NYC 9/11 Public Portal Document
.rTf B. SAMUELS, INC.
. PARK AVENUE SOUTH
WORK ORDER
efeW YORK, NY 10010 RBS ORDER NO.
RBS JOB NO. __2121£-X/--------
.INVOICE TO: 5Z CUSTOMEFI JOB NO.
CUSTOMER WO. NO.________ -
CUSTOMER RO. NO
JOB LOCATION 7 ’-----
ATTENTION: /rZ r > V
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.
CONTRACT EXTRA T & M SERVICE CALL
-z r-z
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 TOTAL
No. Total No. Total No. Total No. Total No. Total No. Total No. Total HOURS
Men Hrs. Men Hrs. Men Hrs. Men Hrs. Men Hrs. Men Hrs. Men Hrs.
FOREMAN
2/1
SUB-FOREMAN 2/1
O/T
JOURNEYMAN 2/1 / 2/^ 5"
2/1
2/1
O/T
DATE ACCEPTED:
NAME OF COMPANY
BY:
PLEASE PRINT
BY
yx.
FOREMAN — PLEASE PRINT AUTHORIZED SIGNATURE
LIST MATERIAL ON REVERSE SIDE WO-1
INVOICE COPY
NYC-WTC_000171451
OCR can misread numbers and units. Confirm readings against the page image before using them.