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Additional work authorization form, Oct 2001

Machine-extracted title · confidence 100%

RBS work order form dated October 8, 2001 authorizing additional labor and material costs at the 7 World Trade Center site.

NYC-WTC_000171583

Folder label: “Work Order®RBS Order No. 30056®RBS Job No. 54605®7 WTC®23 Fl

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Scanned page image, NYC-WTC_000171583
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NYC 9/11 Public Portal Document FK K. H.SMI'IUCUS OWv»w RBS ORDER NO. «■ . U ■ » .1 ■ I —

«9S JOB NO.----- CUSTOMER JOB NO. ----------- --------------- '•/Tf CUSTOMER W.Oi Na -- ------------------------

_______ Oct B I Hi =53 ATTENTION: C/7 7 g r-c, e h

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 EZl EXTRA T&M _3 SERVICE CALL

/cibor “/o /AS-f-c,/ (3)

-j ____

DATE AUTHORIZATION TO PROCEfeD PLEASE PRINT NAME

TIME AND MATERIAL WOf^K PURSUANT TO AND UNDER PROVISION OF ABOVE WORK ORDER. LABOR

MON. TUES. WED. THURS. FRI. SAT. SUN. GRAND DATE 9^ 1:^ 30 7^ TOTAL No. Total No. Total No, Tbtal Tot«l NO. Total No, Total No. Total HOURS Men Hrs. Men Hrs. Men Hrs. Men Hrs Men Hrs. Men Hrs. Men Hie

FOREMAN S/T O/T T zz / 7 z 7 S/T SUB-FOREMAN O/T S/T JOURNEYMAN O/T S/T O/T

DATE ACCEPTED: NZkME OF COMPANY

BY; PLEASE PRINT

BY, 9 FOREMAN - Please p(6nt authorized signature LIST MATERIAL ON REVERSE SIDE WO-1 CONTRACT COPY ** TOTRL PAGE.03 **

NYC-WTC_000171583

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NYC-WTC_000171583Source: NYC Law Department, mirrored locally

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