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Oct 18 01 08: 44a Carrie Brown (2091 461 -6342 P. 3 <br /> ARCO Products Company WORK ACKN%JWLEDGMENT A 9 Z <br /> 4767 <br /> VENDOR NAME <br /> ^ D aTE: <br /> ADDRESS 2535 Wjgwam ©r. J <br /> FACILITY#: � � AUTH #IJOB ORDER: <br /> 205 , <br /> CITY 9 <br /> ' LOCATION: XX, <br /> STATE,ZIP CODE 22� <br /> SERVICE REQUESTED: <br /> SERVICES ACTUALLY PERFORMED: �!2 �� lkf ,��� �' ����/ ��•,,,.,(j� <br /> /�� �P�rCn o�coJd a �" � �r/��l G�.� e c ..<• /'��L�.��s�s, <br /> "r�j0. c�•C d"•P� �4�r �� ��G C sY ��GG4" /t� cTe-✓lam/[-P <br /> 'ARTS: ��d. �� Ge�l�bt� Gl•+a /��1d+ <br /> I /1 <br /> a c /� <br /> JC <br /> n1l",1213.181311111111111111111EF—AR RIVALS AS <br /> • . . . . <br /> TOTAL :.- <br /> A AM <br /> / V!73 9 PM �r J PM <br /> FOR NON-LESSEE/CONTRACT DEALER.USE ONLY: FACILITY STAMP <br /> ❑ MAINTENANCE VENDOR (Attach white copy to invoice and mail to techrician.) <br /> ❑ LIGHTING <br /> ❑ LANDSCAPING/FLOOR I PEST CONTROL VENDOR <br /> ❑ FIXED COST(Dispensers, General Contractor, Signage) <br /> i TOTAL `{n <br /> 'RINTED NAME OF DEALER 1 /1 } } <br /> )R STORE MANAGER/EMPLOYEE: DATE: ..-.. --_ . <br /> :IGNATURE OF DEALER r� , <br /> )R STORE MANAGER/EMPLOYEE: _ ___ <br /> IGNATURE OF DEALER (OR STOR ANA ER) DO NO LIGATE DEALER IN ANY WAY, NOR DOES IT SIGNIFY ANY APPROVAL OF WORK <br /> ONE.CONTRACTOR IS RESPONSIBL FILLING OUT THIS FORM AND OBTAINING SIGNATURE. <br /> .PC-3316(10-95) Distribution: White:-Attach to invoice Canary- Left at location Pink- Vendor's copy <br />