NYC 9/11 Public Portal Document
ROBERT B. SAMUELS, INC.
TO: 352 PARK AVENUE SOUTH WORK ORDER
NEW YORK. NY 10010 RBS ORDER NO.
RBS JOB NO. O-T'
INVOICE TO: ^O‘-^5/i CUSTOMER JOB NO.
CUSTOMER W.O. NO.
CUSTOMER RO. NO.
JOB LOCATION 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 EXTRA T & M SERVICE CALL
7? /f
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
Nc. 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
0/T
S/T
SUB-FOREMAN
O/T
JOURNEYMAN
S/T / BL
O/T
S/T
O/T
#2
date ACCEPTED:,^
V NaJ>E of COMPANY
BY;
PLEASE PRINT
BY________________
FOREMAN - PLEASE PRINT AUTHORIZED SIGNATURE
LIST MATERIAL ON REVERSE SIDE WO-1
r'l'-iMTo A r'T r'nov
NYC-WTC_000171470
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