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ROBERT A. <br />BOTH MAN T1 GENERAL, ENGINEERING AND BUILDING CONTRACTORS <br />690 Scott Boulevard, Santa Clara, CA 95050 • Phone; 408.279.2277 • rax: 408.279.9045 • wwwbothman.com <br />CONSTRUCTION <br />California License 440332 • Nevada License 0027271 • Arizona License 150057 • Hawaii License A('-026294 <br />DAILY EXTRA WORK REPORT <br />Job Name: ,%r/ <br />Work Perfrn-med for: <br />Description of Work: <br />_EQUIPMENT <br />4 _.,x / <br />Report # <br />•� - Job �# <br />7 <br />Date Pcrfixmad: <br />n , <br />Date of Report Z! '/ — / y <br />HOURSHOURLY <br />EXTENDED <br />RATE AMOUNTS <br />LABOR HOURS <br />RLY EXTENDED <br />o <br />AL. - <br />// REG. <br />RATE AMOUNTS <br />0 <br />REG <br />OT <br />-7. <br />_ _._--- __ <br />_ -�—%-_ REG <br />OT. <br />REG <br />-- - - <br />- - I- -- <br />IREG. i <br />I O.T <br />REG. r <br />TOTAL EQUIPMENT _ - "G.T--- - -- <br />IREG. <br />MATERIAL AND/OR SUB -CONTRACT WORK - -- - 0 -- - <br />DESCRIPTION NO. UNIT UNIT COST EXTENSION REG. <br />QT — <br />I I l <br />REG. <br />07 <br />-'OS <br />- - -- I SUB -TOTAL <br />j LABOR SURCHARGE: % - <br />L — <br />OTHER: <br />TOTAL MATERIALS, SUB -CONTRACTOR TOTAL COST OF LABOR A j <br />TOTAL EQUIPMENT, MATERIALS. SUBS. I - p <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 />+ 4b MARKUP ON LABOR (A) <br />+ _._ % MARKUP ON EQUIPMENT (B) <br />MATERIALS, SUB -CONTRACTOR <br />TOTAL THIS REPORT <br />PINK - Project Manager GOLD-Agency(Field) <br />150278 <br />