NYC 9/11 Public Portal Document
,4T B. SAMUELS, INC.
PARK AVENUE SOUTH
WORK ORDER
>dW VORK, NY 10010 RBS ORDER NO. . 28495
RBS JOB NO. >
.4VOICE CUSTOMER JOB NO.
CUSTOMER WO. NO.
CUSTOMER P.O. NO.
JOB LOCATION 7^ 7~
2
t' / A/
ATTENTION:
YOU ARE HEREBY AUTHORIZED AND REQUESTED TO PERFORM THE ADDITIONAL WORK SPECIFIED BELOW UPON THE FOLLOWING BASIS:
COST OF ALL MATERIAL AND LABOR, INCLUDING ALL PREMIUMS ON INSURANCE AND FRINGE BENEFITS. PLUS OVERHEAD, PROFIT AND SALES
TAX WHERE APPLICABLE. TERMS NET 15 DAYS.
] T& M
CONTRACT J EXTRA SERVICE CALL
/X Z'z"7Zz''^5 Tv 5 r* ." /-'c/
.. ,/■ I c i-r > r' < z , -S y ' G Z"’ <7
./’A'
DATE AUTHORIZATION TO PROCEED PLEASE PRINT NAME
TIME AND MATERIAL WORK PURSUANT TO AND UNDER PROVISION OF ABOVE WORK ORDER.
LABOR
MON. TUES. WED. THURS. FRI. SAT SUN.
GRAND
DATE
7X ^ 7775 TOTAL
N . I Total
g No. Total No. Total No. Total No. Total No. Total No. Total HOURS
Men 5 Hrs. Men Hrs. Men Hrs. Men Hrs. Men Hrs. Men Hrs. Mon Hrs.
S/T
FOREMAN
0/T
S/T
SUB-FOREMAN
O/T
JOURNEYMAN
S/T / 7 _z / / 2 y
O/T / — 2 To
S/T
O/T
DATE
BY /
Z>
FOREMAN — PLEASE PRINT
' - -
ACCEPTED:
BY: 7 / .NAME OF COMPANY
PLEASE PRINT
AUTHORIZED SIGNATURE
LIST MATERIAL ON REVERSE SIDE
WO-1
INVOICE COPY
NYC-WTC_000171449
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