Work Authorization

NYC 9/11 Public Portal Document

JOB'CONTROL BATCH NO. WORK AUTHORIZATION JWP Forest Electric Co’ • " V3a/ (OFFICE i-SE ONLY) Two Penn Plaza Nn ?/(<•, New York, NY 10121 (212) 318-1500 CUSTOMER TEL. NO. _ WORK AUTHORIZATION FWGE 3-OF. CUSTOMER NAME JOB NAME WRITTEN UP BY: DATE: FOREST JOB NO. /<>zy A? / 8 AUTHORIZED FOR CUSTOMER BY' DATE cusr.p.o.NO. CUSTOMER ADDRESS JOB LOCATION / / ^OO l/e^cey^ □ new JOB ORDER CUST. JOB NO. □ CHANGE ORDER □yes Ono DESCRIPTION OF WORK CUST. W.O. NO.

fy/} S zz>J r □ AGREED PRICE

AMT.$ □ TIME & MATERIAL

BILLING CALCULAnON MATERIAL COST

LABOR COST QUANTITY MATERIAL PRICE PER AMOUNT

2321 n'c n _____________________ DIRECT JOB EXPENSE / '/01 . $

PRIME COST

OVERHEAD

JOB COST

PROFIT

SELLING PRICE ASSORTED SUNDRIES TOTAL

SPECIAL TOOLS, TRUCKING, ETC. MATERIAL IL SALES TAX

SALES TAX ■S’ >*-'

TOTAL COST INVOICE AMOUNT ST. LABOR COST DATE class EMPLOYEE NAME HOURS HOURS RATE AMOUNT $ “V STRAIGHT TIME DIRECT JOB EXPENSES OVERTIME ///I tz_________ —Z. $ FOREMAN ST HRS. FOREMAN or HRS.

5 7 HRS.

7 HRS.

TOTAL HOURS TOTAL LABOR COST TOTAL D.J.E. $ CLASS: F-FOREMAN SF-SUB FOREMAN J-JOURNEYMAN THE ABI PERFORMED.

// AUTHORIZED TO PROCEED DATE AUT^RIZED SIGNATURE

OFFICE COPY - TO BE SENT IN WHEN WORK IS COMPLETE FORM* 11- NYC-WTC_000172186