " .. ,:' ;,:, , , '",..' ',' ":, ,".,: " " " "":" " ' "" .' ':' '." " .:, .,', " , ,: ','" I ...,..., Jefferson County Department of Public Works PROJECT TITLE I r" i () '(I '" 1::- (. PF\OJECTNO.,<;:(S LOCATION /;-Or; O'ql.:>. WORK PERFORMED BY r",'12IJ .C!-c - jJ ".,u:",....;- DESCRIPTION OF WORK fy T \ '1 r-. II (;r.::. RI'? f?ct PO", j .- ~,' I .";' ~ /! Equip. No. Equipment Hours Hourly Rate '?1 LIO! ~ 'I 7' ?nl..' ..;- pol- IO 1/51 t) 0 -a;. th100 R II .':Jrl~0 ~, '. '117...$. I / I !7'>' 1/ I I'IS' /) LI'~L .~ -_.- u.. I '5 / <:-;'55" - c.! 1 'c.:~ , l.Jr.t''''f"l A,~..,.-J .-';_ ::.../,.) t l :f,~ /{,,;; f /..!..t~ ~.r L ..._..-:,. ..- '-I_~r.) C;5 ~ ;3L~c:, ~'j.,.j c.~,S:-" ~::;lt....~,-,r ,,~ 4'1/-.. :2.4 l.~~?c f/,:.. .....11", .....r....: ,.. '3 )'-,-/' ~ i;' to /.~I.... "!// .::; ~ ~. r. '-.~ . ,/ .... "'_-.' /1 ~/:;'l c,.~},~ ~J [/;'I-l,.: '. :::;;: ~. .' r.), MATER IAL Qnd/ot WORK done by spec:iOllisu Dl!~cri"ljOrt No. Unit Unit Co<;t - I 1 1 I TOTAL COST OF EOUIPMENT. MATERIALS AND WORK OISTRIOUTrON: 1, Proi.Mljr, 2. Field OfficI 3, File S",bmitled-Conlr;lclor nf?COrTl",~'nl1f?r1_n,.s Pro,. 'h.prl'$(.nIDt'...~ WiI..,..Fidl' Form 15,S " ,,' ,,',~ ." ""'. < " ',:: "",.,..'. . , DAILY EXTRA WORK REPORT REPORT NO. 1:- DATE PERFORMED 7' ~ /:::z. - '5~.~"":1 AMOUNT AUTHORIZED S_ DATE OF REPORT PREVIOUS EXPENDITURE S _ TODAY $ _ TO O~T.E :21//::,')' $ ;.:..q:;:;- .5. d 0:... c~ I- C-,.."", ~....:.:' Ifjlp.::r~ ~~7/CbNTAACTOR JOB NO, rio. '~l (I C :,,/ .,....'. c" e."".. _. 7.> I ;J' ,;. ~ . _..:. ~. C::.?r:'TE:!.ACTOR AEPORT NO, TOTAL COST OF LABonl A 1(,' <: GJ'i?{p >- I B-- h::> "ko I I : I TOTAL THIS RE:POnT 'j f/9'rr!')"{p , ,~ . . '.' ' , ' ",' " '. . , " , "'. ,'.,. " ":', " " . ,'.,' '",'",," ,,:": " . ''':,.'''' ,:, ..': ,,:" ',:', ',i ',:, " :.".... ), '., .. , ," .... ,: , " ',,:' ".',:' -.: '> .".',': .-, ,,'. ".. , f) ';'~"" ,.- C~.,;; r Cr'<::. <..- Extended Amounts P,A. No, - Labor Hours Hourly ROlle C.T, .5 11 '10 Reg, ~ II I '7,- C,T. ,3 ;:5 i/"""'? Reg, < i 1 ,.-~ I~ D.T. .., I(.;~.J Reg, .~ ,- I Ice D.T, '3 , 1.-:' I;' .:.. Rp.g, ~ , I I .. O.T, ~ " t,--::", rlc9. :sil' I, I .. O,T, I ~ RClJ;-- ~;70! ..' '1- N ~..c...I',,!..i- / L.. -', r I (~/OI -- IcY) I ..-' '/.<;'0 '..- .. '70 I -- , ,/ I ("",() l ,~.- 1';'- V c;.l )5 IG '.JS dOl ,.,,_.o-' 1 , I~h /' ,<..I I~' .."'F j,j'~ .Lf.~.:/;',.'~ i-...;. - f. r"r 'f" i '.. -,7+-' ^ . /''''f~"_ ! , I 1 SUB TOTAL I '/f/ h " h /0;;,1 Added PllrCenlQ9U-ISee Special Condilionsl Subsistence Travol Exponse Other_ NO.___._ltil$ ~ r NO.,_@$ I~ T (-1,,) ><- For Qlficft USlI 0111'1 IPd, on ~,t. no,~ Chock"d bV~ + _% ON LABOR COST + _% ON EQUIP" MAT'L AND WORK COST ,,' ,,', :',' " ,( ", ,," ",..."',:,:, ',."" , ' ',. , '''" ,', " ..' ' " - , ' Excendtod Amounts L;'/I:;O C; 1',;(0 ''''It) ')Co ~,?i90 "1;''>'0 9l 00 ll?i~L/- 'S?-/i/c, Llqjsz> 576" !t?O I 43'I-:n. .L~i...Hi. -'H0..-~ ?'-I'/,'Ol- ')4:0"/ - 1 (A) (B) '.. ',.'. , ':' , ' " " ,.' " " , " , ' ',... ;.", ," " '.."'".:,:,,. "; " " ..' \ ,,' , : " :; ,'.' ". .', '," ,', ' ,,', , .':'", ,. ; ',: ,'..' " ","::'. ," , .,' '" ,,' '::,.' :,/.'. "'::"'" " ,::. '.' ," ,..,. ' ' ,';:.:'., ' , , ' ,:" ',:' "':' :' r ~." r-- Jefferson County Department of Public Works PROJEC', TITLE , 1 t II {.;.,' I, PROJECT No.G"10 LOCATION WORK PERFORMEO BY J." .{',C . DESCRIPTION OF WORK fJ.<I.::.~J (7 c.... . {". ",..i;:, . .<: ".". " , ", OAT" renFonM"O (-1,- J '/ - 'C3 DATE OF REPORT DAILY EXTRA WORK REPORT C / I I ) I du 0,; Ie .. c. 0 - ;J.. "'} t Lv 'l t - per' I - ,/ , o/!) , ., ,/ 1 {\ -I"" ... ~ . b: /'/. ;...1/,",6/- c.... l"" CO'l$r- 0.1".1<./. AEPOAT NO. AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE $ _ TODAY $ TO DATE $ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. Equip, No. Hourly Rute Equipment Hours 17(;' C/.('" - c..., r- 18fll''';"''' i/1'tJl3 c.,s~ j'..~;"'J4r. /,.;'I~jl. p',~,., I f'::()13C.9,~~ Bqc:.J: f{", ,11d:;,. 1"'1...~ VV?U(... (l.cJ::'"", /.II? L{o~d,'" ("''';o../'' .-53 ~r'<.--", ;v/'r.j.-'I'o. ..J ;:-:',. ",.'Il-, ,-", (.Jl lIt"'; I -{ C j.- <- .V - Pl' t"./~ 't p. .?..'j lll'1 ',1/ ~':..'. C'II'''' -" I~ / J /() ./ ',101 - J';.. L;5!()O p..." LIS 100 J!J....../ J61 (, / ,:>,01 '" ,?Ol - , I oJ.. , / 17.:; I ~ 1 17,)' Ii., II/,S" I I I I MATERIAL andlor WOR K done bV spccl;:alists Description No. Unit Unit Cost , I 1 I TOTAL COST OF EOUIPMENT, MATERIALS AND WORK DISTRIBUTION: !)u bml11cd -Con I r.Clor Recommonded-Fl.e" P,oj. RCP'C~tnUljvt' Wiloy.Fill( Form HHi ..,.>,.'..' '. ..' r. J-''t / . q {', II Extended ^mounts l/c'oF- 5(/0! .. 5'-/1)1- :.,"- ?~/() I -" /,., () I _ / Jell .. ..J /' .. ,) I' ... ,; I' .. I I I P.A. No. Hourly Rate L;:abor Hours O.T, '/ A.g. q; O.T, Reg. O,T. 11'10 "1/ I~" " II, i5'0 / 1/ :Il<') - /~ :;;'0 ,,' II I PO 1';1 13(),,~, /0 :c~o 1-'':; . (11 u. /a/"v L/~., rY /'J. F"'o ,,//7"4)11 Ifoc.t..v r3 ;(1 f./.o w<}.I'ci Reg, O,T. /. AoO, '"' a,T, Reg, O.T. Reg. Mote.l/o 70/iII ~~L,~~/ SUO TOTAL t..--. Addlld PcrccntaGc-IScc Special Conditions) old /" r I Subsistenco No._._.._(~$ /i,-j' I Travol Expanso No.._i!il$ (.l.1 r)J;J I I ! ~ ./" OthOf_ TOTAL COST OF LADOA ........ >- 1, Prol. MI)', 2. Field Office 3. Filo ~or OlliC~.?-Q~--t .. _~ ON LADOR COST \~~~~~r~'~yn~ + _% ON EQUIP" MAT'L AND WORK COST Extended Amounts f-J I '/0 '11 1;;1 0 /"'C:oI()O 77.00 [,(,QO ?Ii '00 (1.10/'/ ;<.? '6"0 ! I 1 I 1 I :(~) Ol(}l> /t..?ioo 1";,) I "IF (-II :9<1 I A !?J:l, lc!1 B ,-)I () .j.'::dr:O ; I i "\'So TOTAL THIS A,POAT :y71/...'!,/7 (A) (B) ......\\:. ,i,", \':' ;/..:"..C:.:\'",::'. '.v' ,>": ,'.: ;'..,: <,' :,', "",,', ...", .' :'" "" ,",' ,"",'" ,,:" ',,,,',.., 'i:' .':. :::, ':, '" , .... ;, ' .. ..",' , ',' .. '.. " , ; ," " ' ,1i) I: " .. , , ,'. ',',' ,. ;.' '..:,-".' : ',' " , . ,,:,>::',..t~.;:l~/'~: ',.. ' , ",,: " ' '..." ,..': ::' " ":.',,', , .' ".'., ." '.,.' , ' , '" .' . ".-,: r ,,c'.,., ,: " ", ':'. " .',..."'. . '>,' '...,. ':" .. .. .', " .' .,.': ,.,., ", ; '. " "', - "', .. ,,:', , , :',:'" ' ;.: '.' , ' ,,'.", .... ':' : , ' , ':,..,"",.. ,',' ""'" I ."'.:....' .."",', " :',:.'.., ":", ."'.. . .',', ...',' ,.' " ! ., , "'" ' ' :,":" ,", ':.. '. , ',' ", '....:..' .'.' ',' "',',,', .',. "', ~' ',,' ."," " ,....".:.: ' :. . ,,': : ',' .' " "'~" Jefferson County ": - . . , Department, of Public Works DAILY EXTRA WORK REPORT ..'".-... ~ -. ~.-- ..-. -.--.-.. - - PROJECT TITLE l.eI]Oq/~ .{', II 7'-Il/-"i)3 REPORT NO, ~ DATE PERFORMED AMOUNT AUTHORIZED $- PROJECT NO, Sf}.. 5' LOCATION )I-O~ O,de OATE OF F\EPORT PREVIOUS EXPENDITURE $ _ , }J 11'}4 W<<I TODAY $- WORK PERFORMEO BY .;-. .e./.', eo O~I".,. . c.'~sr- ~"'cW TO OA TE $ PI" ~."J 0(.'1' /?qP, fJdf-f h'IJd,S oP C"lv~",r -P'fTI'1 . -r. CONTRACTOR JOB NO. OESCRIPTION OF WORK e /'0'1) . e~c.c,//,cr 'CONTRACTOR REPORT NO. Equip. Equipment Hours Hourly Extended P.R. labor Hours Hourlv Extended No, Rate Amounts No. Aote Amounts IJ Lf- 5nf D "'toa /I /' '11- <77!- O,T, '3 1:'1 7<( Y',?13cl ~. q-~ i' .-I 0""",.:;. II q !- '7<71 -' 1~, ..cJ(,'(.. J'q "I e,S Reg. "3., loltd. 7(/1/<::: r 3? ,,'v.l f) "".':>. I'l.. ./ ~I.~' I,' 9' - O,T, :3 /(.1/9 t,lv IS'? tee 113 S'yd O.,I;'P. I I 1'1- 01 ~- r}:~t-.--- dO?1S01, Jim <,; /0 I?'" ?? 13:2 'i; Reg, t:i' 7.> <tj v-J, 1J'<.n1p. I-'L ,/, '71- It; ;;1 _ C.T. 4- .3 .... 1 S i.?-r .5.A-1:::!H- ~?IZi... r: I I ).Jewe. 1-1 o~d, Reg, ~ 10 iS~ :i,,/I / f- 4 1 I O,T, 'f /SI~5 (,::;1</0 I I t..ISI(." . '7C-/1 V Reg, "f> 10167 7</; 5Zr ! I O.T, 'I 1$17"'3 (,,'311~ I I '1'7 e.y...... Wi (J /9"'. Reg. 'i )01.':1.. f'lv(" I I O.T. I I I I Reg. -r I MATERIAL and/or WORK dono by ,pecie11111 't3J I I 4- Description No. Unit I Unl1 Cost SUB TOTAL '): I ~,"''{fl ! Addod PorcontLloo-(SIlO Special Conditions) P//1. ".f.!. 7/(),Tf ,.J-f>-,3-I!I'/ ,*,; 0'-10,." v ;'>( ",.-I( /' "if3'v( S II 7 / -:.;~ </1'/1 No.___@$ .-, fO. ,( 1177- ' Subsl1l8nce P:T- 'Ru.... /L1 (#.;)_ '6~. 110: IGO TrlJYel EIlPlJnse No.._@$ / ; ,., </~:/6 ' .- I 1 Ot"O,_ I 73'115 t; ~ TOTAL COST OF LABOR A :~~. TOTAL COST OF EOUIPMENT, MATERIALS AND WORK >- S 1 7 ':</ / ' t .--- -- (A) I t OISTR IOUTION, "Prof,fA!),. ~I;'~ '_%ON LABOR COST I " Fi,ld Office Pd. o;;-w:no, (S) I SubmillC'd-Conlf'Cl0r J. Fill Checked by i _% ON l:!CUIP.. MAT'\,. AND WORK COST TOTAL THIS REPORT r .;! )'!1!71 nfcO""m'''dl''d-Rrs. Proj, A'Pf~ef'ltltlv. Wfhy.FI,1c: Form 15., '. .:' """', ',,',',,, :' ~ ,', " ' ,',", :':' .. .'.,....< '.' , ""', ' ,;; ',. , : '",,' .,'" .. :.', . ", ,:" . " ,"' " , , ..: "',.' '.' ..., ,'.' .'... .". ',', ".". , ." . ,','. "''',',,' ,'" .' , ,: , ','. ," , , , " ' , ".: '. " ' ' :, .. ", ',' ,;, ,,::' , ',~:; i ' ' . , , ' :, ",,:; . ,< '.. , ",'" 'I), ' " ' .' ,,'," " . " ,', ..... " , ",', ' , " ' , ',,',, "'.. " ,'. . :, "". ' . ,..,,'. : ."" .:, ': " , ',' ' ".., ", , " ,'., ".' '" ..' ',' ", ,',.,'.. ' " " :","" '. ,". ".'" ..'::<. ",: '.' ' , . " ,,: " ',: ", ' ': " ," .' ,,;':',... ,',' :' " ",:> ,".' ',i '" ',' ":', . ",':: " . , , ,',' " "'.', ,"", '.'"',, :,'.'.'" ': .' ',', '., ,,,' " ':" ". ': '"c:'" ':"" ",:"~,',',, < ,,', ',;.. :, ','c'" :"" " ,';, , , ',: ... '" LI IL Department of Public Works , , ,'.". '., "':,'" DAILY EXTRA WORK REPORT 1.: PROJEC,T TITLE I r ull 0'1 { e. /-:-: f/ (./" /5'.. g..