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ROBERT A. <br />BOTH MAN GENERAL ENGINEERING AND BUILDING CONTRACTORS <br />2690 Scott BouIv%ard, Santa Clara, CA 95050 • Phone: 408.279.2277 • Fax: 4113.279.9045 • o,l%0)atlm,an.con, <br />CONSTRUCTION Cnlifm'nia License 4411332 • Nevada License 0027271 -A oiL0 Ila License 150057.11xwaii Liceaso. W-026294 <br />n All V nvTmA 1RI/1nV nl=n^nT <br />vs -,--e �ii��� •v v�I�� rIV1 v1,1 - <br />Report H _— <br />i <br />Joh Name: 1 <br />C%�L I !�� <br />Work Performed fill:G /? "-GY l -1 l`'� Ite Pernned: / <br />Description of Work: I .� �( Performed: <br />Date of RcpoH: 7, <br />EQUIPMENT <br />HOURS <br />HOURLY I <br />RATE <br />EXTENDED <br />AMOUNTS <br />LABOR <br />HOURS <br />REG. <br />URLY, <br />HRATE <br />. <br />EXTENDED <br />! AMOUNTS <br />I <br />- _ <br />—' <br />O.T. <br />-� <br />REG. <br />REG <br />I0.1 <br />REG. <br />_. <br />--- <br />__— <br />— <br />OJ <br />TOTAL EQUIPMENT <br />— <br />IREG <br />-0J.. <br />-- ..�— <br />-!-- <br />ftEG <br />or <br />REG. <br />i <br />" <br />-- <br />MATERIAL AND/OR SUB -CONTRACT <br />DESCRIPTION I NO. UNIT UNIT COST <br />` L <br />)/^moi <br />F�5/ <br />11XZ�'h� <br />WORK <br />EXTENSION <br />1 <br />i _— <br />OT <br />REG <br />_- ..... OT <br />---- - SUB TOTAL <br />....__ <br />— <br />-- <br />ICJ' 'Y—I <br />TOTAL MATERIALS, SUB -CONTRACTOR <br />LABOR SURCHARGE: / <br />OTHER: <br />TOTAL COST OF LABOR A <br />-- <br />TOTAL EQUIPMENT, MATERIALS, SUBS. <br />+ _ io MARKUP ON LABOR A) <br />°' (B <br />I <br />I <br />uate: <br />Robert A. Bothman, Inc. <br />ACCEPTANCE FOR PROGRESS PAYMENT <br />DATE: <br />Owner's Representative <br />t %o MARmur ON EQVIriviENI to) <br />MATERIALS, SUB -CONTRACTOR <br />TOTAL THIS REPORT �— <br />i <br />WHITE - Agency (Executed) YELLOW - Accounting PINK - Project Manager GOLD - Agency(Field) <br />1502,; <br />