Title Page
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Crosby Excavating 1030 Osage St. Fort Wayne, IN 46808 260-447-1053
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Time and Material
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Conducted on
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Select date
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Job Name and Number
- 15-60 CityScapes Flats
- 15-68 VA Hospital
- 16-25 South Maumee
- 16-50 Transpoint
- 16-55 Hagerman Shell
- 16-85 Storypoint
- 16-94 AEP Svc Building
- 1707 Carrington Pointe
- 1709 Leo-Cedarville Park
- 1710 CityScape Townhomes
- 1713 Habitat for Humanity
- 1716 Stroud Birthing Clinic
- 1722 Spy Run Apartments Hagerman
- 1723 Parkview Curdes Ave Demo
- 1725 Lake Forest Apts
- 1744 World Baseball Academy
- 1745 Lifeline Data Center
- 1746 Steeplechase Dog Park
- 1747 Foster Park Demo
- 1748 Menards East Warehouse Expansion
- 1758 Promenade Park Riverfront Hagerman
- 1758 Riverfront Mechanical PDP
- 1759 Ossian Water Disconnect
- 1760 US 30/33 Interchange Trucking
- 1762 Parkview MOB N Clinton Shawnee
- 1761 Heron Preserve Manholes Aqua
- 1701 Canterbury Emergency Repairs
- 1702 Aqua Indiana Emergency Repairs
- 1703 FWHA Emergency Repairs
- 1704 Covington Creek Emergency Repairs
- 1705 Provena Emergency Repairs
- 1706 Lagrange Emergency Repairs
- 1736 Lake Forest Apts Emergency Repairs
- 1743 BFG Emergency Repairs
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If job is not named or numbered, please provide as much information as possible
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Address
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Work Authorized By...
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Description of Work
Labor
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Employee Name
- Cody L.
- Chris F.
- David V.
- Don G.
- Art L.
- Gonzo
- Nick R.
- John T.
- Jason B.
- Tony B.
- Adam G.
- Andy S.
- Austin P.
- Bill B.
- Bryce B.
- Cory R.
- Dave B.
- Doug K.
- Dwayne W.
- Dylan M.
- Greg G.
- Jake C.
- Jake S.
- Jason K.
- Jeff B
- Jeff Po.
- Jeff Pr.
- Jerod D.
- Jonathan C.
- Jordan S.
- Matt F.
- Mike I.
- Mike K.
- Ricky S.
- Quinn G.
- Rob W.
- Ryan P.
- Sam M.
- Solomon G.
- Steve F.
- Steve M.
- Tom Bia.
- Tom Ben.
- Urban L.
- Tim S.
- Vern M.
- Walt D.
- Giles L.
- Other
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Trade
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Employee Hours
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Equipment - OWNED
- 200 Kobelco 909
- 201 CAT 314
- 204 CAT 320
- 205 CAT 336
- 206 CAT 321
- 207 CAT 316
- 208 CAT 314
- 221 CAT 304
- 222 CAT 308
- 223 CAT 302.7
- 224 CAT 305
- 225 CAT 305.5
- 300 D5B
- 302 D5G
- 303 D6XL
- 304 D4GL
- 305 D6N
- 306 G5K
- 401 VOLVO
- 402 CAT 938
- 403 CAT IH38
- 430 BOBCAT S205
- 433 BOBCAT T590
- 434 CAT 289
- 435 CAT 272
- 436 CAT 259
- 437 CAT 259
- 438 CAT 259
- 439 WALK BOBCAT
- 440 CAT 259
- 441 CAT 259
- 500 PRO PAC ROLLER
- 501 563 ROLLER
- 901 CAT 730 HAUL TRUCK
- 902 CAT 730 HAUL TRUCK
- 920 SCRAPER
- 940 VAC
- 941 BROOM
- 71 ONE TON
- 72 ONE TON
- HAND TOOLS
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Equipment -RENTED
Labor 2
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Employee Name
- Cody L.
- Chris F.
- David V.
- Don G.
- Art L.
- Gonzo
- Nick R.
- John T.
- Jason B.
- Tony B.
- Adam G.
- Andy S.
- Austin P.
- Bill B.
- Bryce B.
- Cory R.
- Dave B.
- Doug K.
- Dwayne W.
- Dylan M.
- Greg G.
- Jake C.
- Jake S.
- Jason K.