$ - D^T!: PEn FORMED - ~ PROJECTNO.5~S- LOCATION }hJi/O<(('(,' ,t.; (/ DAHOfnerOIlT WORK PERFORMED BY rT"'f-.'{I. du - IJ ",S.(I,"" t).-t!e /' '. c.,Otr S' T" - C!.J-C"'" {?k<.,j.:Jt-~,{, /(' p I?;,::; fJ.r:r J:I/d.s.~ C"/v"r,-.. (?tfT 111. (,' II DESCRIPTION OF WORK' ".' y <, i Equip, No, Hourlv R.ue Equipment HoutS r r l (dO 7~ {('.hl M{;,. !JI/ q() 5"3 3 //6 ~'."L V-'l- C'1 f, '15'5- Cat. Ilff".. /:I. Q.~5 e - ~- ./519d. o/jO.. 8 Cqs-<:. /:f,d,A<,~ w-:},d(.,. 'jJq&',-/,:'.- /...0 ad...,,... 'j-i-o {(~h, l.e/',"?-, La qd.<',,... h'r"'-IiNrI5 p..d~I~. I! r <'.v P,,_i '" ,C), i.,.IJ1/14I?j...f (}..1r'" vlill 3v 9 1/ } 2.. 1'2 J')../ ("./ (; .- J rJ- / 'J... I~ I/C., - '-I' .- LI<(I 'F.I " .'701 ." .J()I - :7(~j ..- IT;.>S I !7\ I 17::; I 1 I MATERIAL Dnd/or WORK dona bV IPoelolins Description No. Ullit Unit CO\! TOTAL COST OF ~OUIPMENT, MATERIALS AND WORK % ;}1 OISTnlDUT10N: Subrnitted-Cot'ltrltclcr n"eornmcnded-Reo,. P'oi, Rcpn.'s...nlotiv\l Wiloy.Fblc For", ,~.~ ',~:'; " "" ,,', ':.. ' " .. Extended Amounts /:j(~-'. .~;,(-:-,I !i 1-10 I -- v ....... fin I _" L--- -;"/1') .- /.?l ~ I .- / ?r-" .,. .:)(, :J II ,. ,;;;, .- I ! i 1 I ~ ./"" .......... ' 1. p,oJ.MQf, 2. Field Clfico J. File REPORT NO. AMOUNT AUTHOHIZED $_ PREVIOUS EXPENOITUnE S _ TODAY S - TO DATE $__ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. 841/0 <1 !:'I : ,I"" SUB TOTAL .-fL,l%-!',I() AddcdPcrccntw\lu-IScuSpcci:lICr,n1Iitionsl fit' /'~ .IV ;7,'"'}'1(' r)~-t~ 5ubslS1cnCQ No..___. ._Qc$ (J"J .7.7'1. 'i,. ~~C~. Travel Expen1;o No.._@$ ) I , \ , ~o-c., ~") 1~7 f'/31~ J ') I 031 " I I ; P,R. No. Hourly Rote )',/110 II 1<10 I"I~O /1 100- tl",,$d I J We:. /.5 '30-; / U 1,1;(-0....- /5l ?"5' I Lollar Hours O,T, If Me ~ 1-;) ... t.... !JiJov v A, Rug. ..c-6 O,T. 4" FOl.{M-r'", ,,/'["acKv R'g, '11'" Q,T. ,- lI- R'g,/" '3 O.T. /1 Rug. 4'-;5 O,T, /1./ /J -e,_ 1." " -;';' R'g, O,T. ?, lj ill ).JoW'7i-d, IY1(j1'~/ / <} - 7' Oh'l 1-.oP" 111"/1 I'" 17 I') /() 1:3' Z J~~.. ' . ..., .., I , Rug. ,:7;.l i.'I'r I I i 1 1 Othor_ TOTAC COST OF LABOR I A I For OWet! U$e Only IPd. on ell. no.-f ChCl:Mtld bV----1 >- I B (A) . _" 0", eouIP.. MAT'L AND WORK COST (B) ... _'" ON LABOR COST Extended Amounts / ;;;..1</0 Cf/IJO //..,1/)0 Y71 OD /-1 I./)'~ i??'oo (,110/ 9' 'SO ",if :J. 7/'/1,:;'..::1- TOTAL THIS REPORT ? 'lflc:J3.) "", '\ -;'" " ',: ','"," ;,' ,: " , ','''' "; " :',: ,',' , i: " " . " .. :, ':,:< ':~ ,: '"',, ,':'" ",,: 'J" '" " ',' ","', '" , " ":. ,'" , .... ",' 0.:,,"', . ,;, , '" ..; " ',., , i', ".,<',:," ,,-': ""'n,';": " .. 'J ',:'!, ,,:' , "', :.', ,,' ", ,," , , , , "",'" :..:',',...., '," :',';,\,'::"" ,', " ' , ',: ,"''''' .' ,', ", "'., : 'i'; " ,i, - . .' , , , / -: . . ' ~ .' . r~ ~ ,,',' .'",'.'. " ",.';. <, ",". ',:, " ",', ' ',"':.',:'" :':', ,. >,,"', '.<:; " ',' , , "', , " " '" ", ' ,',;.:"'.',, :.,.' "...." ':,:::, ,'.", ,,',' "" ,"'..:, ......' '.., :.' " " ,,', ' .".',."., ,', ',' .,'., .. :,'... ',. ,".'. ',,' .".,' .',.',,',': '.,..,', ".,", "...',' ., ". ,." :.:: , , "'" ",: '. ;, " ' " " " " "" ' , ,,",' ',' .' '. ' '" ".,,' " . :" '" ,. ',''', " ,.,' "',' .,:.-,,:' ... ..," " :'" " " " " ',,: ' ",.".... ,/ ',.,." '.... ,,' ' , ' "'," ',"'. '," " ,,' ',,", :", J er Oil Goun y Department of PUblif Works DAILY EXTRA WORK REPORT I:): REPORT NO. AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE $_ TODAY S TO DATE S CONTRACTOR JOO NO. CONTRACTOR REPORT NO. PROJECT~;-1-~::ij;-(+, ;:,' I (' '''-''.''.' -- 7- /5'- S'3 =f::. DATF. PEnFOftMEO__ PROJECT NO, O-S- LOCATION :J:,YDJ<-CIA k OATE Of n~pon" W~RK PERFORMED BY.::r~,.p:' ('0, /-Iff/' ~J.h./ P",,o. <>i- c~l (:Yc..t..<.,.J DESCRIPTION OF WORK-P/MPJ "j(',() PI,,,,, 1,:~-!f,e.Nc-i 1')(2 (I,du.;,Af! ,- PUTI/I/ ;C;'(,/--d/lI .'U ~ - _" . t Equip. Equipment HoulS Hourly Extended P,R, No. Roto Amounts No. 4'3 try'-/' ....P'I c-., )1 ....71, '7"r-d~ . ?L !!:'''Yc )/..<. fY? b II V' = . "?7! -' t 5' 1/, "",Yo I I L/ '71. qq! - :;- s-v, , ~ ~ II i/ '71 ," 1'/<:/ t - 'I' <;"v, 1/<-<--"", 'v, -b'l", 71 />~l'" [>'7Sv~ J)t.<.-~,.n \\-)-~ '71'" n~l- ';1? I~yd 7), .~'/J, / '7--., e71 " /(J;;"" I I : I I I I I 1 1 I I Lobor Hours Hourly Anle Extended Amounts ,,/; ~~,. 1__ 0lhar_ O.T, " /,.,-' '7 r ~/7!3'/ 1<lec~,' e.. ~,.,..,"'~ Reg. 'i? /OIS-"z. ?'7!/(j, O.T. ,- Ie., 1/8 'IYIS(! Reg, ~ / J tJ I? 9 ,?c" 13'.;1. O.T. ?" 1..s-I?9' .11'713'1 Reg, <;?, 10!$"Z- ;:('-)'/c-,. O.T. q. IS-',?,.5 G>.:51'10 Reg, l< / /0 1.,'7 '7t'/I'5'?o O,T, I /0 '7 ? In I-n' " . Reg, ;'7?7 )0 15? ";:;:"/.j/b7~.04- O,T. p,-" )~I,(,q) YO'~lS- Reg, I' lor/'9 /D 179 /??~ :....J i/ ~ suo TOTAL '--<;>/~'7'~;:' Addod Porcontago-ISoo Spuciol Conditionsl /,1// -'" /) v{,; ,....":;-..-:',: f-:9~i39 Subslullnct' NO...._@I$ CI I /"/'--:;;: ,.-9-',/-",21~-9 Travol Expensll No._Q1$ I if' /i"" ; ,) ~I , '/7 '7<f TOTAL COST OF LABOR I A 7~/(,:.1/,;J, >- B / t ?:?I!;-to (A) ! (B) I -:re-I.Jv<:"AI .::T:N-> I.ilmo e. F/..nv"'/. J<, ke... -r;.,1'lJ t/ I /iA el/e r uJ: II:A /1/ ~/{.., ....T.? /,--J MATERIAL end/Of WORK dono bV SPOCllllltu Description No. Unit Unit Con I ');/I'l~ ( P:T K, ,......1 1> ~ Ie -! 1< p,t i '/q'I?S- \I._II/'e' ","/?<;,> ! .::;, It., l.sr: I TOTAL COST OF EOUIPMENT, MATERIALS AND WORK ~ ./'"" ....... Sl.lbmitltd-Contrlelor OISTRIOUTION, I, Prol, Mg" 2. Field OfficI 3, File For Olllee Uu' Only + _% ON LADOR COST Pd. on cU. no.--{ Check'd bV----1 . _% ON EOUIP" MAT'L ANO WORK COST R.commOnd'd-RtI. Prol, RoP'tI~"tDtil,.. WiI.y.Fhlc Form ,5.!! TOTAL THIS REPORT ") (,t- (i!t,'i' ~~~!~li;:~ I"~"~ " " "".,"., ' 'I"~ ",',:, : ", :' .-,': "'''" ", ,," , ," ' i :,' ,:,,", "", ',I"~, " : ,'.','.. <".'" ,.', ,..' :' ", '.,. ..,.,"'.',. .'...".'."., " .'., "." ,'.' < ,... , ,,' '.......:, ,', ' '"'' , ,,' ,,' , , " ,,' ' ': ,....',' ",: :":" ""',,"', ,:', ',' ..', ',,'..",' , , ," .' , , ,,'" :"'.. "',:,', " ,',',,','..'.,', ' ,:' :'..: " '," "" ' , ' . '.'..,. ','..'.., ".,., , , ',.. ,: '"1:" r ,',:". , , :,,:. ,'. .:"':. >' ' ,', " ',', ,: , "," :': ',,:. " :,.,' ':"... '. " ' "",: ,,' , ,:' , :' ,.., """" " ,.' ,:..".".,' .,.. > ".:, ,..', .".' , " .:\, ,> ":",,:, ..'.'.: '''..' .", ,';....,. , ','- :'''"" ,:" , '., .',' '",' ".:. '.', :." :.,':", " ':"'....,' ' ,:" ", "Y:' ..',',' '. ,'" ,: " :, '... , ", ," ::;::",;, : . J <", ~r.; '1i c un y '''_ D~~artment of Pub!.ic Works DAILY EXTRA WORK REPORT ) 0'" D / J~ (I Q )/ r::> AEPOATNO. 1::: PROJECT TITLE r '( q~. - __ DAl'EI'EMOnMF.D/- (p- oJ AMOUNT AUTHOmZEO $ ~ PROJECT NO, J; ;;(~ LOCATION I ~/) 17 0'1 Ie - DATI; Of IIEPORT PAEVIOUS EXI'ENDITunE $ _ ... "" ""..II,...l..J -n r C"'''H~-r-,- "'-:Ow'" TTODDDAAYTE$ $- WORKPERFORMEDBY rl~"-'-,IC.. ~ ,''''.,.nvv....p ",-,<'p - "...{, <..;. t? j. ,0 P <7. _ /..L~ I /l I f'<tT "" ~ CON!9<:"CTOA JOB NO. DESCRIPTIONOFWORK..fl,iL".. tJ? V'\,' iAd,...._~"'Z.; ~hdS t:7Y-. C<<.. /le,^7":~ ".""", lHc:!'I/:ONYAAcTonAEPOATNO, 42 Q-t..I#J U 0 II t.~ r r Equip. No, Hours Hourly ElO.:lendcd Rate Amounts 10\/ LIC1 - '/Oo! - Ji f'~i a17 //'7-:-;' /'() 0./ )0'1 - ;To<)' - /0""- '7CI - .... .1 <c'" <, ~., / I /i 1.) /(~; ~ "':7 .;~.. II '. 117.....- Je;! 7.\- I I 117,) )'71).:;" 7 I /' I "; .1' ! :;L, 1/-1 .. ,~i-:ll .' , I I I 1 I P.R, No. Equipment Hours Hourlv RlIte Lobor t ~~ ,! l~ Igf,J/r. IL(O S3 3 L<:6 5;J.. J:n:':J .'/1<2 "'rs e "';'/,y,!.ji IKVl1<i1 ac. A.lh C.O;7,P""5>C,;'. CO !J.;/" U/re'1c.1"t 17 p r:!1:f1,/ De"''''e. Perc.eNt:.- "TiM? , , 5'<; - C,.", r . ~5',:> -8. (!.q~e. 6'~",:~r J. o~~t; ~ aJ~J-. 7~r--eY to-:J.I"J-. FOr-.... !vJq/1 S P'<cl: I,/-'. (!.~ew Pic'/(I.tp, MATERIAL and/or WORK done by specialistS O.T. S 17'/D jVH.e/-<tl- V j.J@/lry '" Reg. 15 )I 1$10 O,T, 3' /5! 7'iJ )=-0 '0. T." 'I !?acl(y Reg. "'b - 10 i:>::l O.T. 3 - 161 P'F! Reg. 'if - J" i5"-:>. O.T..3 1.5!.i1a5 Aeg."'it /,:> I ~,,' O,T, ::;J , I tol So J3~l(hJltc.U.. ~l/;?n. Aeg, ~ " II 100 O,T,.3 is 178' Aeg. ~ -' )0 ~;2. ~ ~ (r, ,<;( "/1' '-'Sub TC{T~~ 9' Ih~1 ,_/lOs/';; /1 "J) R'II ~owqJ.d, }I/J()r,./M /1Il.ey-e;- w: 1/ : 'II" Descriplion (("~'-(:1'. cf4"/ <s, No. UIII! Unit Cou Addlld Pcrconlo!Jo-(Sco SP~'CiDI Conditions) i ! Subslstenco No.._ __ No.._(fi)$ rl -, .I) r /~-1r")O Trovel Expenso OthOf_ TOTAL COST OF EOUIPMENT, MATERIALS AND WORK ~ ..........- ........ TOTA~ COST OF ~ABOA >- Extended Amounts c,' I 1.311 q/bo 'J"713'1 yL;! /c;, '1713'1 y~/1 /(0 LIt" 157? x,J!6'e> </9152) xK"QO '/'7'3'1 K'/IIC 3.;zi3b :?t-, 13J, (. /J /".\ I:?D :)::/ ;:(1"'9 3,')..1 !7'/ '11 1'/7 A I ') t?.l "'0 S I,., ;? d. b....-- SubmlllCd-COnlr.3C10r OISrnIOUTlON: 1. Prol. Mqr. 2. FIord Ofrica 3. File I For Officlt Use Onlv J ... _% ON LADOn COST (A) I IPd' on eS!, nO'----1 + "ON EOUIP MAT'~ AND WOnK COST (S) I Checked bV----1 - 'f TOTA~ THIS REPOAT ,Jt II'::;--{/'/ nceommcndcd-Au. Pro!, Reprtunloli\,t \O'/iI'V.Flsk For", 15.5 ".. : "~: ' . ..'....,.. :.':: ';.1.' :' ," ",,".:.;'" ...., ',., ' ,''',,' ... .' i:, ,:':.' ,,: '. '..',.:- : ' " :" ,':, .:,. :: ,,,...., ,,' ,", ":' . ..', .,.,.:->;:::...". :'>:. ,,'".' ..'.. , ,,:, , ,,' ' ..".,,' '.: " '.. "', , : " ,,:" "'. ,,': ,'.,.,'." ..'.."'"" ".,: " .',' :', ,,' , " " ,"', , ", ,...,., ':.' """:"', :'..' .,' >.. ",',' ,., ',.,' . '.." :' '. ..".' ,', ',." ,"::: .' ,"., ',: \,,: ,:' >'" ; ':, ',:, . ,. ,.. ".,', '." ,.. >,': """:.: :', ,.',',', "', ': ",' "',., .,', ,'.', '.':, ,. '. " " " "Y',," :, '.,' ':' ",,' " ',: 'f ,::,'.,: ", , .... > " own Department, of Pyblic Works - DAILY EXTRA WORK REPORT PRDJECT TITLE ) tOYl f)" fop {'I II OATE'pt:nrom"ED 7' _/(, . 