Work Authorization

NYC 9/11 Public Portal Document

JOB CONTROL BATCH NO. WORK AUTHORIZATION JWP Forest Electric.Cor I lOFFICe USE ONLY) Two Penn Plaza Nn ^777 3/7 New York. NY 10121 (212) 318-1500 customer / TEL NO. _L WORK AUTHORIZATION PAGE OF CUSTOMER NAME JOB NAME WRITTEN UP BY: DATE; FOREST JOB NO. 3b /fr/^ z^z/A// 71 /7 AUTHORIZED FOR CUSTOMER BY date CUST. PO. NO? CUSTOMER ADDRESS . JOB LOCATION / / ______ 2,00 7 □new JOB ORDER PLETE CUST. JOB NO. 7' ’re □ change ORDER □yes Ono DESCRIPTION OF WORK CUST. W.O. NO.

□ AGREED PRICE

//ZVZf/Z' ( AMT. $ Z4 r /ir Xzl4i-//L_.S____________ □ TIME & MATERIAL

BILLING CALCULATION MATERIAL

LABOR COST A QUANTITY MATERIAL PRICE PER AMOUNT 4btib. DIRECT JOB EXPENSE

PRIME COST *

JOB COST o A

SELUNG PRICE ---------------------------------------7----- ASSORTED SUNDRIES TOTAL MATERIAL © SALK TAX

SPECIAL TOOLS, TRUCKING. ETC SALES TAX

TOTAL COST INVOICE AMOUNT DATE CLASS EMPLOYEE NAME ST. HOURS

7 O.T. HOURS 2a STRAIGHT TIME LABOR COST AMOUNT $ DIRECT JOB EXPENSES Z OVERTIME $ 7 FOREMAN ST HRS.

3 s FOREMAN OT HRS. 3 k-Z- HRS.

- 7 HRS. r-Si-----

TOTAL HOURS J3 ' TOTAL LABOR COST TOTAL DJ.E. $ CLASS: F-FOREMAM SF=SUB FOREMAN J-JOURHEYMAN 57 THE ABOVE WORK WAS SATISF^ORILY^RFORMED. / •TA

ALfTHORIZED TO PROCEED DATE /^HORIZED SIGNATURE ytlATE

OFFICE COPY - TO BE SENT IN WHEN WORK IS COMPLETE REV. 3/88 FORM# 113 NYC-WTC_000172188