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RECE-v <br /> 267.48 <br /> D 1 ZOIC Store Number or CitylState <br /> u R&M Work Order - <br /> i ENVIIRONI <br /> t_ VE'S TRAV1�1 S-rop#'223 <br /> A t&ntfpnJNanager. HEALTH DEPAf. <br /> 53 COLON ;:ROAD <br /> Complete this form for every R&M invoice. R 5366 <br /> Record the service call in the,?Repairs&Maintenance Log. <br /> Service Company: 7 Invoice/Service Ticket Number:��/ <br /> Technician Name: _ �rk�`�t` Date Work Performed: <br /> Detailed description of work performed &equipment type: 4�1 (26cC:4te ,gyp <br /> Materials Used Labor <br /> Quantity Description Start Time End Time Total Hour; <br /> d ,r lir_ <br /> Sto Repr ental' - n Lure to a epresen aft e-nnt l t re <br /> f hereby acknowledge the satisfactory completion of the abovo doserfbed work and further acknowledge the materials and time involved are true and accurate. <br /> All work performed and authorized by any Love's agent is subject to the Love's"Service Needs&Expectations"Agreement. <br /> l fisted are hi Nights but not all of the requirementsfLgrp ane SN& Agr_moment <br /> 1. Mail all Invoices to:Love's Facilities Maintenance,PO Box 26210,Oklahoma City,OK 73126 love's Corporate Office: <br /> (800)388-0983 <br /> 2. Use of two or more technicians prohibited without prior approval from the Corporate Office FMAcoounts Payable ext 6645 <br /> 3. All defective parts must be left with the manager in charge,expect for items with core credit <br /> 4. Repair and/or service work exceeding$500,must have District Manager approval; Fax <br /> work exceeding$1000 must have Area Director or FM Director approval (405)463.3645 <br /> 5. Love's R&M Work Order must accompany invoice to be considered for payment <br /> 6. All invoices and bid/proposals must be itemized by time&materials <br /> 7. Lump sum invoices will not be accepted unless a Corporate Office signed proposal Original Copy to VendorAnvolce <br /> or PO is submitted with the invoice. Carbon Copy to Store Manager <br />