Work Authorization

NYC 9/11 Public Portal Document

JOR CONTROL BATCH NO. WORK AUTHORIZATION JWP Forest Electric Co) Two Penn Plaza (OFFICE USE ONLY) New York. NY 10121 No. / 7/3 y (212) 318-1500 JSTOMER EL NO. _1 WORK AUTHORIZATION PAGE 3 OF_^

USTOMER NAME JOB NAME WRITTEN UP BY: DATE: FOREST JOB NO.

AUTHORIZED FOR CUSTOMER BY DATE cust.po.no. ;USTDMER ADDRESS JOB LOCATION I / 7 cure. Qnewjob ordefT •MPLETE CUST. JOB NO. r'^c □ CHANGE ORDER lYES □ no lESCRIPTION OF WORK CUST. W.O. NO.

Czk/' □ AGREED PRICE

AMT. $ □ TIME & MATERIAL

BILUNG CALCULATION MATERIAL COST

LABOR COST QUANTITY MATERIAL PRICE PER AMOUNT

r/)7 s c/j/iAt:______ DIRECT JOB EXPENSE

a. /?r} //s ' / PRIME COST

Il 12 OVERHEAD

JOB COST %

PROFIT

SELLING PRICE

ASSORTED SUNDRIES TOTAL _________ ___________ MATERIAL « SALES TAX

SPECIAL TOOLS, TRUCKING, ETC. SALES TAX

TOTAL COST INVOICE AMOUNT ST. LABOR COST DATE CLASS EMPLOYEE NAME HOURS HOURS RATE AMOUNT $ STRAIGHT TIME DIRECT JOB EXPENSES OVERTIME $ FOREMAN ST HRS.

FOREMAN or HRS.

HRS.

HRS.

TOTAL HOURS TOTAL LABOR COST TOTAL DJ.E.

CLASS: F=FOREMAN SF=SUB FOREMAN J-JOURNEYMAN THE ABOVE WORK WAS SATISFACTQflILY PERFORMED. . /

AUTHORIZED TO PROCEED DATE ALmfoniZED SIGNATURE / D^E

OFFICE COPY - TO BE SENT IN WHEN WORK IS COMPLETE REV. 3/88 FORM* 113 NYC-WTC_000172190