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NAME <br />COUNTY OF RAMSEY <br />DEPARTMENT OF PUBLIC WORKS ORDER NO <br />WORK ORDER <br />(Lost) <br />(First) <br />ADDRESS <br />This number must appear <br />on all invoices and <br />correspondence relating <br />to this order. <br />DATE <br />Ramsey County Public Works Department hereby agrees to furnish all materials and perform all <br />labor necessary for the completion of the following. <br />QUANTITY <br />DESCRIPTION <br />UNIT COST <br />AMOUNT <br />1176 <br />0104.604 Mill Bituminous Surface Type 2 (2,34) sy <br />$ 1.00 <br />1.00 <br />$ 1,176.00 <br />197.00 <br />197 <br />0104.604 Mill Bituminous Surface Type 3 (2,3,4,5) SY <br />10 <br />2231.510 Bituminous Patching Mixture (7,8,9) TON <br />100.00 <br />1,000.00 <br />120 <br />2331.510 Leveling Course Mixture (Mod.) TON <br />10.00 <br />1,200.00 <br />30 <br />2341.504 Bituminous Material for Mixture TON <br />130.00 <br />3,900.00 <br />481 <br />2341.508 Wearing Course Mixture TON <br />14.00 <br />6,734.00 <br />224 <br />2357.502 Bituminous Material for Tack Coat GAL <br />1.50 <br />336.00 <br />Project Total <br />$ 14,543.00 <br />8' Shoulder <br />= <br />$ 3,635.75 <br />32` Top <br />City partiripatjnv <br />75% = <br />$ 2,726.82 <br />* Based on Engineers Estimate. Actual Estimate will <br />be based on Contractor's unit prices and actual <br />units of work performed. <br />A11 material is guaranteed to be as specified, and work to be performed in accordance with the <br />drawings and specifications submitted. <br />Any alteration or deviation from above specifications involving extra costs will be executed <br />only upon written orders, and will become an extra charge over and above the estimate. A11 <br />agreements are contingent upon strikes, accidents or delays beyond our control. A11 payments <br />are due when billed. <br />Respectfully submitted <br />Public works Department <br />Note - This order may be withdrawn by the above if not accepted within days. <br />( ACCEPTANCE OF WORK ORDER ) <br />The above prices, specifications and conditions are satisfactory and are hereby accepted. You <br />are authorized to do the work as specified subject to the availability of funds. <br />Authorized Signature <br />BUDGET & ACCOUNTING OFFICE <br />Funds are available: <br />Page 39 <br />8 & A Analyst / Date <br />PURCHASE AGREEMENT NO. <br />ACCOUNT CODE <br />Director Budget & Acct. / Date <br />