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Attachment 4b <br />REPORT OF DONATED EQUIPMENT <br />the <br />was the rate <br />No <br />rear: <br />Times the donated equipment was used during this month: <br />.Beginning <br />Sunday <br />Monday <br />'Tuesday <br />Wedoe,&v'I'Itnrsdey <br />Amount charged to <br />project: <br />friday <br />Saturday <br />Totals <br />I hereby swear that the equipment was on site being used or required, <br />perforating the work described on the project named. <br />Date <br />I coordinated the use of this equipment and verify that it was used as <br />indicated above. <br />Date <br />Total this month: <br /># of days <br />Rate: <br />Per day <br />Amount charged to <br />project: <br />R.sa store o�, <br />State of Washington • Department of Archaeology & Historic Preservation .°4 u <br />m � r <br />P.O. Box 48343 • Olympia, Washington 98504-8343 • (360) 586-3065 �s,� �1BB0,,�'n <br />www.dahp.wa.gov <br />