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January-Heritage OT Billings
INVOICEREQUESTCityofRentonFinanceDepartmentDateFromDepartmentAuthorization(Name&Signature)01/05/2016CED-PlanningDivisionJenniferHenningCustomerNumberAccountNameDeptContact/PhoneOscarDelMoro,RentonHerigat%CosmosSabrinaI6578DevelopmentCompany[__OriginalInvoiceLICreditMemoE1DebitMemoForInvoice:InvoiceTitleBillingforInspectorOvertimeDescriptionPermitNo:U14006554PatMiller-7.5hours@$75perhr;11/11(5),11/18(1),11/24(1.5)ToddFreih-12.5hours@$75perhr;10/1(1.5),10/2(2),10/5(1.5),10/6(1.5),10/8(2.5),10/9(3.5)AccountDistributionWorkOrder!FunctionR000.000000.007.341.82.01.000Amount$1500.00Amount$1500.00INVOICETOTAL$1500.00Comments:SendacopyofinvoicetoSabrinainCEDAddress:OscarDelMoroRentonHeritage%CosmosDevelopmentCompany11747NEFirstSt.,Ste300Bellevue,WA98005Phone:425-451-8188ext.130 CITYOFRENTONAUTHORIZATIONOFSPECIALBILLINGJuly30,2015HERITAGEAPARTMENTS207—MainAveSouthU14006554—UTILITYIMPROVEMENTSItistheintentofthislettertoauthorizetheCityofRentontobilltheundersignedforallcostsincurredrelativetothereferencedproject,bytheCityofRentonforthefollowingwork:•TIMEANDMATERIALSFORANYANDALLROADCLEANUPEFFORTSPERFORMEDBYCITYFORCESORCITYCONTRACT.•ALLOVERTIMEFORINSPECTIONANDRELATEDACTIVITIES,BILLABLEATARATEOFSEVENTYFIVEDOLLARS($75.00)ANHOUR.•TIMEANDMATERIALFORANYWORKDONEBYCITYSTAFFTOREPAIRDAMAGES.BILLINGTOBESENTTO:(PrintPlease)Name:1Lf.iOIZCompany:jjJrv,’Jric/c7S1.ioS-A’t%Address:It747i’J(jTTYLUTi4I_37Phone:4Z-5451-igsFax:4si4-q4wnerDeve(perrAuthorizedAgentDate COMPENSATORY/OVERTIMEREQUESTCOMMUNITYANDECONOMICDEVELOPMENTPUBLICWORKSDEPARTMENTCITYOFRENTONEMPLOYEE’SINAME(LAST,FIRST)DATEtIP/CIPPROJECT:Overtime123456789101112131415hoursWorkedI14Ménth16171819202122232425262728293031Compensatory/Overtimecanonlybeauthorizedforanyoneofthefollowingreasons:PRIORAUTHORIZATIONREQUIRED:ScheduledMeetings:Pre-arrangedWork:AUTHORIZATIONREQUIREDNEXTDAY:EmergencyWork:UnscheduledMeeting:UnplannedCoverage:TIP/CIPOVERTIMEAUTHORIZATION:Initials/date 4Th-\— COMPENSATORY/OVERTIMEREQUESTVCOMMUNITYANDECONOMICDEVELOPMENTPUBLICWORKSDEPARTMENTCITYOFRENTON1d-EMPLOYEE’SNAME(LAST,FIRST)DATETIP/CIPPROJECT:Afk74_-cflOvertime1234567$9101112131415hoursworkedMonth16171$192021222324252627282930311tOvCompensatory/OvertimecanonlybeauthorizedforanyoneofthefoHowingreasons:PRIORAUTHORIZATIONREQUIRED:ScheduledMeetings:Pie-arrangedWork:AUTHORIZATIONREQUIREDNEXTDAY:iISEmergencyWork:UnscheculedMeeting:nnedCove:TIP]CIPOVERTIMEAUTHORIZATION:li’iiti1’s/dateHfZ)5J COMPENSATORY/OVERTIMEREQUESTCOMMUNITYANDECONOMICDEVELOPMENTPUBLICWORKSDEPARTMENTCFfYOFRENTONEMPLOYEE’SNAME(LAST,FIRST)DATETIP/CIPPROJECT:—‘t(a-t\Overtime123456789101112131415hoursworkedMonth16171819202122232425262728293031IVVCompensatory/Overtimecanonlybeauthorizedforanyoneofthefollowingreasons:flPRIORAUTHORIZATIONREQUIRED:VScheduledMeetings:VPre-arrangedWork:ikAUTHORIZATIONREQUIREDNEXTDAY:EmergencyWork:UnscheouledMeeting:UnplannedCoverage:TIPJCIPOVERTIMEAUTHORIZATION:IitiIs/dateEV) COMPENSATORY/OVERTIMEREQUESTCOMMUNITYANDECONOMICDEVELOPMENTVPUBLICWORKSDEPARTMENTCIWOFRENTON1EMPLOYEE’SNAME(LAST,FIRST)DATEIIP/CIPPRO]ECT:VVOvertime123456789101112131415hoursworkedMonth161718192021222425262728293031)t__Compensatory/Overtimecanonlybeauthorizedforanyoneofthefollowingreasons:RIORAUTHORIZATIONREQUIRED:ScheduledMeetings:Pce-arrangedWork:AUTHORIZATIONREQUIREDNEXTDAY:VEmergencyWork:UnplannedCoverage:nI0UTIP/CIPOVERTIMEAUTHORIZATION:¶/1[1\Inhi(s/date