Mutual Aid Billing Statement

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KANSAS ELECTRIC COOPERATIVES MUTUAL AID PLAN BILLING STATEMENT DATE From: To: LABOR Name Time Regular * incentive Overtime Overtime Overtime * incentive Regular * incentive Overtime Overtime Overtime * incentive Regular * incentive Overtime Overtime Overtime * incentive Regular * incentive Overtime Overtime Overtime * incentive Regular * incentive Overtime Overtime Overtime * incentive Multiplier Employee Time Sheets Enclosed Hours Rate Total $ 2.00 3.00 2.00 3.00 2.00 3.00 2.00 3.00 2.00 $ $ $ $ $ - 1.5 2.0 3.0 0.0 $ $ $ $ 1.5 2.0 3.0 0.0 $ $ $ $ 1.5 2.0 3.0 0.0 $ $ $ $ 1.5 2.0 3.0 0.0 $ $ $ $ 1.5 2.0 3.0 0.0 $ $ $ $ 3.00 SUBTOTAL *Refer to page 10, Responsibilities of Assisting Cooperative 5 KANSAS ELECTRIC COOPERATIVES MUTUAL AID PLAN BILLING STATEMENT DATE From: To: LABOR Name Time Regular * incentive Overtime Overtime Overtime * incentive Regular * incentive Overtime Overtime Overtime * incentive Regular * incentive Overtime Overtime Overtime * incentive Regular * incentive Overtime Overtime Overtime * incentive Regular * incentive Overtime Overtime Overtime * incentive Multiplier Employee Time Sheets Enclosed Hours Rate Total $ 2.00 3.00 2.00 3.00 2.00 3.00 2.00 3.00 2.00 $ $ $ $ $ - 1.5 2.0 3.0 0.0 $ $ $ $ 1.5 2.0 3.0 0.0 $ $ $ $ 1.5 2.0 3.0 0.0 $ $ $ $ 1.5 2.0 3.0 0.0 $ $ $ $ 1.5 2.0 3.0 0.0 $ $ $ $ 3.00 SUBTOTAL *Refer to page 10, Responsibilities of Assisting Cooperative 6 KANSAS ELECTRIC COOPERATIVES MUTUAL AID PLAN BILLING STATEMENT DATE From: To: OVERHEADS INSURANCE P.L. & W.C. PENSION TAX, F.I.C.A. MEDICAL & HEALTH INSURANCE VACATION $ $ $ $ $ SUBTOTAL $ - TRANSPORTATION TRUCK # TRUCK TYPE RATE HOURS TOTAL $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ SUBTOTAL $ - MISCELLANEOUS EXPENSES Motels Meals Fuel Other TOTAL $ $ $ $ SUBTOTAL $ - *Refer to page 10, Responsibilities of Assisting Cooperative 7 KANSAS ELECTRIC COOPERATIVES MUTUAL AID PLAN BILLING STATEMENT DATE From: To: MATERIAL NO. UNIT SUBTOTAL $ - TOTAL $ - [Note: Attached to this billing statement are copies of employee timesheets, miscellaneous expenses and material used.] *Refer to page 10, Responsibilities of Assisting Cooperative 8

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