- Jeff B
- Jeff Po.
- Jeff Pr.
- Jerod D.
- Jonathan C.
- Jordan S.
- Matt F.
- Mike I.
- Mike K.
- Ricky S.
- Quinn G.
- Rob W.
- Ryan P.
- Sam M.
- Solomon G.
- Steve F.
- Steve M.
- Tom Bia.
- Tom Ben.
- Urban L.
- Tim S.
- Vern M.
- Walt D.
- Giles L.
- Other
-
Trade
-
Employee Hours
-
Equipment - OWNED
- 200 Kobelco 909
- 201 CAT 314
- 204 CAT 320
- 205 CAT 336
- 206 CAT 321
- 207 CAT 316
- 208 CAT 314
- 221 CAT 304
- 222 CAT 308
- 223 CAT 302.7
- 224 CAT 305
- 225 CAT 305.5
- 300 D5B
- 302 D5G
- 303 D6XL
- 304 D4GL
- 305 D6N
- 306 G5K
- 401 VOLVO
- 402 CAT 938
- 403 CAT IH38
- 430 BOBCAT S205
- 433 BOBCAT T590
- 434 CAT 289
- 435 CAT 272
- 436 CAT 259
- 437 CAT 259
- 438 CAT 259
- 439 WALK BOBCAT
- 440 CAT 259
- 441 CAT 259
- 500 PRO PAC ROLLER
- 501 563 ROLLER
- 901 CAT 730 HAUL TRUCK
- 902 CAT 730 HAUL TRUCK
- 920 SCRAPER
- 940 VAC
- 941 BROOM
- 71 ONE TON
- 72 ONE TON
- HAND TOOLS
-
Equipment -RENTED
Labor 3
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Employee Name
- Cody L.
- Chris F.
- David V.
- Don G.
- Art L.
- Gonzo
- Nick R.
- John T.
- Jason B.
- Tony B.
- Adam G.
- Andy S.
- Austin P.
- Bill B.
- Bryce B.
- Cory R.
- Dave B.
- Doug K.
- Dwayne W.
- Dylan M.
- Greg G.
- Jake C.
- Jake S.
- Jason K.
- Jeff B
- Jeff Po.
- Jeff Pr.
- Jerod D.
- Jonathan C.
- Jordan S.
- Matt F.
- Mike I.
- Mike K.
- Ricky S.
- Quinn G.
- Rob W.
- Ryan P.
- Sam M.
- Solomon G.
- Steve F.
- Steve M.
- Tom Bia.
- Tom Ben.
- Urban L.
- Tim S.
- Vern M.
- Walt D.
- Giles L.
- Other
-
Trade
-
Employee Hours
-
Equipment - OWNED
- 200 Kobelco 909
- 201 CAT 314
- 204 CAT 320
- 205 CAT 336
- 206 CAT 321
- 207 CAT 316
- 208 CAT 314
- 221 CAT 304
- 222 CAT 308
- 223 CAT 302.7
- 224 CAT 305
- 225 CAT 305.5
- 300 D5B
- 302 D5G
- 303 D6XL
- 304 D4GL
- 305 D6N
- 306 G5K
- 401 VOLVO
- 402 CAT 938
- 403 CAT IH38
- 430 BOBCAT S205
- 433 BOBCAT T590
- 434 CAT 289
- 435 CAT 272
- 436 CAT 259
- 437 CAT 259
- 438 CAT 259
- 439 WALK BOBCAT
- 440 CAT 259
- 441 CAT 259
- 500 PRO PAC ROLLER
- 501 563 ROLLER
- 901 CAT 730 HAUL TRUCK
- 902 CAT 730 HAUL TRUCK
- 920 SCRAPER
- 940 VAC
- 941 BROOM
- 71 ONE TON
- 72 ONE TON
- HAND TOOLS
-
Equipment -RENTED
Labor 4
-
Employee Name
- Cody L.
- Chris F.
- David V.
- Don G.
- Art L.
- Gonzo
- Nick R.
- John T.
- Jason B.
- Tony B.
- Adam G.
- Andy S.
- Austin P.
- Bill B.
- Bryce B.
- Cory R.
- Dave B.
- Doug K.
- Dwayne W.
- Dylan M.
- Greg G.
- Jake C.
- Jake S.
- Jason K.
- Jeff B
- Jeff Po.
