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Work authorization form, Ambassador Construction, March 1999

Machine-extracted title · confidence 88%

Work authorization and invoice form from Ambassador Construction requesting payment for additional labor and materials at a job site.

NYC-WTC_000168450–000168454

Folder label: “None

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Scanned page image, NYC-WTC_000168450
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NYC 9/11 Public Portal Document APR @8 1999 15:36 FR AMBASSADOR CON. TO 7325190 P.87/88 an B2 19993 SOUTH R.B. SAMUELS 212 213 4889 TO AMBASSADOR P.85/85 0: 352 PARK AVENUE ro sercrs wets NEW YORK, NY 10010 ABS ORDER NO. __¢ meraet 81. ee ABS JOB NO _.4 7@E L Go NVOICE TO: Ad) passatol ~Sf- _ CUSTONER JOB NO... CUSTOMER WO. NO. CUSTOMER PO. NO. JOB LOCATION _—2> WITS LI” Freer arvention: __ Jack Klee ~ YOU ARE HEREBY AUTHORIZED AND REQUESTEO TO PERFORM THE AOCITIONAL WORK SPECIRED BELOW. UPON THE FOLLOWING BASIS: COST OF ALL MATERIAL AND. LABORA, INCLUDING ALL PREMIUMS ON INSURANCE ANO FRINGE BENEFITS, PLUS OVERHEADS, PROFIT ANDO SALES TX WHERE APPLICABLE. TERMS NET 1S DAYS. CJ conrmaccr (_] exrne Orem “ Csemmce cu Keked [hevaror : Risa) Low) ut Ps Velo “fTo_ PEs: a? -& 77. Tesall Ge CKTr -y™ Fe Ars + od le- awh Gw ED Vrtt : DATE AUTHORIZATION TO is) : PLEASE PRINT NAME a nt TIME AND MATERIAL WORK PURSUANT TO AND UNDER PROVISION OF ABOVE WORK ORDER. LABOR oo. { mon. | Tues. | weo. | THURS. | FAI SAT. SUN. : GRAND DATE ey fso 3/-s- |. ; . TOTAL Ne. | Total | Tota! . | Term ' ae 7 ; : FOREMAN _se BEAR 72: _ beatae K¢ Ort ara SUB-FOREMAN st Pie Dias £58 Se on “ JOURNEYMAN sit Cas SE Bae BS cs _ ju or j . ai SIT . OIF pare fel ACCEPTED: ~ MAME OF COMSAKY i 7 bd p PLEASE PRINT wv <Sohn Miler Y Pong AN — PLEASE PRAT ; AUTHOMTED SIGNATURE LIST MATERIAL OW REVERSE SOB Wo} QONTRACT COPY _ Wo- MAR 31 1999 @9:31 212 361 es7a PAGE. aS OE ee NYC-WTC_000168450

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NYC-WTC_000168450Source: NYC Law Department, mirrored locally

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