NYC 9/11 Public Portal Document
.ROBERT B. SAMUELS, INC.
TO: 352 PARK AVENUE SOUTH WORK ORDER
RBS ORDER NO. ^6336
new YORK, NY 10010
RBS JOB NO. S"
INVOICE TO: CUSTOMER JOB NO.
CUSTOMER W.O. NO.
CUSTOMER P.O. NO.
JOB LOCATION Z AJ. 7:
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.
□ contract 121 EXTRA T& M SERVICE CALL
1/-2:^-7 2^
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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 /4 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.
S/T /
FOREMAN
O/T
S/T
SUB-FOREMAN
O/T
S/T
JOURNEYMAN
O/T
S/T
O/T
DATE ACCEPTED;
BY:
BY___________ AUTHORIZED SIGNATURE
FOREMAN — PLEASE PRINT
LIST UATEHtAL ON REVERSE SIDE WO-1
CONTRACT COPY
NYC-WTC_000171469
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