| RUS Form 254 Instructions : |
| (See RUS Bulletin 1767B-3, Preparation and Use of RUS Form 254, for additional instructions) |
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| The Engineer will prepare 5 copies of RUS Form 254 |
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Data shown on Form 254c to be presented under the |
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| and 254a; also 5 copies of Forms 254b and 254c when |
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following headings, as appropriate: |
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| applicable. |
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PART I. MATERIAL ITEMS INCLUDED IN LISTS SET |
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| Calculation of amount payable to Contractor will employ |
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FORTH IN CONSTRUCTION CONTRACT. |
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| data taken from Nos. 1 thru 25, RUS Forms 254, 254a, |
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| 254b, and 254c. The amounts to be inserted opposite |
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| Items A, B, C, D, and E on RUS Form 254 are indicated |
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PART II. OTHER MATERIAL ITEMS FURNISHED BY |
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| in the texts of those items. |
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OWNER. |
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| Nos. 1 thru 17, Forms 254a & 254b: (Form 254b |
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Nos. 18 through 25: (Form 254c is required only when |
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| is required only when "I" removal units are included in the |
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there are owner-furnished materials.) |
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| Contract.) |
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| No. Source of Information |
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No. Source of Information |
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| 1 and 2 .......… From tabulation of staking sheets * |
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18 and 19 .... From Contract and Material Receipts |
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| 3 and 4 .…..… From Contract |
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20 ................ From charge-out and credit tickets covering |
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| 5 .........…....… No. 3 plus No. 4 |
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materials issued to and returned by Contractor ** |
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| 6 ..................... No. 1 multiplied by No. 5 |
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21 ..….…..... From average unit costs on charge-out and |
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| 7 ..................... No. 1 multiplied by No. 3 |
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credit tickets relating to this construction, such |
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| (for "I" units only). |
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costs in turn being taken from the average unit |
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| 8....................... From Table "C" of Contract |
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costs reflected by the stock record cards for |
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| 9 ..................... No. 1 multiplied by No. 8 |
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the applicable period. |
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| for "I" removal units only. (Table |
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22 ............... No. 20 multiplied by No. 21 |
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| C relates solely to "I" units.) |
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23 ............... For Part I, from the unit prices specified in the |
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| 10, 11, & 12 … From Engineer's and Owner's records |
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Contract in the "List of Owner Furnished |
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| 13 .....................From Table D in Contract |
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Materials" |
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| 14 ................... No. 12 multiplied by No. 13 |
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For Part II, from the actual unit costs to Owner-- |
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| 15 ................... From Engineer's records |
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the same as used in No. 21 |
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| (Quantities shall be listed opposite |
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24 ........….… No. 20 multiplied by No. 23 |
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| the appropriate material items |
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25 ................ No. 24 minus No. 22. (If a minus |
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| described in No. 11.) |
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quantity, enter in parentheses.) |
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| 16 ................... From individual stock record card |
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| for each material item listed. |
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| 17 ................... No. 15 multiplied by No. 16 |
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| See 7 CFR 1726, Electric System Construction Policies and Procedures, for instructions regarding distribution of the |
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| completed forms. |
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| Reference should be made to RUS Bulletin 1767B-3, Preparation and Use of the RUS Form 254, for instruction |
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| in accounting for all contract costs, including the retirement of units removed by the Contractor and the unitization |