'if S PROJECT No6:LS LOCATION / r" Jo1 Oq fop. ' OAT!! OF flEPORT W~RK PERFORMED BY o~.f.l. a 0 J.! '." f, "'<<y [)~ 1-;- , ~ l- V1<;' T- (! r e {../ DESCRIPTJONOFWMK p"r. /'" R;J' !Pq,?, il.T( t:-nd:;-o(: . (!.t.,'((jPf/(-- '~i7tv"r../. , ~"< q.t/t' I") -----,;;Tl~o.r: oc1Cs I -l REPORT NO. IT" AMOUNT AUTHORIZED $__ PREVIOUS EXPENDITURE $ _ TOOAY $_ TQOATE $ " (!.If,.l../<, CONTAACTOll J08 NO, ( . CONTRACTOR REPORT NO. Extended Amounts 'I X" 15</ 9'" c..Lq.A 3/156 ') 31&.'/ =< II '70 5it; '$7;> 'l.::/ i",t'_ ,f61" ;>. .'ill::;:/. X".3 "j:;) ~J '51:- ?L/ist.:: , I suo TOTAL (/7 rl~J IS.. SP,,;,I ConoJ;,;on,1 ) /,r.' /i ;.. i) ?,' = va NO,...._.._<<'$ () /7,'-::.1;' ~~ NO.,_<i'$' T I']')) ~ Zo lOb TOTAL COST OF LABOAI A >- I 8 + _I(, ON LABOR COST CA) +_11 ON EQUIP"MAT'LANOWOAK COST (8) , TOTAL THIS REPORT, :,'-:J yl/,,? Equip. Equipment Hours Hourly Extended P.A. No. Rata Amounts No. 'jl./ ':;-V.J })c~.~ =, ,/-0 <f" <71 - ~;I0'i' .- - '<.- ..5""./ f)1..<.~ ~ / /' /v' '7i .' '/7! , '? I..,. 1/./ J)",,~=, // ....... '71- '7C;'1 )'1: 1$ ; ,./ Dt.<.~ ~ //J V '7, 9017-- 1.... S'v.J Ol<.,~= /D ./ '1,""' C/D1--- ?L/ ,<"~ "'. "",, /0/ 9T- c;t~? J <'/.., - .1 "'l.v~ ~. /_8 ~ "11 '77--''7'''''' i - t. ,) 'n _ '7.(',h 7'" ~ 5./ '/01- "100 1__ Il@ ! I ~~; I ! t,,: I' I , I I I Lobar Hours Hourlv Rote 1A7""'5s -:\ &-;/!/'7_ O,T. ,~7.{,.!761 A.g.~ J~ O,T. .. 15]"5"'Q A.g. '7/ /0 !';-c O.T. ~, /5 :<:i-:':~ A'g. 9./ '7iJ i.:,--, O.T. "Z- /6!/9' A.g., 8'-" /0 b9 O.T. ~'J6-',&'c:, R.g. 0/- /(7) i~.q, O:T, -..,: -/<;",179'" A.g, ,\", 1 /?J !~? Wo.eve FLo \/-1 , Z /s77c. /d/)/7 .:Tr.A4.lS'<"I/2/ .:::rfi~PS M('?tlye. "Rr-cl,.n.,..d A - J.-'=T?!?.f-P.: IN.4ka.-z/ A.-/!.",,,;"/ MATERIAL end/or WORK done by speelDlislS DescriPtion No. Unil Unit COst /.iJ,'~' C-' ';1;''' <', ~?S -V_. 1/" P:r "l,>,<-/I/ ,,'" ~v"v 1/'''' Tr'c.K r".v 1'7,,? /.:;.~ -,,/-!,[ , t ! "'/<,; !O/:..) Addod Porcontogu ..:..:.:,~I~.;;...c':: ;'S~b'lstonco ;., ',"....~r Trovel Ell:penso j;,"~! I Othor_ I TOTAL COST OF EOUIPMENT, MATERIALS AND WORK ~ .-/' -...;;;: OISTRIBUTION: 1. ProJ.Ml)r. 2. Field Olfie, 3. FJle For Ollie, U~'1 Only Pd.onou.no.~ Chockod bY---l Submltlod-Contrlctor R,commonder1-Res. Pro). Aeprtlt'nl.tiv, WllllV.Flsk Form 15.5 ", . ..'. ' ".,':.' """'::,, :",' ,',' :,.',,'..', ',' . ,'".' "<""::'" " ': :: ,"',:-: ,', ,,"'. ':,: ,', " '" "'" " " ":; ". :.:. ',' ," '; ..", ':.,.",' .', ,...., ' '. , '",,' , ". i /;7</,/!., &. '7 --),~/.1.50 .. ..., ' . ..,' . . . ,'/, ': ,'",' , ' :, : ' ' " : " '. , , ',' ~ .',.." : , ',,' <, " ," "', ' ' ' " ' " "" " :" . ' ' :', .. :,:....:', '." ", " ," ,'".. ',' : ' ",',' :-: I;:' ". ",', ..'" '..',..... ,',".,' ',,' ""',,:'" ': .' "",'" ': .'."., ,;' ,"i .'.' ',' ,.. , ",: );)i :.; " ",... ,,:, ",; ,.'''., ,; :::' .'. .., ,.",,'" :'::', ..'".. .... ,.. "',',,,' ".. ",' , ' , ...' : ': ':,:'.' .' , ',' ..",:'.. . ,', ' ,.., ,,<, .', ""., :'. . " , " . " " ':, :,',,' ".." '. ...', " :" ,::. I: - 01 n y Department of "7 . ~ DAILY EXTRA WORK REPORT -r .' Public Works flf( DAH penFonMEb c;- /9 - 'if.)' DATE OF IIEPOHT __- PROJECT TITLE \ r 0 11 0(,/ f .(2. PROJECT NO, tjQ,:f LOCATION ) 1"011 tJq /.., . c. " YI 5" r - C /. ~~1I lJ o''i-(,'''''' (:l<.p ('- / WORK PERFORMED BY J' p (',!J. C 0 DESCRIPTION OF WORK Equip, Equipment Hours Hourly EJl.tendcd P.A. Louor No, Rote Aml,)unts No. I~o 1).? _ C,.q r. .5 V '/01 .- "'7Jor- I'fi::" ~,,- c...r. "tj../ I/O! - ,q J (:' .' IL,," ^ (", ,V J/e/lJ-V A Lie) J./ 0 ",,,,1' Lo-:ld~,. q ./ '01 ,- //-"", ," 53 f.... j....;.... L,,,,"/. ./ 701,- <;.;:(_)1 ." eql( III wc.I( , A//oe .., 'fq d'bli" rf,,~~~ l1e;cA/-./,p ../ /"~ I .. (, ,'! -=? t::&...e ,",c.. < . p,'ct'-1 0 1"6 1,;1' Mev.,,//, w:7T;("vt.M' J~ Con. r - P.c.{ I/J, < /1/-;" 1'/' 52 ~h-;."~~rf C-4r1'Y pll ~ ! 1'/,) 1'1' .. Jl.1 Ore! III 7i5'I:W ?i:.~1 C<i <t! ,/1 fib l3 ,~r~1 f" J?/~J~. l/S !6b /V() .- ,/ , I , , I I I 0{~}\ ,. MATERIAL and/or WORK done by spcclolist'S Description No. Unit Unit Cosl I Added PerccntD{lo-1Sl:o Special Condition') ! Subslstonco TrD",,: :.1Cpcn,e Olhor_ TDTM COST DF EOUIPMENT. MATERIA~S AND WORK ~ 1............- ~ DISTRIBUTION: 1. Prol.Mgr. 2. Fiold Olliec 3. File For OHlco U,e Onlv Pd. on en.no:::=:...-t Chocked bV---1 SubmltU~t1-CO"1'IC10' Recommonded-AU. Proj. RepIC'~I'\tDtivo WiloV.F1,1c Form HH5 ,', ' '., " .',i:','>, ':;': :' ,".;"': ....:'" .,.,.. "", :". ,,', '.,:"?,,:: ,.,i ' . ,.,... ....., . ,"./ " ' , ':' ':'; .'.: , , ,"',,:" ,,: " " ': :.. " ..' --. REPORT NO, AMOUNT AUTHORIZED S_ PREVIOUS EXlJl:::NDITUne $ - TODAY S - TO DATE $ CONTRACTOR JOB NO. CONTRACTOA REPORT NO. Hours HourlV Rate D.T. ! Reg. -=6~ 1/1 va D,T. I R.g, "<G ./ 1/ i ()O D.T. , , R.g. 4' / 10 '''''9 O.T. , A.g. <? /ol~ D.T, i~ Reg, , C.T. I Reg, SUB TOTAL /)/// 'Jh No.w -. --~$ No.._QlS " " ,"" i", '::" " .','" ",", ,:,,, ',.....,' ", " , ", " ,,',,''','''',! TOTA~ COST OF ~ABOR A ~ 1 B . _II ON ~ABOA COST (Al ._"ON EOUIP,. MAT'~ANDWORKCOST (Bl ! TOTA~ THIS REPORT /'/'7? 1'71" -.. Extended Amounu ! '7/b 0 I 97100 I ?3 ''7;>, I XJ.I?V I , I , I I '"- q 1./._) 17r;l.. 1 (~ (.. t?'/ I i 1 I :5 //1'7'" C}I_'J !eo ! . ,,,.,' , it .;~,' "" , ,,' :".. < " ,'.,..':,,' . , '". '. ' .,.,."., <;,' '::' '." ': :, " .. ":. ..," ":: " '.... ...",": .'.',"'.'.. .', ':. .'." , ,...' .'.:.,"."...' ,:: ."c'.'" ..';,.-,' ":" ",':" '.', ".,:,,' "" :,", ':', "':' :' ", '" " '.:.>,"" :', .. <... : '., .', '.' ,'. ," .! :,:," ,':'< :,':, <":' ,',,:',:, , :." '.,' c, "" ::"':" "" :' :.':' '0.' " .' ',.., '....'.., , " ,'. ': ,," ;":, ':, .'.. ::",:' ".: .-' " ':' ",' ,"...,,' I ~ I'", /, ~'/ ,- I..J III [\ , Del?artment of Public Works PROJECTTITLE J rOil f) a../ -<' . (? / ( PROJECT No,5:J.5 ' LOCATION-1~/-f'" , WORK PERFORMED BY ~f ~ Ct? Co - /J"5/r.., <1)- DESCRIPTION OF WORK ft.1 r 1',., 17: fl f'1;O' Equip, No. Hours Hourly Rate <J I -' '"I ! '71, Equipment 3fT ,vd ((5' t;'';''; . . 'f1"J <D;( 3 "fi,/d 3 !r{,-/' ~ ~ e;1/ct 7Lf 4-vd. , V I((};O 7rvClf. DUA4 ~ -r, j P t./.;." -.-1, ,.f O/A-In'", 7;../,~)-.- D ,- A -r-. .r 't P""IYO "7-J,.." I- o l{"lIh r,.,'C( c..e. f/ , ' }7 ,/ ;/ ,/ (" /' (71 -..... ;,/ ..... '71 e,; I ,. , I ~ , I T I I I I / './ - MATERIAL and/or WOR K done bV spocialim Dc~criplion No, Unit Unll Con nll.ep!i1l.... e IOvd, /!(:~ rJLH7r/- v p;;: J.' .' 97Vc/ II!)/ P,'-r IR",~ S'~ t> I / ,r -,- I TOTAL COST OF EOUIFMENT, MATERIALS AND WORK OISTRIDUTION: . Submltted-Con1raC10r Recommendtd-R"t. ProJ, R~P'es""llltiVli' WII..,..Flslc Form 15.5 nATEP~nFORMEO~~-~~ DATe; OF Rc,FOnT DAILY EXTRA WORK REPORT REPORT NO.~ AMOUNT AUTHORIZED $_ PReVIOUS eXPENDITURE S _ TODAY $ TO DATE $ CONTRACTOR JOD NO. CONTRACTOR REPORT NO. P -<!p-f - Cont:r- e,Y'.e LV Pi{ / ,7; ,fl., / J ..>l- C C "I, .I"~c .r...d. (;, / ( !:xh!nde-d Amounts P.R. No, Hours ..... Hourlv / I Alne, .-. Lobor 7 J 1- "!)! " 7,/ I ." i J I /'J I ,- j ~ I "/J I ""I;" S 411 J /11/1 /1,' P/t:OII I.Lo vd. ,nwe., F/"v~ 'I1lJnr-~ 10..,,1(' ?I",,,f(:,''f! CJ,,"'es- O,,"rV/~ ((oct// /..O,o~I?M/1 JJ~ b :';:"$ i("'", . 70" .v f?:/( li 0,/"..[ 'P:(( (,("'....."..;;' Q.+.. ..s:i'C; ,"0 '? '7 R.g,<< /0~;1 -G,T, <;< '/0 !5'''' R'g. q /0 i~4r 6:'l':"> 'j?- 10 loP;;- R'g,' S"'" ," () l>.:2- ~ 'i'l'-!;Ia is 2- Reg, ~.o' '/0 16'7 <H:-7T-;;, -/1 'Oa Reo, ., '10 ;....9- Q,'P.-"" I , Reg. -7"'....,+("'r.r-:-; Addod Porcontpgo-ISco SPOCilll Conditions) -+r-lii-9:: ';S~bl;~-toneo No.. ~~) (:. I l., n Travol Expenso I SUD TOTAL P;// \, ,;; .. ,-,-"'$ No.._@$ Olhot_ I -~ ~ """ TOTAL COST OF LADORI A eXt~ndl!d Amounts ? '.00 -jZ6;~5~,% ReAl?' 5(1/1 I h ->2-/l../+- F 35"l ?!- 1.0 ?~/I/c::.. ~'!I/C r'/'~f-,. ?,?ioo J 1'0'1 I ! '/? / lei/' S 'Ie. 10'7.- 1 ! I 1. P1oJ.Mgr, 2. Fltld Office 3. File For Ollie! Uso Onlv Pd. on ell. no.----t Chocked bV----l >- I 8 +_%ON lABOR cos~ (A) +-" ON EOUIP.. MAT'L ANO WORK COST (8) TOTAL THIS REPORT ?~::151...~;J.. /Ii~')/'. '1/' 1,v1 1'7 ! I , ',' "'" ',', '0 ':.,.. ',.,. ... " '" . ;. " . . :::'. .,,'i., ,,:,', i >, > . ...'. ..,' ..,. ',:', .: :', . ":'i: , ',.. .' , :, .' ":. ) ,", '" .. ',':' " "'." "" . , , , , , ,', ,,! .,' ,: "":'-' ", , .' ,'", ..:,. , '.:'.', .', ' ',' . ",', , . ",',,';' ,',,' , '" ,", "" .",.,',,,. , ., ".' ',' ,". ,', ' ':,',," :'''' ,"" ,"." ,', ,):',. , " , ' "". " " ',; ,.', " ,.'" '" ' .' ", ."', ' ",...., '. '.', ':',' ' , '" ..,. ,'.,' , ,,', ,',' ,';, '" '.,,",:',: ,',",'" ',' , ,,', '.. '...,' ':.' ,'.',',.'.., ." '"., " ,,',' " ....' ..,.., '." ..", ,:,,' " ..: ',.,'.. ',' G un y Department of Public Works L.. f) ( /1,'11 PROJECT TinE I, ,011 q -e. -4- : PROJECT NO,tj' ?-5 LOCATION' / rOJI tJ4/-4 , , WORK PERFORMED BY T -e. -,C'f . ~o {J "l'f,t.nvv (,j<p". C!.. 0 )/ <;;' r . DESCRIPTIONOFWORK PIA r: (PI ~ II '- Pu r: In R.,,, f?c;.p. ~ " ~ ,Po, , :, '" . , ':" "<,:/ 'C ".'; , , "',,',," >:' . : , ".. '," I,. " " I 'IL' t""" : ,.',': ," rs , Equip, No. Hourly Rote Equipment Hours \,:.:' ,rr, l"t; f & ~"' ~~; 7t;; QS'5- ~ r. cJ D_,?- G;..,.. o fl6~q /../J..,d"I-' .~ 7"A;-"'V' "t::O"dd.Q.r, 3 Foren;q,,1; I":.de "p, /4, ~T- P.'c:kliA tf~ j:-/J,<;.'