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A-301

Rev 2/04
New Mexico Department of Transportation

STATE OF FORCE ACCOUNT LABOR


Project: __________________________________________________________________________________________
Contractor: _______________________________________________________________________________________
Description of Work: _______________________________________________________________________________
HOURS

LABOR
DATE

NAME

CLASSIFICATION

S.T.

O.T.

RATE
S.T.

T O T A L LABOR
I hereby certify that the information tabulated
above for labor was taken off our project records
and represents the actual cost for labor necessary
to complete the force account work described on
Field Sheet No. __________.

Contractor
By:_________________________________
Title
Verified
By:
_________________________________________
Project Engineer

O.T.

AMOUNT

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