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| by record units of costs of construction assemblies installed by the Contractor. |
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| * Standard units will be listed first, followed by new units and conversion units, in that order, with all "I" removal units |
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| being listed last. In Column B, enter either: "N-New", "H-Conversion", or "I-Removal". In Column C, enter unit identifier. |
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| ** The quantities shown in No. 20 should agree with materials receipts prepared in connection with the contract. |
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| The types of items of material and the quantity of any item of material listed under Part I of the tabulation |
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| should be limited to the type of items and should not exceed the quantity of any item of material specified |
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| in the construction contract in the "List of Owner Furnished Materials." Any additional items of material or |
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| excess quantities over the items specified in such lists are to be shown under Part II of the tabulation. |
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| RUS FORM 254 Instructions (Rev. 11-01) |
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| According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. |
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| The valid OMB control number for this information collection is 0572-0107. The time required to complete this information is estimated to average 2 minutes per response, including the time for reviewing instructions, |
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| searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. |
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SHEET |
OF |
SHEETS |
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Enter Total Number of Sheets Required
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| U.S. DEPARTMENT OF AGRICULTURE |
DATE |
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PROJECT DESIGNATION |
CONTRACT NO. |
| RURAL UTILITIES SERVICE |
Enter Date Prepared
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Enter RUS System Identifier (State, Number, County)
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Enter RUS Contract Number or Other Contract Identifier if not provided by RUS
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BORROWER |
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RUS PROJECT CODE(S) |
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Enter Name of RUS Borrower
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| CONSTRUCTION INVENTORY |
ENGINEER |
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| (FOR LABOR AND MATERIAL CONTRACT) |
Enter Name of Consulting Engineer or System Engineer
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CONTRACTOR |
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Enter Name of Construction Contractor
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| AMOUNT PAYABLE TO CONTRACTOR |
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| A. TOTAL COST OF STANDARD, NEW AND CONVERSION ASSEMBLY UNITS INSTALLED |
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| (Total Column 6, RUS Form 254a) ...............................................................................................................……………………………………………. |
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Number is Automatically Calculated from RUS Form 254a
$0.00 |
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| B. COST TO REMOVE "I" UNITS |
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(Total Column 7, RUS Form 254a) ............................…………………………………… |
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Number is Automatically Calculated from RUS Form 254a
0.00 |
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| C. AMOUNT TO BE CREDITED TO CONTRACTOR FOR MATERIALS REMOVED FROM |
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| EXISTING FACILITIES AND RETURNED |
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(Total Column 14, RUS Form 254b) ..................………………………………………… |
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Number is Automatically Calculated from RUS Form 254b
0.00 |
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SUBTOTAL |
…………………………………………………………………….. |
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Automatically Adds Lines A, B, and C
$0.00 |
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| DEDUCT: |
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| D. AMOUNT CHARGEABLE TO CONTRACTOR FOR MATERIALS IN ASSEMBLY UNITS |
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| REMOVED |
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(Total Column 9, RUS Form 254a) .................................................................................................. |
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Number is Automatically Calculated from RUS Form 254a
$0.00 |
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| E. NET AMOUNT OF OWNER-FURNISHED MATERIALS (Total Column 24, RUS Form 254c) ….. |
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Number is Automatically Calculated from RUS Form 254c
0.00 |
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Automatically Adds Lines D, E
0.00 |
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| F. NET AMOUNT DUE CONTRACTOR |
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Automatically Subtracts Line E from the Subtotal
$0.00 |
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| (In making final payment to Contractor, the net amount due the Contractor, as shown by this Certification, will be reduced by the sums, |
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| if any, due the Owner for liquidated damages, payment made to date, or other sums which the owner has the right to retain under the |
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| terms of the Contract, and signature by all parties does not preclude the retention by the Owner of such amounts.) |
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| CERTIFICATE OF ENGINEER |
