Work Authorization

NYC 9/11 Public Portal Document

JOB cr • ROL .LATCH NO. WORK AUTHORIZATION JWP Forest Electric Cor^ ?• ^353 . lOFi^ USE ONLY) Two PenH Plaza No Z New York, NY 10121 (212) 318-1500 CUSTOMER TEL NO. _ WORK AUTHORIZATION PAGE

CUSTOMER NAME . JOB NAME WRITTEN UP BY: DATE: FOREST JOB Na

AUTHORIZED FOR CUSTOMER BY DATE CUST. P.O. NO. CUSTOMER ADDRESS JOB LOCATION / / B^EW JOB ORDER COMPLETE CUST. Xie NO. 7^^ □ change ORDER □yes Ono DESCRIPTION OF WORK CUST. W.O. NO.

/?Z: C □ AGREED PRICE

AMT.S □ TIME & MATERIAL

BILUNG CALCULATION MATERIAL COST

LABOR COST QUANTITY MATERIAL PRICE PER AMOUNT

DIRECT JOB EXPENSE

PRIME COST

OVERHEAD

JOB COST

PROFIT

SELLING PRICE

ASSORTED SUNDRIES TOTAL SALES TAX ____________________ MATERIAL SPECIAL TOOLS, TRUCKING, ETC. SALES TAX

TOTAL COST INVOICE AMOUNT st. O.T. LABOR COST DATE CLASS EMPLOYEE NAME HOURS HOURS RATE AMOUNT $ 7 STRAIGHT TIME DIRECT JOB EXPENSES /)(<‘/2</zlz^ l^A -Z- OVERTIME

FOREMAN ST HRS. $ ------------------------ D/a 1^/ L_______ FOREMAN OT HRS.

/^z 2^ //r/AzQe JZ- HRS.

3 HRS.

Z^Z) LZ__________ ' TOTAL HOURS TOTAL LABOR COST TOTAL DJ.E. $ CLASS; F>FOREMAN SF=SUB FOREMAN ^JOURNEYMAN THE Al PERFORMED. . .

------------------------ A^I/fHORIZED SIGNATURE — OFFICE COPY - TO BE SENT IN WHEN WORK IS COMPLETE REV. 3/88 FORM » IV NYC-WTC_000172177