/1-4 er's C-t/N-Y All LJ'J -<101/" Oe are, ~qcJ-Dr. (,If (J...// /<>1/ !'1olle;-, fi?4,,~Uq"()I3c.qS~ 5t..d.t (J/&J.. ~ 'ie I - ,'3 ,/o!., ~ ,,/' ;;><:::1 _ . ./ :Jcl - "if /17:, ~ ' / I);; "if v )i7.:," ~ ,/ /11. "i./ 15! J.I L,6". , . I I MATER IA Lend/or WOR K done by speclalisu Description No. Unit Unit COlt I TOTAL COST OF EQUIPMENT. MATERIALS AND WORK OISTRIDUTION: Sl,lbmltttd-Conl'.Cl0r R.commended-Art. Prol. Repres,ntallve WII'V.F1s" Form 115-0 ',' .... i Extended Amounts /(.o! - i 7":L/,,1 ,- / (_c'l ::"-->) - //' ') I , 1'1' ,. I,:;'; (, I -- I ,:-,-,! I ?Ol -.-' I I I ~ ..-/ """ ',P,ol,MQr. 2. Fi~ld Office 3. FII' .,,': ~ 1~,l~~~~\J I OAT!! PEMFOI1MED D^Tr, Of I1f;POIF DAILY EXTRA WORK REPORT 9- :<"0- "63 REPORT NO. :;:; AMOUNT AUTHORIZED S_ PREVIOUS EXPENDITURE $ _ TODAY S_ TO DATE $ CONTRACTOR JOB NO. CONTRACTOn REPORT NO, cU.c:..tv P.R, No'. f10urlv Rate lubor Hour, rT<>UPI ~"h ,rl WI . O,T, I Reg. <;<; -' If) W'1 O.T, I Reg, "D'/ 10 j$'""- D,T, I Rag, 4 ,I 10 ;..;"? tl,>lP.... 1='1 "'hi,. I (<;/{". TOil C/ 111 e V-et-- /,V'S II,'" ""1 a.T, R'g, %7 16 l.-;'fl- ~:If I.JOw<u-d" a.T. , R.g, q , 'jt> ,;:). a,T. I Reg, ! ! I I I I ;,1) 1'/1' j'I-.j /) SUD TOTAL Added Porcentpge-(Sea S!)eclal Conditions I Subslnonco Trovol Expon" Otho,_ No,_,_ __41>$ No.,_4i>$ Extended Amounu ! x? '''..7, I ;;'"'/lie; 1 y~~?: I ;,"/') t. i ;;,'I! I ~ i 1 I '/7ql;;r" 'j (1 '? 11 / : : I >- I B (A) (BI TOTAL COST OF LADOl1j A ;(. ~ (..I~ ') '7///(:0 I I ! TOTAL T~IS REPORT II" _: ,)15'7 Fo,OfflceU$oOnIV I +_%ONLAOOACOST Pd.onest.~~ Chocked bv----l +_" ON EOUIP" MAT', ANO WORK COST ,} . ,'",';' "':,-::' ".. 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(" ,,',',",.'! "; ,'-' , . .~, ", '. ,;:; ,>,.,." ..', ;.',~/'I ._', o,::,C:.;., .",-,;':: .' ~~,;>>~;.': .1". '-; " ''" .. .. ',I " r._',--:,/,:,:: ,;:<:",::-', ,:\::;,~ "- ,':.c{<;\C',',:". " :;; ~ , '. :'-:,:.',:; ',,':,,<'.:" . ',""-'" ';, ", "',,, i~' ' ",';"" ':.'--; , ' ~ ',:::'.";' ;"".'";",, . ":'.< --, '-': ,:',,:,: ',::, ,:.:". "''">;':; ;"'~::" ,',::\,,..;' i/~ ;.-:' , ,<"~I '-",:-':',:':: ~i';:S, ...,", " ',"',', ,'", , u y . Department, of Public Works DAILY EXTRA WORK REPORT .._---. -----..--.. .H.h.... -----.- , REPORT NO.. 1]:- PROJECT TITLE )r01l Oq(e r; r( 9- 2eJ -"iJ3 DATE PERFORMUO_____________ AMOUNT AUTHORIZED ~ - PROJECT NO,6 ~~ LOCATION I rOIl Oq(e DATE Of n IJPOl1T PF1EVIOUS EXPENOITURE $ - i, v,e?'{i. {.II ~tW4"/ CfJ 7, C-r" TODAY $ - WORK <!o D (' ,P',r:. /IS L-V TO DATE PERFORMEO BY $ f'f( .(\ " (./4 17,- I? <] r-:.. CONTRACTOR JOB NO. DESCRIPTION OF WORK r. l 11 Ir - r ; h CONTRACTOR REPORT NO. . ) ( " r, "- Equip, Equipment Hours Hourly E)(t~ndl!d P.R. LnlJor Hours Hourly Extendod No. Rail) ~~~~ ~ Rotc Amounts C/l =-===-=:. 37 < ycf,. [)~n,;? -("'<fe(e "i') ... 7? O.T. I ! 7 3 ca- V~ D '<h1,p -r;.."C,/c If ./ ..,! 7) I I/II!.C.J/..'i,- y (Jellr." It Reg. ~ .. Ir I Yo "'/"]10 '13 5..., - ~A? A -rr-"cl:: r l ql 17' O.T. I I a~ SvA o <t-.--; 7...." e(e: ;( ,- ~-; I ), -p(, CIII '/C; J II rf"()COJ:..V Reg. -r- ~/f' :5;;'- 0/V?-' i1l( "i'vd L)<t-7~ 7,.. 4,e.Jf ,'; .' .,,; I ' !J' ,- O,T. , I , r', I , U-e",5 J'olt "7 Reg. ~ - (0 I ?C; ,1((',,13?-' I , O,T. , I f T I 7Vd5o 1'/ Tt::o V (3'. ?, I I , <=> 0 ;,;'-1"'00 " Reg. , .' l T I - O,T. I i I I 1\. (, c.T,' e. J 1r/1/# 'i Reg. ~ ~/() I p<j ;r-C: '- f;L. I , O.T. I ! 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Equipment Hours Hourly E.xtended P,R, Lobor Hours Hourly No. Rote Amoun~ No. Rate /"0 1J.7- C " T. :? v" ,,-t:\ . I.J<.. 1"",<" 'r/"., .I1..A..- ,L oQ;;" , cr; /1 ' \10 "'1 'T.lin f)'''-r~ Q.r;.J..,.. , <f n!" nro! - .,kCh L.LD":.J R,g, <;i / II !.l~ ..... (p.( r..~fllo~ 17"1/..,, . q, ./ t:,1 ' I'? (-) ,- ; ,<,,:J( ; f' ;'-',111 CW'. <6/ /0 !17 3 F'''''''''A'd o:c:.K lJO, '5 / 1115 1'-11 - J....< l-olt" R'g, q: v Ib ~" ~~ E:fJ~:I1.<:r~ r<f'rI"Y )./1 'l /17,\ 1'/' " ~"f,~., 0',' cJi1m-oS P<'f': q./ 10 Ipq t #t) 116 { Lt:;::>JJ>r- 'i? .. :I 'I" 1(",(,1 "'ilL( 1170-1. r?Oc...kv Reg. <g to ' S'-:z. !.' '7'1 ~yJ. 04-" ~ 7'",,, ."'. ~ ../ 01." '/;i ' /VI.. v~t" W" f/:q IVI ~ 1,./ /0 10<":<. ~', 37 6Jd P"H'P r,."c.J( "'{ ,/ ..,1 ');J I -, ri~ r(, iJow.."d Reg. ;/. '-, It; 16 :1- 'it!. </3 5"'0 O"",r> ...,,.,,c~, "'(' .J 07 ! I) , Ivlnore r?;QAf~d .Q,-f: <t:: . '! ~ '5' 2- 7f( ,"vel L)",,.,,> 1rtfC.f(, '6" / C)l ' /..J I h.,..r/o 701"'0 R,g, ~ /0 ~~,O /(? :5yd t:)t<l" J? 7"'''U( q ./ '7i. pi ,0,.1', 13...5 . ,.-: --,.~ .. --"'':~- -: Reg. 1 " MATERIAL and/or WORK done bV specialists DescriPtion No. Unit Unit Cost f'i r, R lA n "//A 3 ~ / !. /' I Added Porcentogll-(Sce Spocial Conditionsl #/R SUB TOTAL /~'(i j) ( "!cD I No...._ ___@$ No.._@$ SubslstoncQ Travol Exponso Othc,_ TOTAL COST OF LADORI A i ! TOTAL COST OF EOUIPMENT, MATERIALS AND WORK ~ ,...-/ ....... ~ I B (A) (B) Submi t I ed-COI\1r~Cl or OISTRlaUTION: 1. Prol. Mgr. 2. Fir-ld Ofl:ee 3. Fil, For Olliell Usa Onlv + _'" ON LABOn COST Pd. on oll.nO;-~ Ch,ck,d bv---l +-" ON EOUIP.. MAT'L AND WORK COST TOTAL THIS REPORT Rocoml""'lcn\Srd-AfI. Proj. Rrprrunlll;...r Wi'oy.F"~ Form 1[j.5 .,'... :,: J', :': '.-",'" :" ,",' ,: ,,"'" ':\ ',:: ,,' ,: ~, ' . "," ,", '.' ' ": ',.',. ,.., " ' .. .,... ., . ",,"" "';:':,, '';,''" ':'.' 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(,'"0 - If "shw'l j /.:; <~r - e ~ "7-~ I - ~i"'edt/ DESCRIPTIONOFWORK g.;{. ,'n, nit, ~ (lAnu:?<jc."/-r-d ; T- REPORT NO. --t: AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURe $ _ TODAY $ _ TO DATE S CONTRACTOR JOB NO. CONTRACTon REPORT NO. TOTAL COST OF LABORj A 1/), a loq """ I B 1'/5 ;210 . _'" ON LADOR COST (A) I + _" ON eOUIP" MAT'L AND WORK COST (B) I ,.O,.AL THI$ REPORT .J 5 P/ [,,<7 Equip. Equipment Hours Hourlv G K tended P.R. Lobor Hours ~? HourlV No. Flato Amounts No, """""",,"Rate 1/2- .:TM" () u"..... c:1r....j....' ~ ./ >,,1 .- d'c:..!- IW/;'o(m"} t.( c!C. A lit. n ~.!iJ /1(') 0 (1'1 0.. f/... (?,I(er, -'% (p I~"i ..' qO""-:~r~" ! 11 '<-Y-er l1F r I I iqh7 Reg, q 10 IS..7, n;~ 'f) '7 C4J( . 2. ,..,... l.(, I ;/01 ." Liske 7() " y &iF,- (b-~/6 157 ;::;'"",MAn, p:c.E ItP, <7( I 1/') /t/I eJS"I, LL()yci Rog. '(jj - / / 100 IItJ /I"",d( L. ",,{...,. q: L/' ", I . //.<': ,,- tJtl'17&;/h ({..eh... ~<g......' /015..::l. ~ ''I 4vd /)<("".., 7r~J:.. 0:;,....... 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A.prt'IenI8ttV" WU..,.Fllk Form 1tH5 :"':," , C,:, ..'..., ~::;>::" "\" "', """ ,,' , ',' ; . ",:',.' ",: ",', ..." .'.,' ..,'..,' ..'.', .:' .. ;',': ,. ':, :. ..< .' . .,", i. . . , "."., ' ,,>', "".:, ":,",-: EXlended Amounts 33 100 ~?"/I,IC. /'31'.1-;1 //,100 yl.),l? y'C/'/ t. ,/C/I/(., 9(~13~ 7(J <'.2 01 '? ~ I ! , I 7'- ? Iqo ~(, C,I/Ci I ! I " "...,' , ,,'- Ii ,/.'::" " "',". '"',, r,-. ~ -;-'-:",' :'. . ~,'''' '::. ':;.<. .... " ': :,,'>_:.,;,,',:-:~'::, ::",': ,.",::~.;:>:" I':" ".',,:.'.-;:.:....,...-."'.'", "',1 ,.",':. '::\"\,':';:';" ,',;',-..,..- .",'...;:'c .' ""-\:, .;-::"~; '!~'j ::: ,::":,-,,,,:;t ",":?::-',}." "\",'''..;',:',': io. ,.,. ',\ ':' ; ,'" " ""-.':'. ;';,:::.'.' ,',c..."/: '-'">:',::: ""',.:';..,:_,, It :,.i' ;~~:':' ;(/::. ,.,.>:" ~l., ';"'i,.';':'.',.; ;';;;'\ '.',,';'> '.:, , "':;,:'.<' '~:'i' , ',.)"'~ ,,':(i~;" . .'" :./"<:-i.";::. \;':," j.. ..'.'. '; :;:~;K: 1_'" ~-_:'," ,'I I;; r",or. :';,,'<-,;,_/..,;~,,/j'. "., :'.. 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'6 -- I'll" I3br .- VI D" "'" f): C'J< ~ft,/ IC'- I,/t/ {p<{ ~ ,(I"." f?11/er '5f)7 151 - I~A61 ,<~ eel:'.' " d ".,.....; Reg. <g- ID '70 ~ 0 D. '7. rc" ,.. -y"Z- i,k J ,., (),)~", u-t!)h, X; If trl' Ivl e,r. "3 - - In' 7'7 (10 I.J~ ,~J' j ,l..,d..- "3 ---- 1(" ,. /(--(-.\1 - +;<:/(<:, 7D17Y' Rt'g. "D- ..,IS7...... '1'< ~,,;[ J:J,,~"v n-vdc <=J / '71 " '7)1 1v<.1 '5011 /..L.yd G;r.- $!J 7 - 1/ ice ,-,,!" '.5 vel .0",_, 7'.... .t 'f{ ./ C.71 '771 alII ;J....,~,.d RC!J. ~- /0 IS d, , ....:<'I?"vel .0",,,- r~~c:..!f "3 V"" 0i. .i.J I -- "'or WIlli......, &.'1", ~ /' / (::1 ..5:1.. , '7/./ I <"~A, f) <t... r.. ,~~ 'iS~ (71 l:il . Iq",,,,,,,c.k. fl./! en Reg, ~- !II '0 1.-'1.<<< ;,.., J D "',,,, .- 7... "c.I, ."8 '7i 0' I.",.. FL.ovd 0.+,- ~ v - le.I.:...J, Ie. '" 1'51....1 o,,~...," T;- 'f C'/( (, ~ ('j'l 5"'1- .;;.;1 l1ul-::J...." llent'" ~ Reg, 'f1 - I I I \,/"r-, 3- Ar.I#""'$' p..c/c "/~' 1:' 11')5 / 7',., , .o..L. I i I Reg. I MATERIAL end/or WORK done by IPeeialim Description 1<"" No. Uni1 Unit COlt &00 lJ-oJ".'r' Added Perc:entooa-{Sea Special Conc1ltlons' SUB TOTAL ///?, /17))) I', (.7, ! -- I I I (;/ ,'''T v" ;..%) Subsluenc:o Trlvol Expftnlo Olhor_ No,._ _ _..._GO$ No.,_tiil$ , TOTAL COST OF EQUIPMENT, MAT.RIALS AND WORK TOTAL COST OF LABOR I A >- I B For Off Ie. U.. Only I + _% ON LABOR COST (AI IPd.onell.no.~ . R co (I ICh'Ck'dbY~ +_%ONEOUIP"MATLANDWO K ST B TOTAL THIS REPORT ~ ------ ...... SlIbmltted-ConltlCIOr DISTRIBUTION, 1. Prol. Mg., 2. Field Office 3, FII. Recommended-Rei. Pro!. Representative Wiley.Flsk Form 15.& " .., ... ,:' -'.. ':' ,,: " ,,. ,'. ,", ,,,:' ,. ,,'.,.: ' ..,.: " " : .::'. .c::" .'" :: '... ': ' " ,> " " , " '.' " ,', " "",' . , ' ': ,,' , i...".'..' ,.- ", '" " ' " '. ' " '...", ' '.....:. ,,', '.." :' , ..... Extended AmounB...., ~i;:-l( y~i.;.), n:.,I3.:;, .? LII.:ib 77100 'ZLjl/ c. 9,(-11/ b ,rS"?') c, ;;;oc;i/(.-, <71 '.:7= I i l3.:.;r) 14.0 ';"' J 7!5-;1, ."