NYC 9/11 Public Portal Document
,fW.
^OUTH WORK ORDER
16610 6BS ORDER NO. 30056
RBS JOB NO. -----
CUSTOMER JOB NO.
CUSTOMER W.O. NO.________ __
CUSTOMER P.O. NO____________ _
JOB LOCATION 7 ‘
ATTENTION:
OU ARE HEREBY AUTHORIZED AND REQUESTED TO PERFORM THE ADDITIONAL WORK SPECIFIED BELOW UPON THE FOLLOWING BASIS:
OST OF ALL MATERIAL AND LABOR, INCLUDING ALL PREMIUMS ON INSURANCE AND FRINGE BENEFITS, PLUS OVERHEAD, PROFIT AND SALES
AX WHERE APPLICABLE. TERMS NET 15 DAYS.
CONTRACT EXTRA T & M SERVICE CALL
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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 TOTAL
Ng. 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.
E
-OREMAN
S/T ~T / / / ? T /
0/T
S/T
5UB-FOREMAN
0/T
S/T
OURNEYMAN
0/T
S/T
0/T
3ATE /?-6 ACCEPTED:
NAW.E OF COMPANY
BY: __
PLEASE PRINT
3Y A/fiY V
/y Jr
foreman - PLEASE PWNT AUTHORIZED SIGNATURE
LIST MATERIAL ON REVERSE SIDE
WO-1
CUSTOMER COPY
NYC-WTC_000171584
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