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
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NYC-WTC_000171583
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