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Service <br /> 680 Quinn Avenue Work Order # <br /> m:1iStation San Jose, CA 95112 <br /> Syst (408) 971-2445 Fax (408) 971-0135 <br /> J/SfeIY1S, Inc. CA State Lic. No. 485184 <br /> Bill To: Date: <br /> Brand Name. Station # PO/ Release #: 9001 HAy _-2_-Pi, - 40 <br /> Address. _ SSSI Ref. #: v <° <br /> City: Assigned To: 'a a "' �BNTY <br /> y 9 Fria ur ' '' :TAI. <br /> Category: Component Failure: <br /> Item #: Note: Action: <br /> Part#: Parts Description: Qty: Warrant /DOA Price: Amount <br /> Lid, fiberglass, 37-1/2in 111111111111111111111111 <br /> 04329N / TA1479 Western <br /> Kit, Sump Lid, Retrofit, f/Riser Reduo 8 11 1111 11111111 111 11 111 <br /> 04307N I TA9995_ Western 11' <br /> 04521Nib / gTA169130-1/2 ID,western Lip VI 11111II11 VIII III <br /> Gasket, Observation Port, 12in 1111 1111111III i Ill I1 <br /> 04522N / OOCL12-GSK CNI <br /> Notes <br /> Labor Travel Total TIOi <br /> Hours. Hours. Hence. Labor Halo of <br /> AM 1 I'- AM <br /> Date: Tech_ Start: - --rF4 Stow PM <br /> AM AM <br /> Date Tech: Start: PM Stop: PM <br /> Category: I Component: I Failure: <br /> Item #: Note: Action: <br /> Part #: Parts Description: Qty: Warrant /DOA Price: Amount <br /> 0432ib 37-1/21n <br /> 9N / TA'Aj9 <br /> Western 1111111111111111111111111 <br /> Notes: <br /> Labor Travel rate l TIOT <br /> Holum Hours: Hours: Labor Rate Asphalt <br /> AM AM <br /> Stop:Date: Tech: Start: PM PM <br /> AM AM <br /> Date: Tech: Start: PM Stop: PM <br /> 4umenrnos one service call horsing resolve all speadr,problems due In rade a equipment o Inlermanum <br /> proH,?Ms not present or which not be duplicated when cur Service Te i at your premises.Some Subtotal Material's s <br /> Aqt Ip nanl legm a removal o r ane mp-ut t a re spun.entl a of mpF tar s[ es will be made <br /> for a i-h su v : .all at nue n fled al nm t rums we.moult � t w i�u- s to all problems Mileage a s Menlo,$ <br /> an m- l s .all Time Arrived'and ume-Departed"rec'rtl d by rce will be the guideline <br /> risen n e d-bon ul repair nme and chary' 1�YJ�{�p Subtotal Labor s Sales Tax S <br /> It Is the auren ers responsbdlly to a idd and verily times recorded on the Invoice by our Sermee TeopNclan while Total Labor RrAvel $ Total Ni§ <br /> Ile she Is un your prenrisus.we cannot and will not alter any time charges bdletl after our Service Technician has <br /> I'll yem"mouses. <br /> I understand&accept all ter"&conditions as outlined on workorder. <br /> X A <br /> PLEASE PAY BY INVOICE-TERMS NET 10 DAYS Total Invoice <br /> Visit us at www.servicestationsystems.com <br />