~IIf.1'- 407 17f ! I /12,.::,1;,0 I I~) y-;? 1t:J 0 I I J\..../) 1"170 ,..1 ",jJ;:.. o' : l~ I ". it \- ') ...._ "f" I ~ -'-...... ., , ,,", ,,"; "j ""'j"I' '.<-'.y:: ':,: ,',:.,'.,/" :_.-,r , <.\i:'o' ,":"'., ,'~ r--. :';-" ::'.":'i i ,:: \.~ ~:- , <. :~, ;".. y. ,~: ~; I . . , ,,' ~~"~~.' ", ',J '.<. .,t .:: ;,:-r:'::',','-,:. .' ~ ,>' ;',," "'. :.',.>/...::,". }f\,"".-' ':<. ',;' , 'E:-";'\ Jefferson County Department of Public Works . . '. ". .... ;'.W_'" .,',,> PROJECTTITLE I ro II Dc; / "". (7 / / PROJECT No5~S LOCATION /;"0.., 0 <?/.p. W~RKPERFORMEDBY J~..e,P- C~ {J ..~t.W,,"k Pe.p T_ " DESCRIPTIONOFWORK pwT I n F., II .,,, J. CD",'pqc~d Equip. No. Equipment /"0 /l) 1']. <! 4 7'. I.( ~ 101" OJ/e;..., (J.,...J.,... (,~ Q,b(/IOI1 (( ./I€,... 3 t:;;,....,1(41/ '< . J::>.'c~;;;a ~o fJ.~d L'4J.~. '-R Jell! f)""r.., /3"c/c1T,,,,. - ., 3 1f "d .t:),,~ L> 77-" c..1c-. C?::? :5 ",..t ..f)v""p ~'or '13 S'~d ~ "'??.p rr" de . ,/S (5,,'" 0,,'1'''' r",,,c..K. l, 7$1 I"y,", 0""',,- -r.....c/c; ) 37 5vd. f),<"IP 7..."cA:. ''2 fllq; ( s vel D '1"1fO MA.;{~iA'r.-rnd/o, WOR Description 'F'i 7 _ 1./ (..f 11 -;Tr\TY\!_ "'L\ ..\,... V...f \.\..,-,.-, j '~ \ \ ^ '^ I -. '. Hours Hourly Rate IICI 17! - /J I /17:;; ? I /51 '/1 '71 - ,:; ! '71 0/ l- ei! ~y 4. v- a/ "3 <;1;../ IIv- 4:./ 't,./ ~ ./ "i1:./ '6./ 4 - dO~bY l( 'cJau;t Nco. Unit Unll Cost . '7 ~ '7 IvdlS'!/' /0 .: ,_I.. I / .., I "? ~", i 1/ "f },I. I ,-" TOTAL COST OF EOUIPMENT, MATERIALS AND WORK Subm;tt~d-COnll1tctor Recommended-All. Pro!. Aepreu""ti~1f WiI..,..Flsk Form 1505 IlO... DISTRIBUTION, Extended Amounts X7d --~- /-'i'bl - /? 01 - 1'1' . / (0' I /'01." .::;;T -, ;7' 7;11 -.. "j~) I /;/ , ,'~T ....J'I ?'ri!e,", I I I ~ ...,./ "'-- DAILY EXTRA WORK REPORT C7 " 03 REPORT NO. '1:. .7 - ~ to - ---0 AMOUNT AUTHORIZED $_ PR~VIOUS ~~PENOlTURE $ _ TODAY $_ TO DATE $ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. ",-". ,'-"'" ',' ... : :,--~, "'. 1"",:<,' "," :.\,:",,<, ;,1'" "::,,,..> .: \~r ('u " _",0;,';'" ';'.<',., ':";, '" -''-'.'' ,.., ','/.'.',":','-"";"',/,,,,',:',' .' .' "', " ,,', .,",,'.. "",' .:. :,,',":'.>',":,;:,:"::, ',"'; , "",:" :"'-';,':",.<,::":':";' , '~,', ' . .. ""',;,: '.',::""\;':,,,..,:.,, '-:..-'",,:". ~ ,".''', .. :'>::;':',"'.\ , :,". ":,"'>'. >t'\,',:;.... .,:~.'::' :,:'i..:',:.-:-:-:,:';''':>'''':; ",',',:,',-", ,",,:' ,>~,'!':',.'- ."1; DATE PERFORMED DATE OF R EPOAT C. O'?S r. (! Pe k./ ~ T- P,R. No. Hours Hourly Rate Labor /v1c~J::II-Y JJ~M'Y J!,. B..".,., ~c.f(: ILl/en. j...l-ess JO lit I-"~K'~. -r;~v )V...l5~'" Ll.oyd. h-ev~,. "":/):q"', R: 1/ /-I. W~~d Il-f..,.-< f?,;::1(q.d.. o v 11 74; h f{;;;;:i" /.1.0"'''- Flovd. R;~...(""', d-"fh;-<S J\IJ <(.v.e'1- Lv: 1/ ,.",..., ....... "6 )/ !~O R.g. <ff v II I () 0 --~. <{ - 1fJ'_IP9 - R.g. <;{.-- 10 ':S-,f1' ~. -0 '- - II loa R.g. I ~ I 0 ,:r ~ La,o.. <;l ~ 10 '.s-::z.. Reg. " - 10 15''- ~. .. - /n LS':>- Reg. C;'-- /0 152- lM'. "Q' " 10 I 79 Reg. 2:- -/ ( ! 00 Added Percentage-(See Special Conditionsl SUB TOTAL P/l~ /tJJ/..I. Subsistence Travel EJ(Pllnse Other_ No.__-:-@$ No.._@S , "~", . ~',' .,;' " ':'(',:0>':, ., .. .;:.-,;.-),.... ~, .,;,:,>"'/" ~ ,~2 i EXlended Amounts 0/t20 7000 <7c; i "-2 .? 41<<-:, ?YloO (.3 1/.::1. 'yL/II '" SL/ijf... {e/i/b :?,!l;(~ y1~ '.<;.'. ;7 ;lloo I CI'/h J It.: '/ <. </ [1<- I ; I TOTAL COST OF LABOR I A : >- I B /'7 7~ leer (A) /t//)d~1 T . _" ON EOUIP., MAT'L ANO WORK COST (B) ! TOTAL THIS REPORT.,. / y"gL11 1. Proi.Mgr. 2, Field Offico 3. File For OtlicEI Use Onlv rPd. on est. no.~ Checktd bY~ t __% ON LABOR COST .. :'.' "..: ',; :.,. '::.:"'.'.'.:. :, ;'.... ,,' ,:' :. ':", .;:..,......:<.... ..... ..,:: "'-.' .':. ' '... . ..... .-:.d : ',,' :. <;. .. ":: ' . '.. . :'.': " . -: .. '.', .... ":'.. ..... :.,".. :' " '.. .' . ".. " . ...'. . ...." " .. '. , . '. .. . .:......., .. '. .. -.. (:::'::::':: ,: " ,,: :,' ." :'.' I . '. ...... .:. ':". .......,:.....;. .... . '. ".. . ..... ...... '.' :. . ". .'. .:. ".c '. :. ." . ...... .... :. .'. :::.. ..... ..'.. ,.... '. . . ...... ....:. ." .... . . :.... . . '. . :. . ." ". ..... '. ..... ........... '. ........ 'c '. . '.' .......... .'. .' . ..... ...:........ ' .' ..... ...... .... .... . .' ..: . i' .' ..:..........: . .... '... ....: .': '. ':."" ;" ........ .... .... ..' .:- ....' Jefferson County Department of Public Works . . ",. ::.::. .... ...:..;:.. .... .:. . DAILY EXTRA WORK REPORT PROJECT TITLE I rDIl f)~ Ie ..(11/ OATEPERFORMEO C{'-r;.1-C03 PROJECTNO.tis LOCATION )/-onO,,/.q.. OATE Of REPORT WDRKPERFORMEDBY d."f(? Co - (.IC:JIW4{/ f.Oefi..t: eOh>,T-C!..H.lV' DESCRIPTION OF WORK p<-f. 1: \11 r! I / - C!-(pm pq c._:r~d ,'r - EQuip, No. Hours Hourly Rate Equipment &0 V - Y}-Cq T- 3 V .....,1 JI '2 rlJ qn tJ~ll-roll... @"'aclpr.. '1l""'- 1 '1! - row (:",d/.'on f(,lfer' .0;< ~~ 1'1" 'fO "1.1_">/' 1.0';lJuy.. en" /,1 .- '1<;< <1'.(" 8e.<<,"-< Bqd Ho-f', If V I:, I '" 73 fivJ f)l(llIP f;-vc/, "7f . V CJ q3 5 'yd /Jl/m/.J -r... "'.{:. "\1'......... ri I '-13 sKi L)l.(IHn -+... ,.k 1; v '-/1 A! I;~ 5' vd. j)"hI'" T,. ,~/(' <f... \/ '-7 .. ~7 :$Yd .o,,,~,,, TJ...dr'. 7. ~- ')'0-. .3#1 oyd IJ f/n-II' ,;. . ./ , 3 t:::.>4 fj,,,,,r p'c.k I; p. c( v /!/ "2.7- /.-,)'-tt1 MATERIAland/orWOAKdo~ebvspecjali[t's{' Description NW::t.6rf1r- Unil Cosl 't-'i-r ROM, .N.... -CJ&I- "..I....' ,'" l\,.> ,. -~ .. ~.7 " ",'- 281 1/ '. .- l'-""..t..~. _ \.,_ 533 1/ "';" I TOTAL COST OF eOUIPMENT, MATERIALS AND WORK DISTRIBUTION: Submillcd-Contractor_ . Recommended-Rl't. Prol, Reprt"~ntllti....~ Wa.y.Flslc Form 15.5 il,.. . ':' " ~ illI" (~X' lii,.:' REPORT NO. AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITUne $ _ TODAY $ _ TO DATE $ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. Extended Amounts P.R. Labor Hours Hourly No. Rate 111(' f'.L-:>,..v iJenrv <l-. r-: /I ' '10 lJ ...5"5 .John Reg. 0.--10 I '7ei iR... c..-tl...._ .r~""~~ """" --- JO "if '.....;5 K~ 7O>1Y Reg. ~ If) 16''7 -N'-<.15on LJ....v d. .- '/11 It> 0 i?1.ca..Ye" w:II,t'in? R.g. S IO'S'~ T,-,nIl5on .7' .' f11 ' --. ____10 '7<1 "'ODr-€. R.. c.J1q;.d . Reg. - Ird~ '"117''1''' l?dcJ:.y ~. ......-' I()~"" ll'ow.... t-/..ovd Reg. .... )D ,5';;1. r:?'1I ~Ow~,..J ... /' JO 16'::> /IJ .q,.y'~, w: { ( ' q",., Reg. .3 .." 100 ..:::.:.; . '<..:' ....:, .. ",. ..... . ... . ''': ..' ........ '.' ,'." .'. '. "., c.'::':. .. ".', , ...... :......... . '.' <'" ..::.:' ':. :';.. ". . '....' .' :.' .... c.... '."'." '.' . '. . ...,.. " . " j)d 1'o'c:1 - / 7(.)1 ~ I",d.. /CO' ,- _),;1' /../' . /,;;>' . J'; I Co.;" .. '.' 1'),- 4':. ,;.'"//_ SUB TOTAL 1",1>) Added Percentage (See Spacial Conditions) . .J/I) T I 1 Subsi:nence Tra....el Expenso Noh_@$ No..._@$ Other_ TOTAL COST OF LABOR 1 A ~ >-IB ..-- .............. 1.Proi,Mqr. I For011iccUlltOnly I +_%ONLABOACOST (A) ~: ~~~~d Office r6~~;~c~S~y~ + _% ON EOUIP., MAT'L AND WORK COST (B) TOTAL THIS REPORT ..,.,' .... .c.,. .... '...: : ,'.: 'i ..... .. . '.' ... J "'.. c' ,"'." ..... . Extended Amounts COj !c:>o .l(ro'..LJ. 7(:.,1 -,J. ,y</I.s<: .v?Io~ n'?O 7(~i-?2 Hill, Y<-/I/G 7'-{I{b .. :?,g!OQ I ~~ ct4- ~J.T..P , #3;53 1 , I 1/"'7\>!",-'1 . . I 1/7,~(/i-- 1 I I ~/~;JI~(/ / ..Jl ( . ).. ~c,;. . '. .' ...., '.' .' ..:, . . i-. '......... ". .... ". '<: "':: ' .:, . ..............,.... .. .. , :. .' ", '; .. ... "..' .' . "', '" :..' . '. "" " ". ...... .... .' .',. '. .:'.....'. .' ':. '.. tt~' : ',,~: . ,.... .... ............... '. .. '. 'L,: ,:.:.:.,. Department of Public Works .;: .' . . .' ".'..: ,..'; " .: ...... .,.,,'.. .:'; .; . '. . ....... '. . " . ..... ...:- '., : . ...... ,,' '.' " .. :: ". , . . .. .'. . . '....... .'. . "'" ;.',:. ;. '. ...... ....,~!.i....r:: '.' n.' .' :.:;. ..: :' .. .:.; DAILY EXTRA WORK REPORT PROJECT TITLE I rtll1 DC( (-(' .(l (/ DATEPERFORMEO~ PROJECT NO,':; is LOCATION /I-on Dq!-<? DATE OF REPORT W~RKPERFORMEOBYd";:.p. Co j.J"y!fWR,'/ ()tpl'r, c.O'1<;;T c.t-ef/Q DESCRIPTIONOFWORK CJ.-<.--rfl'"'C(. {3",U~ Y"~I1-~" Fro,*" 6// - q"Rd.,d.,'/o..." /Jy/'/.!>- Equip. Equipment Hours Hourly No. Rate I,,, D-?- c;".,,- :3 /' <./01 - 'H.. )'ohn ~rc. (9FQ.,fer- ,58 /7! - '1'0 J.1o..d )..o-;p..[...... <6/ ;:3ul -- 3'1 ~o/J ~~h1P II-'fCJt ~ -../ 91 - II,''''M {fol/..,.. 2---- I~-I - 714;' -CTo/,,, . D~"'" e {3<;c.( Hop . ~ v' 1')1 ..- \ ~ W" f3.. Cas-P. 5 r"Q "?f11'.U ~{u ~IOO 'I$" 5vd. O"",p 3' ./ ql .- ; .: d ,o",,,,/,,, 3 ./ q! .. -/37' .5y& D'-I",o . 3 ./ q! ~ ..3 p"r c "''145 f'.'c../Cl( /> ~ ....- 1 i7S ",B r,.:\- (..,J;..j l; I~ I.' :r- nl- MATERIAL andfor WORK done by specialists DescriPtion No. Unit Unh COlt IY:-t-It"l/n. -/1-':;'- l~ds1/'--'" I I ! TOTAL COST OF eOUIPMENT. MATERIALS AND WORK OISTRIDUTION, Submitted-Contr.c10r Rlcommendt'd-R~s. Prol. Rep,esenutivt WI}.Y.Fllk Form 16.5 Extended Amounts 1'/ ")! - -7':'r!\3(' j,:..O I '721 ..:,' !.- {: <- 1 .... , /,,: ./ /} I .. ''') I .._ J') 1_ 1'/'- f2,SI_. II',! - , i ~ ./"" ..... 1.Prol.MQr. 2. Field OffiCII 3. File P.R. No. Labo, R EPC'RT NO. !- AMOUNT AUTHORIZED S_ PREVIOUS EXPEND:1'URE $ _ TODAY $- TO DATE $- CONTRACTOR JOB ~'O. CONTRACTOR REPORT NO. Hours Hourly Rat!! 10rLO":Jf~ V 7:I~"'rY A- 'R:"ck:e <.ft.IH_5 IVdSoly LLovd. lv</So'1 J..{.." l/rl. ;.J....~S ~"A'I. 8: II /-Jo w..,,-c-l. Moore. . KI d19td. .]O/11So'1 J'i' Y>'f 1'7>"17 ~11t /(oc.Ky J..j/)w-e. ;::Lo vd. , \,.... 