FIRE SERVICE INCORPORATED
SUBSIDIARY OF RRECOM INC. 70086 8 l-B
39-27 FIFTY NINTH STREET S ^8
WOODSIDE, NEW YORK 11377
(718)899-2311
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REPORT OF FIELD SERVICE 1
SETO SERVICED
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JTHOfllZEDB'T' CONTRACT # a;? /“/ ■FEE SERVICE # FJ* PO *
___________ £j 15
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EXT DATE SCHEDUL^ x TIME SCHEDULED SE5WCEM6ti>€S(GNED <1 Cl
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WTITY QUANTITY PCI
MATERIAL RECORD " E2 <P
SUED BZO NO
DESCRIPTION UNIT PRICE PER
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TOTAL AMOUNT
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DEPARTED TIME RETURNED total START , ENO MISC--
APPROPRIATE BOX '^CAR EAR^
SHOP IN OUT SHOP HOURS MILEAGE • MILEAGE EXPENSt rsir
□ EMERGENCY CALL
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ECALL
□ CONTRACT CALL
□ PICKUP
□ DEMO OWNER
□ MAT REQD □ PARTIAL
SERVICE DA^E CUSTOMER SIGNATURE
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LIVERY
□ OTHER □ LABOR REGO
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WILL RETURNON SEHVICpMAN5lGN^URE '
COMPLETE n
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CALL
COMPLETE □
JLEM—AS DESCRIBED
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ICE PERFORMED
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NYC-WTC_000166009
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NYC-WTC_000166009Source: NYC Law Department, mirrored locally