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DEPARTMENT OF HOMELAND SECURITY <br /> 0.6tal No�1660-0017 <br /> FEDERAL EMERGENCY MANAGEMENT AGENCY PAGE OF Expires December 31,2011 <br /> CONTRACT WORK SUMMARY RECORD <br /> APPLICANT <�PA ID No, PROJECT NO. DISASTER <br /> LOCATIOJNiSITE CATEGORY PERIOD COVERING <br /> DESCRIPTION OF WORK PERFORMED <br /> DATES WORKED CONTRACTOR RILLINGIINVO <br /> ICE AMOUNT COMMENT&SCOPE <br /> NUMBER <br /> GRANO TOTAL <br /> I CERTIFY THAT THE INFORMATION WAS OBTAINED FROM PAYROLL,INVOICES,OR OTHER DOCUMENT THAT ARE AVAILABLE FOR AUDIT. <br /> CERTIFIED TITLE DATE <br /> FEMA Ponn 90-126,FEB 09 PrInt Form <br />