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CONSTRUCTION COST5
ENGlNEERlNG COSTS ____________.____
AGVERTlSlNG COSTS ..-----------------~---------------------
RiGNT-OF-V~AY COSTS (As der itemization on reverse site)
MAINTENANCE CG~TS (Perioc Trol^n- to )
TOTAL FUNDS REQUIRED -_.---------------
----- ~
LC:. --~ - ~' - ~ ~
Signed by --
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(title of Official)
(Submit TWO copies to the Disirid Engineer)
- ~ (Space below for District Engineer only)
RESOLUTIONS PASSED
19 R~SOLU710NS APPROVED
19
TOTAL h10NEY APPRO?RIATED $
ESTIMATED COST-Ccnst. ` - $
(plus additions [ngr. - - - -
minus deductions) R. O. W. - - -
Maint. - - -
TOTAL ----$
PAID TO DATE-Constr. • - • - $
Engr. -•---
R.O.W. -••-
Maint. - -
BALANCE IN APPROPRiAT10N $
•lf contract section show contract costs instead of estimated cost.
(75791-15M--3-58~
APPF,OVAL RECOMMENDED
19
District Engineer
Porn BLR 471
19
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