NYC 9/11 Public Portal Document
Oepartmcnliof Citywide Administrative Services Please deliver
safe Division of Administrative Services
Reproduction Services
wrhen completed
•Room 15th FLOOR 0 Please call, I will
Telephone 668*8192 pickup.
Date of Request/^
Date b AM / PM (Please circle)
WOTB: PLgASE OWE REAUSDC DATE WEgPgD, WOT ASAft OSa UROEWT, EXPEDITE. ETC.__________
Requested by._
Division: [ ] Executive (EXEC) - [] Administrative Services (DAS) I ] Financial Services (DFS)
[ ] Municipal Supplies (DMSS) Real Estate Services (DRES) [] Facilities (DFMC)
[] Citywide Pl Services (DCPS) [ ] Management & Operations (DMO) [] OTHER
Unit:. Distribution Code:. .(see reverse)
Telephone:_M£L_gjg^_,
Location:.
Title of Job to be Printed;.
Brief Description;.
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Job Specifications
Zl^No. of Originals
£9BS£
No. of («•») 81/2'XIV Cartxmless (r"
(1 81/2'X 14' (l2Part IJ3Part
[ I Print one sided [] ivxir []4Part (ISPart
[ 1 Print two sided If other than white paper, please specify
[ ] Staple (includes collating)
(] Tape binding Special orders
[) Booklet [I Pods [ ] Hole punch 2___ 3____ holes
Special Instructions:
PLEASE NOTE; STANDARD WHTTE PAPER IS USED UNLESS OTHERWISe SONCATED
FOR OFFICE USE ONLY
Operator's Initials. Date. / /
finishers Initials Date. / / Checker's Initials. Date. //
NYC-WTC_000172989
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