Investigation of Complaint Report Form, n.d.

NYC 9/11 Public Portal Document

FIRE SERVICE INCORPORATED 70086 I8 «B SUBSIDIARY OF F1RECOM INC. 39-27 FIFTY NINTH STREET S ^5 WOODSIDE, NEW YORK 11377 I if (718)899-2311 I 11 REPORT OF FIELD SERVICE ! I? :eto SERVICED r J I *I £ 0 §1 p A/ Y; tl Il 11 1 jTMonizEOffr" CONTRACT * FEE SERVICE # FJ^ PO # SEEM^Sl^ I 2 EXT DATE SCHEDULE z TIME SCHEDULED SEI lED 5< 2r UJ MATERIAL RECORD WTITY QUANTITY FCI CE SUED B/O NO DESCRIPTION UNIT PRICE PER TOTAL AMOUNT 21 spy, in HP Hl I t APPROPRIATE SOX <^:-c DEPARTED TIME RETURNED- TOTAL START ENO MISC-' CARFARE IM i A expense

liih SHOP IN OUT SHOP HOURS MILEAGE MILEAGE

□ EMERGENCY CALL

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LIVERY □ CONTRACT CALL □ PICKUP

□ DEMO OWNER □ MAT REQD □ PARTIAL SERVICE y* CUSTOMER SIGNATURE Tn 44l I z

□ OTHER □ LABOR AEGO MO □ SURVEY WILL RETURN ON SEBVIC^AN5iaN^RE I4T COMPLETE □ CALL COMPLETE □ JLEM—AS DESCRIBED

ICE PERFORMED

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