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MATERIAL USED (Tickets attached) <br /> DATE DESCRIPTION QUAN. RATE AMOUNT <br /> 02/01/12 1"Rock 44.35 20.50 $ 909.18 <br /> (Ticket#62559/62561/62579) <br /> 02/01/12 Concrete 1.00 220.00 $ 220.00 <br /> (Grohne Ticket#198-12)) <br /> Materials Used From Stock <br /> 01/31/12 Concrete Block 11.00 1.14 $ 12.54 <br /> SUBTOTAL $ 1,141.72 <br /> PLUS 15% $ 171.26 <br /> TOTAL MATERIAL <br /> -- ------- —-.. - L. <br /> THIS IS TO CERTIFY THAT THE MATERIAL ENTERED ON THIS EXTRA BILL WHICH WAS TAKEN <br /> FROM STOCK IS SHOWN AT OUR COST. <br /> Y <br /> IS RVICES, INC. <br /> �1J1D AND SWORN TO BEFORE ME THISDAY OF �� <br /> E <br /> TARY PUBLIC r <br /> J <br /> MY COMMISSION EXPIRES / OFFICIAL SEAL <br /> (SEAL) JULIE COPSY <br /> NOTARY PUBLIC STATE OF ILLINOIS <br /> My COMWSSION EXPIRES:05iU6/14 <br /> I, <br /> Page 3 <br />