- Jeff Pr.
- Jerod D.
- Jonathan C.
- Jordan S.
- Matt F.
- Mike I.
- Mike K.
- Ricky S.
- Quinn G.
- Rob W.
- Ryan P.
- Sam M.
- Solomon G.
- Steve F.
- Steve M.
- Tom Bia.
- Tom Ben.
- Urban L.
- Tim S.
- Vern M.
- Walt D.
- Giles L.
- Other
-
Trade
-
Employee Hours
-
Equipment - OWNED
- 200 Kobelco 909
- 201 CAT 314
- 204 CAT 320
- 205 CAT 336
- 206 CAT 321
- 207 CAT 316
- 208 CAT 314
- 221 CAT 304
- 222 CAT 308
- 223 CAT 302.7
- 224 CAT 305
- 225 CAT 305.5
- 300 D5B
- 302 D5G
- 303 D6XL
- 304 D4GL
- 305 D6N
- 306 G5K
- 401 VOLVO
- 402 CAT 938
- 403 CAT IH38
- 430 BOBCAT S205
- 433 BOBCAT T590
- 434 CAT 289
- 435 CAT 272
- 436 CAT 259
- 437 CAT 259
- 438 CAT 259
- 439 WALK BOBCAT
- 440 CAT 259
- 441 CAT 259
- 500 PRO PAC ROLLER
- 501 563 ROLLER
- 901 CAT 730 HAUL TRUCK
- 902 CAT 730 HAUL TRUCK
- 920 SCRAPER
- 940 VAC
- 941 BROOM
- 71 ONE TON
- 72 ONE TON
- HAND TOOLS
-
Equipment -RENTED
Labor 5
-
Employee Name
- Cody L.
- Chris F.
- David V.
- Don G.
- Art L.
- Gonzo
- Nick R.
- John T.
- Jason B.
- Tony B.
- Adam G.
- Andy S.
- Austin P.
- Bill B.
- Bryce B.
- Cory R.
- Dave B.
- Doug K.
- Dwayne W.
- Dylan M.
- Greg G.
- Jake C.
- Jake S.
- Jason K.
- Jeff B
- Jeff Po.
- Jeff Pr.
- Jerod D.
- Jonathan C.
- Jordan S.
- Matt F.
- Mike I.
- Mike K.
- Ricky S.
- Quinn G.
- Rob W.
- Ryan P.
- Sam M.
- Solomon G.
- Steve F.
- Steve M.
- Tom Bia.
- Tom Ben.
- Urban L.
- Tim S.
- Vern M.
- Walt D.
- Giles L.
- Other
-
Trade
-
Employee Hours
-
Equipment - OWNED
- 200 Kobelco 909
- 201 CAT 314
- 204 CAT 320
- 205 CAT 336
- 206 CAT 321
- 207 CAT 316
- 208 CAT 314
- 221 CAT 304
- 222 CAT 308
- 223 CAT 302.7
- 224 CAT 305
- 225 CAT 305.5
- 300 D5B
- 302 D5G
- 303 D6XL
- 304 D4GL
- 305 D6N
- 306 G5K
- 401 VOLVO
- 402 CAT 938
- 403 CAT IH38
- 430 BOBCAT S205
- 433 BOBCAT T590
- 434 CAT 289
- 435 CAT 272
- 436 CAT 259
- 437 CAT 259
- 438 CAT 259
- 439 WALK BOBCAT
- 440 CAT 259
- 441 CAT 259
- 500 PRO PAC ROLLER
- 501 563 ROLLER
- 901 CAT 730 HAUL TRUCK
- 902 CAT 730 HAUL TRUCK
- 920 SCRAPER
- 940 VAC
- 941 BROOM
- 71 ONE TON
- 72 ONE TON
- HAND TOOLS
-
Equipment -RENTED
Material
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Material
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Material Used
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Quantity
-
Supplier
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Delivery Ticket #
-
Take a picture of any Delivery Slips. Turn hard copies in to the office.
Material
-
Material Used
-
Quantity
-
Supplier
-
Delivery Ticket #
-
Take a picture of any Delivery Slips. Turn hard copies in to the office.
Material
-
Material Used
-
Quantity
-
Supplier
-
Delivery Ticket #
-
Take a picture of any Delivery Slips. Turn hard copies in to the office.
Foreman/Leadman Information
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Name
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Signature