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| I certify that to the best of my knowledge and belief the attached final inventory correctly shows the total |
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Enters Amount Calculated Above on Line F
$0.00 |
due the Contractor, as shown above, is true and correct. |
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Automatically Enters Name of Engineer from cell E11 above
0 |
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ENGINEER |
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By |
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DATE |
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| ACCEPTANCE BY OWNER |
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Automatically Enters Name of Owner from cell E9 above
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OWNER |
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By |
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DATE |
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PRESIDENT |
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| ACCEPTANCE BY CONTRACTOR |
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Automatically Enters Name of Contractor from cell E13 above
0 |
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FIRM |
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By |
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DATE |
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| RUS FORM 254 |
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(Rev. 11-01) |
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SHEET |
OF |
SHEETS |
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DATE |
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PROJECT DESIGNATION |
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CONTRACT NO. |
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12/30/1899 |
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0 |
| U.S. DEPARTMENT OF AGRICULTURE |
BORROWER |
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| RURAL UTILITIES SERVICE |
0 |
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ENGINEER |
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| CONSTRUCTION INVENTORY |
0 |
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| (FOR LABOR AND MATERIAL CONTRACT) |
CONTRACTOR |
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0 |
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| ASSEMBLY UNITS |
DUE CONTRACTOR FOR UNITS INSTALLED, CONVERTED AND REMOVED |
AMOUNT CHARGEABLE TO |
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UNIT NO. |
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TYPE |
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EXCEPT I UNITS |
COST TO |
CONTRACTOR FOR MATERIALS |
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N-New |
LABOR |
MATERIAL |
TOTAL |
COST OF |
REMOVE "I" |
IN ASSEMBLIES REMOVED |
| TITY |
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H-Conversion |
UNIT PRICE |
UNIT PRICE |
UNIT PRICE |
CONSTRUCTION |
UNITS |
UNIT VALUE |
TOTAL |
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I-Removal |
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(Col.3 + Col.4) |
(Col.1 x Col.5) |
(Col.1 x Col.3) |
(Table C) |
(Col.1 x Col.8) |
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2 |
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3 |
4 |
5 |
6 |
7 |
8 |
9 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
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0.00 |
0.00 |
0.00 |
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0.00 |
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/ |
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
|
/ |
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
|
/ |
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
|
/ |
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
|
/ |
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
|
/ |
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
|
|
TOTAL |
|
|
|
0.00 |
0.00 |
|
0.00 |
| RUS FORM 254a |
|
(Rev. 11-01) |
|
|
|
|
|
|
|
|
|
|
|
|
|
SHEET |
OF |
SHEETS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DATE |
|
PROJECT DESIGNATION |
|
CONTRACT NO. |
|
|
|
|
|
12/30/1899 |
0 |
0 |
| U.S. DEPARTMENT OF AGRICULTURE |
BORROWER |
|
|
|
|
| RURAL UTILITIES SERVICE |
0 |
|
|
|
|
|
|
|
|
ENGINEER |
|
|
|
|
| CONSTRUCTION INVENTORY |
0 |
|
|
|
| (FOR LABOR AND MATERIAL CONTRACT) |
CONTRACTOR |
|
|
|
|
|
|
|
|
|
0 |
|
|
|
| ASSEMBLY UNITS |
DUE CONTRACTOR FOR UNITS INSTALLED, CONVERTED AND REMOVED |
AMOUNT CHARGEABLE TO |
|
STANDARD |
|
|
EXCEPT I UNITS |
COST TO |
CONTRACTOR FOR MATERIALS |
| QUAN- |
N-New |
UNIT |
LABOR |
MATERIAL |
TOTAL |
COST OF |
REMOVE "I" |
IN ASSEMBLIES REMOVED |
| TITY |
H-Conversion |
IDENTIFIER |
UNIT PRICE |
UNIT PRICE |
UNIT PRICE |
CONSTRUCTION |
UNITS |
UNIT VALUE |
TOTAL |
|
I-Removal |
|
|
|
(Col.3 + Col.4) |
(Col.1 x Col.5) |
(Col.1 x Col.3) |
(Table C) |
(Col.1 x Col.8) |
| 1 |
2 |
|
3 |
4 |
5 |
6 |
7 |
8 |
9 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
TOTAL |
|
|
|
|
0.00 |
0.00 |
|
0.00 |
| RUS FORM 254a (Rev. 10-00) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SHEET |
OF |
SHEETS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DATE |
|
PROJECT DESIGNATION |
|
CONTRACT NO. |
|
|
|
|
|
12/30/1899 |
0 |
0 |
| U.S. DEPARTMENT OF AGRICULTURE |
BORROWER |
|
|
|
|
| RURAL UTILITIES SERVICE |
0 |
|
|
|
|
|
|
|
|
ENGINEER |
|
|
|
|
| CONSTRUCTION INVENTORY |
0 |
|
|
|
| (FOR LABOR AND MATERIAL CONTRACT) |
CONTRACTOR |
|
|
|
|
|
|
|
|
|
0 |
|
|
|
| ASSEMBLY UNITS |
DUE CONTRACTOR FOR UNITS INSTALLED, CONVERTED AND REMOVED |
AMOUNT CHARGEABLE TO |
|
STANDARD |
|
|
EXCEPT I UNITS |
COST TO |
CONTRACTOR FOR MATERIALS |
| QUAN- |
N-New |
UNIT |
LABOR |
MATERIAL |
TOTAL |
COST OF |
REMOVE "I" |
IN ASSEMBLIES REMOVED |
| TITY |
H-Conversion |
IDENTIFIER |
UNIT PRICE |
UNIT PRICE |
UNIT PRICE |
CONSTRUCTION |
UNITS |
UNIT VALUE |
TOTAL |
|
I-Removal |
|
|
|
(Col.3 + Col.4) |
(Col.1 x Col.5) |
(Col.1 x Col.3) |
(Table C) |
(Col.1 x Col.8) |
| 1 |
2 |
|
3 |
4 |
5 |
6 |
7 |
8 |
9 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
Enter either:
N - New
H - Conversion
or I - Removal
|
|
|
|
0.00 |
0.00 |
0.00 |
|
0.00 |
|
TOTAL |
|
|
|
|
0.00 |
0.00 |
|
0.00 |
| RUS FORM 254a (Rev. 10-00) |
|
|
|
|
|
|
|
|
|
