Work Authorization

NYC 9/11 Public Portal Document

WORK AUTHORIZATION '■ JOB CONI.,Lu BATCH NO. '■ .st; JWP Forest Electric Co’" Two Penn Plaza Nn. A./ A yy (OFFICe 1,'SE ONLY) New York, NY 10121 (7 ') 318-1500 CUSTOMER TEL. NO. _ WORK AUTHORIZATION PAGE OF

CUSTOMER NAME JOB NAME WRITTEN UP BY: DATE; FOREST JOB NO. // / Z 1^^ AUTHORIZED FOR CUSTOMER BY DATE CU5T.P.O.NO. CUSTOMER ADDRESS JOB LOCATION I I a CO ORDER COMPLETE □ new JOB CUST. JOB NO. 7 "7 □ change ORDER □yes Ono DESCRIPTION OF WORK CUST. W.O. NO.

□ AGREED PRICE

AMT. $ □ TIME & MATERIAL

BILUNG CALCULATION MATERIAL COST

LABOR COST QUANTITY MATERIAL PRICE PER AMOUNT

DIRECT JOB EXPENSE

PRIME COST

OVERHEAD

JOB COST

PROFIT

SELLING PRICE

ASSOFTTED. SUMDRIES , 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 7 OVERTIME $ Fj Zf/f r~ J X FOREMAN ST HRS.

FOREMAN OT HRS. /)f} ___________ -Z HRS.

ms. -Z TOTAL HOURS TOTAL LABOR COST TOTAL DJ.E. $ CLASS: F>F0REMAN SF>SUB FOREMAN J>JOURNEYMAN THE AMVE WORK SATlSFA^^Rrt^ERFORMED. , i

AUTHORIZED TO PROCEED DATE A^ORIZED SIGNATURE / f DATE

OFFICE COPY - TO BE SENT IN WHEN WORK IS COMPLETE FORM* 1 NYC-WTC_000172185