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�Q7<!V <br /> y Work Order # 388200 <br /> Fuel Services 5655 <br /> 953 Tracy Fedex Ground <br /> L 5655 Hood Way <br /> Phone • 1 -800-2154839 x2 FSR# : 9012 Franzen-Hill Corporation - Tracy , CA 95377 <br /> Tulare <br /> Fax : 1 -305- 6294288 FSR FAX#: 775-329-3301 Phone : 209-839-2060 <br /> Work Order Summary <br /> This form must be COMPLETED & ATTACHED to all invoices submitted for payment . <br /> Trip # Date Arrival Time Departure Time Travel Hours Miles Traveled <br /> Description of Work Performed : (Required) <br /> I verify that any dispensers put in the override mode during service have been returned to the normal operating mode . <br /> Tech . Name ( Printed ) Tech Signature Date <br /> < ------ (Required)-- <br /> If <br /> Required)If additional trip is required call 1 -281 -647-8900 x2 and request additional " work order summary" <br /> Material Used (Attach list if required ) <br /> Part # Serial # Description Area/Location Date Installed <br /> Customer Comments <br /> I verify that all work was performed as described above. <br /> Customer Name (Printed ) Customer Signature Date <br /> ---- <br /> Page 3 of 3 <br />