Work authorization form page 3, undated

NYC 9/11 Public Portal Document

. JOB CC BOL BATCH NO. WORK AUTHORIZATION JWP Forest Elettric Corr : ' ‘/353 (OFHCE USE ONLY) Two Penn Plaza NO New York, NY 10121 (212) 318-1500 '.USTOMBR EL NO. _ CUSTOMER NAME . JOB NAME WORK AUTHORIZATION WRITTEN UP BY; DATE: PAGE 3 FOREST JOB NO. 2 AOTHORIZED FOR CUSTdMER by DATE cust.p.o/no. CUSTOMER ADDRESS JOB LOCATION / / Bi^wjob ORDER COMPLETE CUST. JOB NO. □ change ORDER □ yes 0NO DESCRIPTION OF WORK CUST. W.O. NO. /c7£:X/77y 7^ □ AGREED PRICE ✓ .a/:. A.y

Z/jSxzU' AMT. $ □ TIME & MATERIAL

BILLING CALCULATION MATERIAL COST

LABOR COST QUANTITY MATERIAL PRICE PER AMOUNT

/3Aje DIRECT JOB EXPENSE

<3oQ,35" PRIME COST

3 An/Zl '7~/)a/. OVERHEAD (pX ^/XZ 2 c3n/ A /L JO JOB COST o/(A/4/noo/¥ l± Q/L ^02^^2200 4 PROFIT

4 to / /if s Do. 2d SELLING PRICE

ASSOFITED SUNDRIES TOTAL SALES TAX MATERIAL SPECIAL TOOLS, TRUCKING, ETC. SALES TAX

TOTAL COST INVOICE AMOUNT S.T. O.T. LABOR COST DATE CLASS EMPLOYEE NAME HOURS HOURS RATE AMOUNT $ 7 STRAIGHT TIME DIRECT JOB EXPENSES /G// :l OVERTIME $ _ y____ 2____ 3 FOREMAN ST HRS.

7 FOREMAN OT HRS.

HRS.

I' 5________ 2. HRS.

fy q //a} l/____________ 7 ' TOTAL HOURS TOTAL LABOR COST TOTAL D.J.E. $

CLASS; F^FOREMAN SF-SUB FOREMAN J>JOURNEYMAN

AUTHORIZED TO PROCEED DATE

OFFICE COPY - TO BE SENT IN WHEN WORK IS COMPLETE FORM# 1'3 NYC-WTC_000172178