'y, '~,."'.,),'1.." ) Addod PorcontDge-ISee Special Conditions I : I Subsistence Trevel Expenso E>:'!': "i? // 14'0 Reg. ~ -Z /0 I :- 'j _. ::l.. - 1/ 1.0 2l Reg. ~ ---- / () 15::L- =. S {; j() ::-9 Reg. 'bv" /() IS2 e:-r. Y3 /0 ~ Reg. J?? II : C 0 ~ w 3 /0 6:2.- ___ Reg. 1Jo" 3 / 0 ,S'::2.- -&.-T~ 5' /o! 7 ") Reg. ! SUB TOTAL //1' //;1') No.__@$ No.._@$ .. . : .. ..'; .' .... ...... .... > >. '.. ..... . .....' .... " ,.:., . '.. .. ....... '.' ........., ....; ..... ..... ";' ....:. ,.i:'>i: < .., '. ........> ..' .:." Iii. Othor_ Exte'!ded Am:J.,:nu 7/ !~ G> X'G. T3A ,,;>"10<> fA 1/.2 ~C'.;.?Z.. . gO/V6 ~!&?-. 3f.3'L ,!]JO ~y' ?1,5~ . ..~ 'fJ1.'>b 33 !9'5 I I_ t; !..4-1 5..1 ~..,u.fi-&? ;;;; '/"1- il k> i TOTAL COST OF LABORI A .f',!,;IO"" I B IUf;'7!oD . ~~ ON LADOR COST (Al-l . l--J" ON EOUIP., MAT'L AND WORK COST (B) I TOTAL THIS REPORT 1;,((2 i 0"- I For Office Use Only Pd.onelt.no.~ Checked bv-----i . , > :. ..' , Jefferson County' Department of Public Works --;- PROJECT TITLE I r IJ " 00 /-e . -/!: {/ PROJECT No.5~ '5 LOCATION I ro;z O<;'/e . WORK PERFORMED BY V"-, {ZI?_ Co IJ '?"n>,~ n.., pT, DESCRIPTION OF WORK 5"..I.P~ 5 '-:J-o S,fo/.t-{d-e",._ P'1f DATE PERFORM EO OA TE OF REPORT DAILY EXTRA WORK REPORT q.;;J,9-'83 REPOAT NO. AMOUNT AUTHORlzeo $. ~ PREVIOUS EXPENDITURE $_ TODAY $__ TO DATE $__ CONTRACTOR JOB NO. CONTRACTOR REPORT NO. - 4.~'. eOH<;T -Crett/ Equip. Equipment Hours Hourly Extended P.R. Labor Hours Hourly Extended No. Rate Amounts No. Rate Amounts lVI...,EI -%tJ B.C;;-,oS e. o$r.;,',ur. ~~f!. .A 'oK 1 . -?~oi - M~. I. , 11 f-e,+,.'3 /11 i YO '7/ !..:<o L;~ "';-;'6 lh.u-<:. Cj!-..j",.., <1 ~ r7! - , -?(_I .. jJ J/.ss .: J'bq;; R... c;;: ~ J I> Ip'7 i?C: '32 I~ V r;,../I,<." /(,1/..,,... . :LV' 1')'1 - ,-:1.) I .--- IVcl5C~; J.LOyA. -9,'1;. :2,,- . JI 100 ,.:1..2.1 00 !#tP J/;;" -cA"' l./'FO./. "'" . 4; ~ ;:>....r .... ;'-:-;') I IV -e15<!)'- L.. 4 v-<' Reg. Co - 10 :s~ /-:?f 7- .:'l~ :$' Yci .D """p ~ '",.J(:: . ~ ~. 71 ','I: - I R;'tut.'e :1 ft-lheS" <l.I. ,-- 10 l>-:... t,':;I/":< 8? 5VA D",.,p 7......cK:. ~ ./ '71 _~;J l/ I. Il'/(}O;-p, R..d"".,...! Reg, t....... . J 0 i6=1it1' ~-r9.-t 91./ S~'/'O"HN" 7;-"c....(' 6> --- ,'//- - ~ </1-. R.'II IJOW<>IH ~ t. ~ / &:> i:>:2.. <:::31 I/.. ."1 ~~ -e ""/>;, <<' ..-., /- - ~ ........ I 17.5'- , ,/! - IF /..;k'': TDnl/ R... L '-" It) ls'~ c;,"/;" 5:7- .E1I"':h......<; 6_. All C, ~ /:>5'" //.. 's tJ D.T. , I cJ..'S .:;-, ../ .,...j, I '_. /rl - ...;1 ~ :-1 -. Reg. I , , , D.T. I I I I ! ! Reg. i I MATERIAL nnd/or WORK done by specialists 51? :~tt- DClOcriplion No, Unit Unit Cost SUB TOTAL 707::\- !;>:;:< P.'-r I~t.., h ~ f-d' ~ ' /" T7'! Added Percentege-ISee SpecilJl COm!itions) /%, /fr.'; _7 ? t./J' 1;:iS' Z.I~ , /1') l~ " / 2..~'7 t\3 Subsist once NO.____@$ i I i Trovel Expenso No..~@$ - ! I " / ) I Othe,_ I , TOTAL.COST OF LhoR'1 A ')t..;; 1.:'''1 TOTAL COST OF eOUIPMENT, MATERIALS AND WORK ~ >- 8 I -- "'" '7..7.,) J56 ... _% ON LADOR COST (A) , DISTRIBUTION: T. Proj. M9r. For Ollice Use Onlv , , 2. Field Office r~d. on t!11.V~ .. -" ON eQUIP., MAT'L AND WORK COST (8) I Submil1eod-COntfllclor 3. Fila Checked by TOTAL THIS RepORT //: 7'11.77 m n d-Ae P'o Ae fC'IC'I'lI Ii" .f.., I..;V 4 /'"o!"';- L ,'n "'P. Rtcom e de 1. WiI.y.Flak Form 15.5 r [IT n 4,. ~ -- .- ... .. .' , " " ," : . "', .. ............. . ...,. . . ..... ,.,' ",' ......".,. :....: ...., ...:. .... " .... '.. .', ,'., ... ..... "'. .... .... ..... ..... '.'. .", .' ... .... .. '.' ......' .. ..',., , '. ", :.:. . ..., .,' .'... ,..'. ..... .. :., .,..... '. '. . ,'.; . .' ,"": ',' . /. .' :", '.> .'.... .... .' '>,: . ". ...':",' /: ..' .... ..., . .,. .. . . .... . t t'~~;. ';'" Jefferson County Department. of Public Works . " ,. : '. , ",c . . . .,..: :.' . ~... ,':,' . : ; PROJECTTITLE -;-~~~-~q;...... f: "m____o- PROJECT No.5 a <; LOCATION J 1"0 hd <; /<9 . W~RK PERFORMED BY d~.,e.j? Co fJ I '8-' <v.. y DESCRIPTION OF WORK N"1 /$'( eo d (!,.. d.., _ OATE PERFORMED 7" 30 - '8'..'3 DATE OF ,REPORT DAILY EXTRA WORK REPORT Y, 'o<!',P-- r. Co " $' r Q.I-e '-</ F:;'''1 . '..s J.. ..d tP L 17/ 'Z 5'/1, /A-d,... S - GIIU", ","-'d Equip. Equipment Hours Hourlv Extended No, Rate Amounts . 0 B - C!U~. sr:;,,{,r g"d. ",.. -7'3 I ~O '::I7O! --.... ~a.. V'MII O<,'lV<-<. Gj.;-cc( ..~. -,r"c/ /71 .- /:(&1 -- r"r @;./I,OI1 /(61/'et-< 1"./ /:=,'1 &"cl ~ ~yd. O'dlN> 7J. "C./c. :;;J v CI ,- //..:..'\ I , '1"1 .7o!", De.". <: f':><fc.Xf{o<". 3 ./ /.5 I 'I';;; , 3 fi""f)f't45 P,'(:./C "'Po % ,,' /17,5- / 'I' r ~. I' 'I 11-", d('..,.- Pc; c/<. ~ ... IT ./ "),"', y,-,' 17'3 5'v,t. ,0 t-, '" /.J -r;. .k- oCT v' ''7 - ':(1....1 l ~ J1z. 1/ IV<t rs- : : I-'%J- I r:J.." 111-<',.. T J3a175 I , (1;1 O? f4 "/. ./ , I 30 }c: s: 1 <"-'! ,,,, - I /~ ,. MATERIAL and/or WORK done bV spltciolisu Description No.Unir Unit Con CoT<OJ! B~..-/It 7//'" /(.. / -:::~/yt7x'" <:/ /1 'l/ IP-" 1://;::>0"./ '1 to !..'j 'i '.:: ' .lj, J~ /, Pip e, --) J I '. S// //::1:.:) ~, . [3.,~ c!. JIa..t~" ~'/' 'J iCt' ~ / /1", . . " ,~ I C,1-"-' tf.,s .. ., c. r., f'e I /y2'C;:3 I / ~' I --'..-; TOTAL COST OF eOUIPMENT, MATERIALS AND WORK ~ ~ ......... P.R. No, labor /juj,:~" YnUi,.y /-I. ~. 16;/". ,'.', ,-. LLtJYd. J./....>~;, LLd"J f16eJ;-€... f(:d/tu.d ru"",;.e.- i(,'Jq;.d. htJr-<-llo 7?J/h }Je"d"''so#l R<;Jb Added Porccnlage-fSce Spocial Conditionsl Subslstenco TraYel ElCPonse Othor_ SLlbmi1tf'd-COnlraC10r DISTRIBUTION: 1. Pro;. Mqr. 2. Fjeold Ollie. J. File { ')" R.commended-Ae.. Proj, Atpr.lt>nt.t,", WII'v.Flllc Form 15.5 .' :".,' ,,,. . .',: .' REPORT NO. AMOUNT AUTHORIZED $_ PREVIOUS EXPENDITURE .$ _ TODAY $_ TO DATE $ CONTRACTOR JOB NO. CONTRACTOR A EPQRT NO. Hours Hourly R.lle TOTAL COST OF LABORI A >- I B I ForOlficQUseOnlv I +_%ONLAOORCOST (A) Pd.on 8110."0'--1 Checked b~ + -" ON eOUIP., MAT'L AND WORK COST (B) TOTAL THIS REPORT -- -r:--!/ '.'f'~ Reg. '1 J / {J I;> 9 __ 7"- '/1 '''''' Reg. tr - I~ ::> ~ ...,., 3v /J : 00 Reg, S" 0 IS'~ -.r. 'K /0 !:t-~~- Reg. 'i'i .I..,.r-+.:c-~ J.-: i Reg. 0;;:; Reg. ;'//./ SUB TOTAL ) if) No._Q1$ No.._@$ 'C", ': '.,., -/,'::, :' ,,' ",'" .'" . . .........,.: .. .'.'. ': ." . ,,., , ' ..: :':, '. :.-, ......:- ,'. '. .,:.....' :'. ' : .' :.'....,..:,... ",.' h'.." .... , . ;':"'. " .....' :.,1:' ,.,' '. ..... .. :.':"...... ". '.; ." '. ,," :,.... . .: ", " , ..... ::..., .'''':, ,.., . '.' .., ' . .' . . .' .' . . ',:.. .,,' '" '. ". . ',.,' : ....: '......... ','......:.: ':.. ,':, < ....'....., .. Extended Amounts '7/';0 ;?~I?~ '/'/10.0 ,/,) io? . :7~;/: k:::'.-O ,5';71"'0 ;? ./ [';('0 '7/':70 I I I , I , , 1 /)i131'Jn .J '/ / t5'''' 1 : I ':I'll/!'LJ I I , I I : 1 ! ,.{ , . I '-( . r, '. . . . , . . , I. F F k b ~ 1. b f EVENT /kc /l//)4(>~;- r>L <- PLACE 7:'(' ('., /. ,~'", ,i ~i), ,/,,/7:'/ /' / / DATE / .J";,,!/ '-",c.,A., /;.-;: ) l... / C~J'l-~' //7r....{ / -.--.--... 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H o N E DATE /0 - /tl ;3SbS' CITY SIZE FILM /R0 / P,I{~l, J- /,-t ,.<: rL.('---h DROLL 1 ROLL PER ENVELOPE f/ t<t-D, I' -- .J L .J -1" L ~. .... ~ ... , , - ~ . ~ -'{ - ': > II r;;;! : '~.... 'lv. I~ '.f. '" "<.\ !1r':~.,1'- '"~;~,:x<!~' !';;<,,~;:"~:,':;;:j:".,?'~ "! ~ j, .. ,'; <V '\ ;t!, -~';'~'~;!..:?~;' "~r ::---~ . p-\.r'. I ., lF~~;~=~~=,,~: "~: ..' ~,. III, '~,....:,G\ J .. ~iC~... ~~ .... :.....- , .. L" L ~ ~, \ 'l~'-'. ~( It', l-i,~"': ~ A.:).. ..... " ,..lll ''''I f 1 l: I I .~ ~~ ,'~ ;~:~'j ~"f ~ ._-.\1l\ ._>y':)..\.... ,.....;;~ ~. i-""', ~ ,. ""'" . '-.. ": .., ~.y, . - '... -'. ,. . '>I~ ~"" ",,'-p..- ,;# .... -1 -' ~ ..... \ "- , ) . , . \ . . . . 'r': . . . r , , ~ r' ,. ..' , f '" ".".."~ '( ~~~~~;?!;~"..,..: . "'''<'':'t.. '". ,. ", ',", '\ :-.. .'.,'-...:" "\"\',~~~, '-'. ~.- . ~ " ' . ; ,.. .~~.~ . '\ . ~,C~~< . , _~' ", ~ ':;, '" 'l ,~., ....~.., ~. . . . _J '. " .., . _. . . - ~ , .', .. ' . . --1 ~ L --1 r-- . , - ~ ~ ...... ~'. ~ ." , ' , " ~.~ . . ... " ',); ;) ,'p ~"; -.. ...,..,'~. ..' ',:;... ~ I \. ~,. - . " c tilt FEDERAL-AID PROGRAM . DETAIL OF FUNDS EXPENDED o P.E. Final o R/W Final li1I Final Project Federal-Aid Number FA-ER 83-06(1) Progress Bill No, 4 JEFFERSON Prepared By B. LAURIE Period 1/1/-6/30/84 Agreement Number and Oate Executed GC 7318 April 7, 1983 WARRANT NO. AND/OR VOUCHER NO. NO PAYEE THI PAYEE TOTAL AMOUNT FROM ALL SOURCES :~g~~~NR~~~ ENgl~~~~iNG CONSTRUCTION N AGREE~mNT NUMBER GC 7 18 MISC.' PERIOD - ADJUSTMENT DUE TO CHANGE ---- ._~ Current Period Participating Costs AUTHORIZED TOTAL PRO RATA TOTAL LESS NET FEDERAL EXPENDITURES % AMOUNT PREVIOUS AMOUNT FUNDS TO DATE CLAIMED CLAIMED AMOUNT PO, CLAIMED 13-;-5-00.00 9,114.2-1 10-0% 9,114.21 9,114.21 -o-=--- -io-;DOiLoo 13,192.28 100% 13,192.28 13,192.28 -0- - -- --14'4-; 4 25-'00 151,379,44 100% 51,379.44 150,737.40 642,04 600.00 450.32 100% 450.32 450.32 -0- .-----.-."--- -- -I -.. 178-;52-5...-0-6 174,136.25 17/,,136.25 173,494.21 642.04 ---.----. .----.--...- CITY/COUNTY ACCOUNTING INFORMATION _.LcJJ~J.~..r..?_o_n_C~g_lLtg.Y.J>~!:l!'..!EI..Q!1J.-9f Publj c l.Jorks Port TO.....lu.end, i,'A ~3368 'USE FOOTNOTES BELOW TO IOENTlFY MISCELLANEOUS ITEMS, EG" 52,000" a) RJW b) Malensls Furnll~h8d C) Agencv Force d) Utilities CourthOuse OI!iTHlUulION Wh,"', WSOOT t1f1'''dqu.r\~'' A.1:C'lu"'mg (J,,..." t1utulfl 10 ""Ul/fle,.. 