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ROBERT A <br />BOTH MANGENERAL ENGINEERING; AND BUILDING CONTRACTORS <br />CONSTRUCTION :1 260 Scott"" <br />Blevard, Santa Clara, CA 95050 • phone: 405.2wwt <br />79.2277 • Fac: 408.279.9045 • wbothman.com <br />C9alifornia License 440332 • Nevada License 0027271 • Arizona License 150057 • Hawaii License:�C-026294 <br />DAILY EXTRA WORK REPORT <br />Joh Name: <br />Work Performed for: <br />Description of Work: <br />EQUIPMENT <br />/0/C <br />HOURSI HOURLY EXTENDED <br />RATE AMOUNTS <br />TOTAL EQUIPMENT <br />MATERIAL AND/OR SUB -CONTRACT WORK <br />DESCRIPTION. NO. UNIT UNITCOST I EXTENSION <br />1 <br />TOTAL MATERIALS, SUB -CONTRACTOR <br />TOTAL EQUIPMENT, MATERIALS, SUBS. <br />------ Date: <br />Robert A. Bothman, Inc. <br />ACCEPTANCE FOR PROGRESS PAYMENT <br />— DATE: <br />Owner's Representative <br />WHITE - Agency (Executed) YELLOW - Accounting <br />Report # <br />Job.,# <br />Date Performed: <br />Date of Report: G- <br />LABOR HOURS HOURLY EXTENDED <br />RATE AMOUNTS <br />- <br />'rCiJ O T. <br />REG <br />- �- <br />REG. <br />%fes O.T.. <br />SUB -TOTAL <br />LABOR SURCHARGE: % <br />OTHER: <br />TOTAL COST OF LABOR <br />In <br />+ % MARKUP ON LABOR (A) yI <br />+._ % MARKUP ON EQUIPMENT (B) f <br />MATERIALS, SUB -CONTRACTOR <br />TOTAL THIS REPORT <br />PINK - Project Manager GOLD - Agency(Field) <br />