FEDERAL EMERGENCY MANAGEMENT AGENCY
FORCE ACCOUNT EQUIPMENT SUMMARY RECORD	Page	  1   	of	4     		
		
1.	APPLICANT
     Some Twp.	2.	PA ID
     000-00000-00	3.	PW #
     000	4.	DISASTER NUMBER
     0842 NJ	
5.	LOCATION/SITE
     DEBRIS REMOVAL - TOWNSHIP WIDE	6.	CATEGORY
A	7.	PERIOD COVERING
  12/11    to   12/17/92     	
8.	DESCRIPTION OF WORK PERFORMED
     DEBRIS REMOVAL TOWNSHIP WIDE	
TYPE OF EQUIPMENT	OPERATOR'S NAME	DATES AND HOURS USED EACH DAY	COSTS	
INDICATE SIZE, CAPACITY, HORSEPOWER, MAKE AND MODEL AS APPROPRIATE	EQUIPMENT CODE NUMBER		DATE	     12/11	12/12     	   12/13  	   12/14  	     12/15	     12/16	    12/17 	TOTAL HOURS	EQUIPMENT RATE	TOTAL COST	
     1990 FORD F-350 	     	     	HOURS	    16.5 	9     	9     	     	     	8     	8     	50.5     	$	18.00     	$909.00     	
     8 CYL 230 HP	8526	J. CEASER												
     1989 FORD F-700	     	     	HOURS	     	8     	     	     	8     	8     	8     	32     	$ 18.00	     	$ 576.00     	
     8 CYL 230 HP	8526	E. HUBBLE												
     1987 CHEV 120 HP 	     	     	HOURS	     8	     	     	8     	9     	8     	     	     33	$	7.00     	$231.00     	
     6 CYL PICK UP 	8521	R. OCTO 												
     	     	     	HOURS	     	     	     	     	     	     	     	     	$	     	$     	
     														
     	     	     	HOURS	     	     	     	     	     	     	     	     	$	     	$     	
     														
     	     	     	HOURS	     	     	     	     	     	     	     	     	$	     	$     	
     														
     	     	     	HOURS	     	     	     	     	     	     	     	     	$	     	$     	
     														
GRAND TOTALS	    115.5 		$1716.     00.00.-0	

I CERTIFY THAT THE ABOVE INFORMATION WAS OBTAINED FROM PAYROLL RECORDS, INVOICES, OR OTHER DOCUMENTS THAT ARE AVAILABLE FOR AUDIT.	
CERTIFIED
     TITLE          THOMAS JEFFERSON 
	     APPLICANT'S AGENT	DATE   12/20/92
     	
FEMA Form 90-127, NOV 98