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CU5JDMr'RS ARE LIABLE fOil DAMAGE 011 DHAY, ALL DELIVERIES WILL In MADE TO THE /lBT OF sntUS A6ILllY. A.ND-Ot5I'ATCH. HOWEVER, NO CLAIMS WILL ElE ALLOWED 8ECAUSE Of DHAYS IN DElIVERY You hg...._m;nul.' f~.lI lime lor unloading .-.-------, /, I~._ /19> 17158 GAL I YO '___i) LEAVE YO ARRIVE JOB START POUR WATER ADO FINISH POUR AlU/IVE YO. ~1"""""-'~'-----"-"---~'~__~-l/'-- it DRIVER TRUCK NO. I II -j :111" COTTON CON~;~?'';GTON 9.339 . ",.0592 . P 0 .ox 447 . ... OLD HADLOCK 00 . :;:;~ Sa.ui a.ui q~ ((,:,.J<f._',~E~,,:,-~eo)-=- -;------,-; . -I, oEl,VER TO ---"'." '--,---- :=";3.e_o2LsP.J/~ ADDRESS .....,... >- ~ U '" '" ~ g ::> u -i I .. .,' .__n_.._______._._._____.._ t(CD 81 ~"'i :O~o cv;'o...t'~ AI! ~"'''l' 10' ~...,w,'~~\~:6;ftl~~.~~~~:~~~ ~;~I...~~ ~:O~1I'1~/'~1 ~~~~:'~~:l~..~ ...:~II;~'..~..Oy,~:~'n...\~~: _ ~~~I\.I:,,~~,..~~~:~: I~~:~ I'" ,,,,I<><1rl,nq ~ , f; ',' . /19' , 17501 I '-' GAL. I YO LEAVE YO ARRIVE ~-------->-_._ S_~~_!'Q~. ._~!!.~_~-9:Q...------r---- !.I.~.S...H_!~':J!______-_.._,_____ AI!llIV~ YO _ ____...______ .,._---l____ O'!,IV_E.!-. .___.. TtUC. NO . " --, -, ...., --' --' -1" ~ ~ .... . . ~ r r L L I I , COTTON CONQ;;l;TE CO. p,O. BOX J " a HADlOCK, WASHJ~ 9f:1JJ9. 3850582 =--==--~":,;'ft-~<--;,!""",,eie 'kki/uuf S"",d "..,d qUi"",, j .-1!'L_ 17499 c;"'cc-o"':::"l==/=-_ , I - DEliVER 10. ADDRESS GAL ci:I'S25 j> >- C5 u V> '" :E ~ :> u REC'D BY__"__~_____ "'.. '_ _ _ W'1fN l..uo;~ trAYI PIJIIllC ~OAtl. CUIIOM{~'i "'~f lr^~l! fO~ "........'GI O~ Oll.\y roll :;H'''f~l!) Will bf liES! Of SfUfl!S AIl'lITY AND ["SPA/(" MOWHfH 'Ill ~''',t...\ ......ql ~, "'[lOWED !tf(AlJ~1 (n ull.\," ..,,,,,,t,_, "",_",.-",-;...., ""r".nd,,,,, I Tl;UC~ N(; ...... ~ -, -' -' -1 r r I L L L ....... ADDRESS -, COTTON CONGrillIiiTE CO. P.O. BOX 447 . 644 OLD HADLOCK RD. . HAOnc. WASHINGTON 98339 . 385.0582 Re4<t.,-_Mh e~ W,..,/,d S....d."",:! q~ DELIVER TO__~-2~-:_~ /1'1 " ./..1 ' >- "- o u START POUIl ;' WATER ADO ~ '" ~ ~ => U FINISH POUR ARRIVE YO / REeD BY ~_~_____ w....eN tPU(KS lfAVE PUBliC 'OAD. CUSTOM!P!; AH LlABlE fOP DAMAGE all DHAY AU DEl.VUIES WIll BE MADE TO THE BEST OF SELU'!; ABILITY AND DISPATCH HOWEVER, NO CLAIMS WILL BE AlIOWEO 8fCAUSf Of DELAYS IN DELIVERy DRIVER You hO....._....;nutou Ire.. 'imll for unloading TRUCK NO r--"""""""'_""_R~''lI<l!l:<-''ii;~~~$<l[~ ~--=~~~t&;1~~KS~E~;~"~05.2 . /19 _ I' oEllv" ,- - .'._~~o."=o_=c~~~=~"=_~~_'_=~-=J 7159 ----= ADORE GAl. I YO Ci?~.--?.;.6.<4.;f..' _ _!'~__+-_ _~~08 ! ---;--- -~!~C?.Y..1l I ,~:~~~.=+--= -~~,~--!Q. i - I .--'..-..-'---r---- I -----r-__ >- n. o U '" '" ~ ~ B " \ -_.~). c___~ '(e 08'1 :;~:'O:'~I\~~,\r;.,~,~~~,~~.., '0'0 nJ~IO""II, ..."11......1/ , . _ '. ...~O~,~':~::,..(.~_~_O:_' ~.t :"'~~r~ l ;r:.~~:~~: :,~r:,~//~:~~::~/ ~~~;~: ;~,\- ~;':"~~~- ~~~-~~~~e/-~~f-.- OllyU r"OO NO -.J -.J -1 ~. . "_ !j j " . .. i:; . .' , , __..!.....__ r r J L L L I COTTON CON~TE CO. POBOX' 11 . HADLOCK, WASIi/f.... IN 98JJ9. J8'HJ~l:l2 .~~_~.'!1-Mi-~ (!O-#-f0Ude 1<Jc.Jitd .s4-nd c...td q,u:.~1 DELIVER TO > l ~~. ,L ADDRESS 7 (;. <! z i5 ~ ~,~/ J r / // REC'D BY ~~:'"o~~~;l~~N"'A"~r,(~,u,"lll~~~O~,~P~~(~ ~O'~g;,t\~/~ l '~~U (:~; .}~"::: ~;;t ~? ,,~: (-J:". ~.,~! ~ ~.l~,~,: ~ ~~;. ~;~ ~ ~\ ~;:.6ff ll,? f~~! Yo" ..."",,_.,__ . _''''''ul,., fr~" ",,,,. lco. Hnj,,,,,j''''1 11",,_-11? Cr; <3 l?~;OO GAL / -;:--r.; .~~:'_~~ AI!.RI~~__J_?B Y~~'-.!~.c2Q,!_ __~_~_!__~~. ~Q~___ I G:;Q/.1 I i 1- -----___ _~~~_'_~,~_~~~_ __~~EYD I --- ORIV[1l TllUO: NO ..-.-.....--- i -- -, --, ..J ..J -1' S/IJ" ~tl' ye~' \.:" oJ:; .t':'J (f8':]',' . !.';)Q 1',.:) '/<:'::;.:' "';f::'" ~..,. :.'" ': ," '":""<.:<' ":":;,.>,','i,. '<" .,......., .. ,_tlnq I!-.O lInd IJrlnd , 1 ~ - r -, : .' . {',') Tn U:10 \'"j n ]..~ \, '!In.,) ~,fl . 0'2) 11. /"Z;hJr;,J"t.1) t'l,l]rht f~.(H'. Dr:,rlnf!' S. 'j'~t"l t'~f:'V'GC.t~ HJ1r.ht UI) + #4) 6. 1, kl'hn1t ,..rJt;ll1.ll ;,.,r:;>lo :')Jlr.ht 1.111'1:) 'Ibt.,l Ar.r.n:Jpto ;.'t. (115) '.ibtnl Or"~-1 A~hnlt , 'ai' .. ------. / I . J_ liL-A2n!lill ) I 'J, "r;phnlt . OrlGin'l 3'11;11G l-.'t. X lOO~'.cL.' ,(..1 , ;~lc-;o i.J1r;ht 1'..ot'lnod (! --,.. ., '. h ~-._._,----_._.- ----- I\QO/1r,.Q,\TE 'GflADATIOIl l'orcont IlDtnlnod (t,CCll,"l.1 t ivn) <<.C' 1'," ------ 1" ----~-..-.-,.._-~._,.- --'---.J,~__ .:j:~ 1'1 :. ~ ....) / ---------- ..--1Sw..._ ~. ~-.-::);, ~, ~, .~/ -' / I .._._11 ~~ _L ---LL 'L~ ~. 1<Jb rb. 1'I1rcont -E.':22i.'2i:.-_ ------ /I_. I .. , -~- ---':1 ,I J, '/ -:'\ v ~, . :>. I "'_.0 _.~___ _.. 7'''1.11 frr:rw:.,to (Fro" l.ino (i';)) Ibt ll~ocl in Chr:plltJnr; Cr,'dlnr, (0.10"1:.1 1.1no /'1,) -""', t. r. '",1.'"": -~",'";'" r",~,,,,,....,,,:t. n:-:r:',1t. r"c() enl:,' tij rn,.,~...",:t. n.~;, c ;~i'. """'~"I""_it 1.'"1 l:,.t')n r.1~). .,.. ,) ~ ',1t..., - PnLdn './ ).( i ;J I --- -- ---- '1.\ \'I~ -r J, , I 'T ../', + ....... " -- '" L {I' , . ' , . ,-' ~; , , . . . ~, ..... , , "',~ . -. . J ... - , ..... 5790-B Jefferson County Supplying Guard Rail Bid Date, Aug. 9 sUPPlf.1~Mgt~lPnSRAIL t No is hereby given that rd of County Commis- ~f ~:~f~f~~~o~OU~\1i rece ve sealed bids up hour of 10:30 a. m., August 9, 1983 at the g~~Ii~~~~~: $grrm; ~ee,;~' ~~s~~nEl'(jt~?, P~:~~i~ b:n~f~~ ~g~ jSjupplying 8'!proximately rail. near feet 0 beam guard Bdi~ shall he submitted in De- cor ance with' the plans and specifications on file at the of~ f the Director of Public house, Port Town- t:dnh~~~r;o~~flf~s s ts will be refunde3 refu~:da1~ S~~~aiC~~~~litr~ri 6"~~~l~g.lO days after the bid pa~1~~ b~i~as~:acl~rtf}lel~~~"t ?:~~~'b~~~~:~~~~~~~;~~ 1tf~ sum of 5% of the amount of the ~id. to be forfeited to Jefferson itg~thtft; \~e :~f;iSi~~~ ~i~~~: tract and file an acceptable surety bond in the amount of 10.0% of the contract trice :~~~3. ~"c \l~~r~a~~ 80u~~; ~~mrr~S:~j~~~~y r;:~rrgrds t~g accept the bid deemed most ad. vantageous to Jefferson County r~th~'bi~~I~e. aU Informalities BOARD /SF JEFFERSON CO UNTY COMMISSIONERS A. M. O'MEARA . Chnirmnn. ' ~e~~~OWN, ~:-mb~rrs, SEAL: Allost: JERDINE BRAGG Clerk otthe Board. ' Dates of publication in thC' Seattle Daily Journal of Com. ill~~t~. July 27 "nd <1~~~I\) 3, . - Affidavit of Publication ~ 5TATE OF WASHINGTON KI NG COU NTY -55. The undersigned, on oath states that he is an authorized representative of The Daily Journal of Commerce, a daily ncws.paper, which newspaper is a legal newspaper of general circulation and it is now and has been for more than six months prior to the date of publication hereinaf.ter refered to, published in the English languClge continuously 8S a daily newspaper in Seattle, King County, Washington, and it is now and during all of said time was printed in an office maintained at the aforesaid place of publication of this newspaper. The Daily .Tournal of Commerce was on the 12th day of June, 1941, approved as a legal newspaper by tho Superior Court of King County. The notice in the exact form annl'xcd, was published in regular issues of The Daily Journal of Commerce, which was regularly distributed to its subscribers during the below stated period. The annexed notice, a . ...-...-..-...Not-ice..of.. Bid.--Call... was published on _..July.._2.7,.. ......_.................._ ..,........August",3_,. ,198.3,._.. .?"~1gtll!.L.'L J9B) ... ...........r.~:L.!. '...,".,.-~..-<,.. ..'...~...(, . Subscribed and sworn to before me on ............._.....:.:'.......... , NotlLry Puhllr r.,r llllt ~[jtl'. "r \".U..11111",1"ll, rll.ldlnK In 8o...ttlo. '" . I . ~ . _.1 r/ I . .I . ~.~_ r r r 5790-B Jefferson County SupplYing Guard Rail Bid Date, Aug. 9 CALL FOR BIDS SUPPLYING GUARD RAIL Notice is hereby given that the Board of County Commls_ ~ifant~rs o~f ~~~f~~~~o;:ou~1n receive sealed bids up until the hour of 10:30 n. m., Yi t1~gU~~~nl;B3c~in~1 ~, Courthouse, Port T d ~~s~~1fl~~' t9h8~P~;fe b:n~r~~ ~6~ 1~~~~1Yl~'l oDf~~~~~~t;;a rail. Bids sha11 be submitted in ac- cordance with the plans and '~~i~}c~hignOi~~n~e gi W~bfi~ Works Courthouse, Port Town- ~rild 'b~~s~l~~~odnb~~e:~o~~m~s $5.30. Deposits wfU he rerunde3 if plans I and specifications are returned in good condition within 10 days after the bid oRening. Each bid shall be accom- panied by cash, certified check Y:r~~~dc~~~~~~~~;~~~:~~ 1h~ sum of 5% of the amount of the bid, to be forfeited to Jefferson ~o~~tltfi~ ~~e :~f~isi~~ ~i~~~: tract and file an acceptable surety bond In the amount of 100% of the contract ,nice ~~~~3. ~ne g~~r~a~~ 8ouA~: Commissioners reserves the right to reject any or all bJds, to accept the bid deemed most ad- vantageous to Jefferson County nnd to waive all informalities In~~)kd81n8'F JEFFERSON COUNTY COMMISSIONERS, A. M. O'MEARA, Chairman. B. G. BROWN, Member. J. L. PITI'S, M{'mber. SEAl.: Attest: JEROINE BRAGG, Clerk of the Board. Oaf cs of PubJiclltJon in the Senttle- Dally Jonrnlll of Com. ~~~~. July 27 nnd (\~~KSr\) 3, L L L ~. .... .. .. Affidavit of Publication STATE OF WASHINGTON KING COUNTY-sS. The undersigned. on oath states that he is <In authorized representativC' of The Daily .Journal of Commerce, a daily newspaper, which newspaper is a legal newspaper of general circulation and it is now and has been for more than six months prior to the date of publication hereinafter r<,..{ered to, published in the English language continuously as a daily newspaper in Sptlttle, King County, Washington, and it is now and during all of said time was printed in an office maintained at the aforesaid place of publication of this newspaper. The Daily Journal of Commerce wns on the 12th day of June, 1941, approved ,is a legal ncwspap<.-'r by the Superior Court of Kjng County. The notice in the eX,let (ar'm anJ1(-'xf:>O, was published in rCf,1UJar issues of The D,tily Journal of Commerce, which was regularly distributed to its subscribers during the below stated period. Th(~ annexed notice, n hhhhh hhhhl'l<>. tjS~Of' Bidh c;aPh was published on .,In}X?? '.. ,h..h.h,....)\,llglls.t= 3.. 1983 Subscribed and SWorn to bdore me on Augus't 3, 1983 .........--:-............ N"tllry I'uhllr ror 1/101 1"lltr" "r \VUtdlill":I"Il. relJldlnK In SfUl.ttl6, - -- ." -.J ~ ...... ~ '" . ". T . _ .' " " J '., .__ r r I ~ I 4r'l ,.8,...;, cOf' 8,Lz - </ 5'J Z; ( hi. "'/' ,.J_~) /_//0 (/....uo ,J.-) 8-fz,' - gila (j'rC/ ~~//Jc.~1 ....----;~_h.( /. //( L --' L ~~ " --' -1. ..,., . . ~ ~ ...... i:.(r;, . .~:;fu ,"..::,',',. " ::..,,~:,:~.'\ ",'jj':;, .~'f};' ;;':' ,:,:: ~, ;\'1:.' ;':",-',><', ,.." 'i,:.:'" f ,"}i~ .), ,~ ; .,;" .. .": ~-~,~ ;,. ", ,:".i-,:.; "'\' " , ; -;,-..;, ~ '. ..,/~".. I ;WI..{:;_;;;:':X:b~., ,';"',',':.:" :'t',-,:,-;- "" ,. ,', ~ <:'r~, ,; ,;,:1.\ '.' :' < :."";" ,~ "~-I" ': ?,'.,"i'\~'I_\\'-_ . ',','.-:",/".0:,':'," , .','i;'I:' :"''-'''''-''>;', ,-:',-','-' )'.:":",'-. :"\~':-:' ':;;:-';:::'" ,:"";""",, ..:,-':'-' >",,1,':. ,j'" :'," ";-:~;, ;";' ";'::,;';:,: >" ",', -';::,:'-,'-, KAISER ALUMINUM KAISER ALUMINUM 6 C H EMICAL SAL.ES, ,\ ,1 s { 1-:-','::,-;<.~ l.':..:~:..;"j ~ I / ,.~ /, ; ~ ~~} .. o ,~-'" 1'. ( ," IN C, ::;'P>~~--(~ 0.,.: / I ('/~:?7 /:JS ,,', . L . ~ .... ,,:" .,/ 1.4nI~_.. _'~::&,/'j/ ~\;~~~J..P : ,,"~,-l:::. TelepOor'le Numbef; / ,:" C/-, - ,-;,'7,,,\':'.:? _"J:/) ,~7- Job Name -4 1 ;;~I ,'hi j)Jl, (~p; y'5~ff: ./ <,~,()> Sale5ma7.. (./ , ./ ~~,..t:-;;~.~:./ ,"1.9":* P.O. No, " .,', ~;"', \':i:::':.: ';':;~:~.!,,::,":;; ':,"',j,:';:- :-',',:\'" I " ,1 1. :?i:,/:Z/v:/,~-,," ( (, .J0t/_.-,:~..t~-.: ., _T'rf I., -C'~- , ';,):'~:" ;-,:~/''''''.'<'-;'( T // o ...../ :, / /21 :>;1 ,.. I ),,':," 'I l r--"-: ,,-,-.' /, ..', ) '/1 Inspec.1i-orl RequIred: Charge Tax; I, /." ,,_.'-,,-".,... Cr9d11 Numbtl-r '~ ,. ,J~ ) Yes 0 No 0' ,., , TM""'.~hi .. :,l/ '} -<" ,,'.., -",) . , , , ,'.,'.-. ~--'''' ( '.-'.~~ oar. N)er;8d:" / 1:- 1/..'1'-";, / / / j,) -c, AddllOflal 'nformalion ShIp Via ;~. FreighlC~S; . ..- ~.. _.../ .~! -f)I~'/:r ,>t Mlg~,~;:9~: ~'fl ;f~() /~/-:.-;?! '? , -'j :/'. .' :' .l~-> 1'/') :>(.. ':,,~~~ ( ...<:~~,~. 'Z~-; )~:.~~:i</ ,.) . ",~. Band Description Type Width Gage ,J,")' ) /-,'.-. ..l-,.,.. I ~/>" ,f)/, IF /../.... t,l/]'H.. ',U-i'-.-r: ,/ _~ :.1-/(_1.'.1' ''-{If _i/ I?'-"'~j.._-'::/..' ~ rJ'~.J, "'/1 /;;.;/.; ! '(''::;;1:' ,/0/.-) j::" I-;d:~" ~~ IJ. ~,~ (.:') r ;/ }-;", 1> . ,.> .- 1,//, ..'.: : ../L.... ;",,"'-_--t./ ".:;:;<i' /\. "L) '.JC,.;;.! ---"'./ ~. :,<.,- /j.J. _,0,.. ,'-) ,'< ,'-;~ 1(- Corr. ~ -g u a. a. ~ a: Add. Noles Unit Price FOB _Plant / .-. Jobsite Pipe Bands Diameter Gage Total NO. length No. Pes. Footage BANDS ,:1 Ii? --. ( ) ,/ ;. _./i~~': "':". /_._, ,7 ..;',~: .I(.~j , I".: , "C" )< .- "/,. 1::.('2 ,>c" !,', ,',' /,c.- :_,~.:._/ .... ... >. .1./"-;1,, "" , p ','.~ ",(:', - I-- t--. -- --- f-- --. ------- ----- -- ---- ---- I..ta: &909 IU7l1 C<<>,. P.-no'Loo.'1KY'l ,:.:'lpy....:.""~....,ITIloC.Ato....... ellp,\, c...'lomf11' F'1lI Ct)(ly Sa... ~ l_ ~ . " L ;:i '~'l~;~\X~< .~,_.",;,;:;;-;"..... ,,'. ,..,1, ,~, ~ . . . " .... '...a ~ 649548 INSURANCE COMPANY Of NORTH AMERICA . POWER OF ATTORNEY . PHilADElPHIA, PA. Know all men by these presents: That INSURANCE COMPANY OF NORTH AMERICA, a cOIporalion of (he C()11111l()nwe~llth of Pelll1sylVi.llliJ, hJving its principal office in the City of Philadelphia, Penn~ylv.lIlii.1, pursuant to the fullowing Resolution adoptl'u by the BOMd of Directors of the said Company on M41Y 28. '1975, 10 wit: "'<("SOLV[D, pur"'U,In! 10 Anl(ll'~ i.1> .lnd 5.1 oj llll' B)'-L..1W~, lht! following RlJk.~ ~1).Jll govern the ('Xl'CUlton lor the Cornpany of bonds, undt'rtJkll1gs, h'(f)gnjl.:Ill({'~, c()lllr.\(I~ ,1Ild of/wI WI 1111lg~ III lIlt' fl.lluH' Ihl'r{'ol: II) Th.ll IIh' /'residl'nl. or ,En~' VI(l'.l'rl.'~jdl'nl. t\ssisl.Jllt Vlcl'-f'rl'"idl'lll, R('sldt'nl Vilt"l'rpsldt'nl IH ,\lloml'y-in.rdcl, Ill.!)' l'Xl'(uIC for ,md Ir1 lwh.df of tilt' Cnmp.Hl)l ,.ln~' Jnd .111 hond~, llnd"lt.lklllg', fl'cogniz,Hlu'S, UHltfJl h Jnd otlwr \Hill/1g~ Hl lhe n.lIUfe thefeof, the ~.IllH' to bl' Jltl'~It'(J wlwll nl.'ll~~~Jfy hy tb" Sl'CIl'IM)I, .m "\~~lsI,Jnl SI'UI'I.H)' or ol RI'~ldl'llt A~,j~t.lnt SPOI'tM)' dnd the st.'dl of the CotnjJ.lny .lttl),l,d therl'lo; ,me! lh.al tlll~ 1'11'~idt'1l1 or ,Illy Vlu.'-f'rl',IUI'nt f11.I~' .JjlplllrJt Jnd .1ulhOrlLI' Rl~'ldt.'nt Vln'-I'/l'~idt'n(s, Rl!sident '\~"1~1.u1l Sl'Ul'tMil'~ ,1Ile! Alloflll'y,'H\-rdU 10 <'0 ('),"lull' or ,lItl'...l 10 till' l'),l'lllllon of ,Ill suth wrllings 011 Iwhdlf oj the Comp.ln>' and II! ,dh\ the ~edr 01 Ill<' Comp.an)' lI11'rl'lu, (2) f\nv ~LJ(h \\'flllng l'w(ull'd III .au.:ord.arHl' with tlw'e Rull'''' ...1,.111 Ill' .IS llllldlllg UpOIl lhl' Cump,lll)l in <lny <"dse as though signed 11\, thl' f'r<.'~id('nt ,lnd .IIlI"II'd by Ihe SI'CH'tM)', 131 1 ht' slgndlun' 01' lhl' I'rl'~idt'nl 0/ ,1 V1Cl'-l'n'sidl'nl ..we! till' "l'al of llll' C(}mp.ln~' m.l)' be .If(ix('d b)' f,lcsimile on any power of ,lltO/f)t'\, w.lnlt'd pur"'U,Hll 10 thi... Rt'..olllflon, .lnd tIll' slgn.lIurl' of .1 Ct'rtll)'lng offic!.'/' ,me! I/H~ "t~.lr of fh(' Cllll1r,lfl~' may be affixed by l.ll'>lmdt, tu ,m)-' Cl'rliflc.ltt' 01 .111)' ~ulh POWt'l, .1Ild ,m)-' ..II( h POWl" Of n'rtdl(..lft, IlI'Mmg ~uth f..u:.,imill.' .,ign.1Iure .lIld se,ll shall be v.llid .ll1d hindrng Oil Ih,' Clllllp.an)'. l4) Such R<,'sidl'nt Oill<'prs ,md f\llornt'y~-ln.F.lcl ...h.lll h,I\'t' authonty 10 u'rt/ly or \'l'uly copie.. 01 thi... R<,'~ofulinn, tIll' !ly.laws of the C(Jmp.lIlY, .md .lny <l1(rd.avl! or r"l(Jrd 01 the Lomp,lny nl'll'''''MY 10 1l1l' dl~(h.Hgl' lllllwir dUII<"", I')) I hi' passJge of thl... I{l'~olulion elm's no! rt'\o"p .ln~' ('Mllt'r ..Hlthorny gr.HllNJ by Rt'~lllution 01' the Bo.ud of Dileclors on lune 9, l'J".iJ ., ooes hereby nornin.lIe, constitute ilnd ~Irpoint JAMES L. STUDABAKER, RICHARD M. ERVING, FRANK P. KELLY, JR., JOHN W. THORNE and N. OWENS, all of the City of San Francisco, State of California , each individuJlly if there be more than one named, I s true and IJwful JIIIHnl'y~in.fJcl, 10 l1la~c, pxecutc, seal and deliver on its behalf, and as its act and deed .Hl~' ~ltld all bonds, undert.lkings, recognizances, contracts and other writings in the naturc thereof. And the l'\CCUlion oi ~1I( h wfltings in pursuance 01 these prcsenls, Slhlll be as binding upon said Comrany, as fully .HH.1 .Imply .1S if they had been duly executed Jnd ac~nov,'lcdged by the r('gularly elected o(fjcers of the C()ll1p.H1Y .11 irs principal office. IN WITNESS WHEREOF, Ill<' 'did has hl'rl'unto ~tJbsnihl'd his name <lrld .lllixl'd NORT~_.~IE~~~: Ihl~o::RV ~.nt.h. IltM) ~ ~:u.uc",. . .... ....~I~H~E~.~.:.F~.D~R.. .........., Vice-President, the corporate ~eal of the said INSURANCE COMPANY OF day of ....,~.~p..1;..~?'.1;>.~X.. .n........... -19..f!.?.........., STATE OF COUNIY OF On Ihl"> Public 01 tl1l" ILLINOIS COOK 17th STATIc 01' ILLINOIS MICIlAEL Il. I'O[X)R INSLJR~''JSt7 C(~\NYj.~N RTlI AMERICA h\{}tt.cL..J/r-s . MICHAEL D. 1"000 VI(l'-l'r('~ldcnt } .. day o( In ,lnd for Ill(' Cnunty o( September , A. D. !(J 82 COOK , hefofj' me, .1 NOlary CMne , Vi('I~-Prl.'sHII'nl (I{ the INSURANCE COMPANY or NORTH AMrRICA 10 lilt' JH'r\tHI.dlv I...ncw,n In Ill' IIw IfHIt"'I(JU,11 .111(/ o({I(('r who ('l(pctJlf'd llw I1r('(NJing IIH(rWTl('nl, .ul(f 11(' 'lll...nnwl('dgt'd Ih.11 Iw 1'\I'fllll'lf Ih,. ....11111', Ih,ll 1111' "I',d .1illliPd 10 the pre! f'(Jmg inqrumenl is Ihe <.orpor.ltt~ ~l',d (II ~,Hd Comp.ln~'. tll,l! Illl' ....lId torpor,llt' ~f',jl .md hi'" ...gn,lIurt' w('n~ duly .11{'l(pcf by Ih(' .1ulhorily .md dlll'( III III pI lilt' ~,lfd curpor.HHlI1. .md Ih.ll f.:1'''OILJIIOn, 'ldflPlt'd by lhl' BOMd of fJlrc>unrs oj S.lld Cnmp.lny, rc(erred 10 In lIlt' prt'!.t.'drng mQnJl1ll'nl. I'" no\\ 111 lurn.' I~ -II" 11.\10NY WI H RIOI', r h.H'<" tlf'lt'unlll "1'1 Ill}' h,md ,md .tlh),l'd my nllll.l,ll !>f'.ll,lI lIw Clly of CHICAGO flu' d", ,HHI "',,, ""I ,<I"".. "0'1.,,,. / ~-?.c~-.d.<-~ .'" \~. \l) PIIYLLTS DUBAK r-.lIJI.try Puhllc C. -to.... \,) (IIHHlll"J('I1("plft~... 2/6/fi5 . t ...-. I Ih,. lJt1d""l~nl'd ,'Xta=:XM ,",P( rpll[\- .11 INSURANcr CO\1PANY or NORTlt AM [RICA, do Iwrc'h., (erllly Ih,ll I "tll:..U .In,ll I'{)\\tl\ l)/ AI 'UR~t~ III ....hl{/) ltH' Inrl'gollllo; I~.t I(dl trUt' .Ind lorn'!1 (Opy l~ In lull furu' ,lnd ('!I('<.l :' .j In """H'" "h.'o'", 'h"" )"'''.WlI'' \HI", ol<,.d <11, "...n..." A><><JacU '''''"lolrY, .'nd ,<1(",,<1 th,. ""rOT.",' ",,,I . I ".A~~/("'I'''I.II''''' Ih" 7th d", of ,July Q.J_.. L 1'1 83 ."f'l ~J/.-CfvJtk ..J A~U S S -' WYI~t~ - M:'l)l%)Q)C S('(f(.tMY