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ARCO Products Company WORK ACVNOWLEDGMENT <br /> A915552 <br /> VENDOR NAME ir§�n DATE:__L�L <br /> ADDRESS ND j.�) FACILITY#: S-4 AUTH#/JOB ORDER: <br /> LOCATION: f,'2 <br /> < <br /> STATE, ZIP CODE <br /> SERVICE REQUESTED: <br /> SERVICES ACTUALLY PERFORMED:.T---tn,-)P-�t;:7-f) 00OF— CAD i U'_ U_ <br /> 7 <br /> ers: <br /> 49 <br /> NUMBER OF ARRIVALS AS OF TOTAL TRAVEL LESS MEAL TIME TOTAL LABOR <br /> PERSONNEL CHECKIN TIME <br /> AM AM <br /> P <br /> PM M <br /> FOR NON-LESSEE CONTRACT DEALER USE ONLY: FACILITY STAMP <br /> El MAINTENANCE VENDOR (Attach white copy to invoice and mail to technician.) <br /> ❑ LIGHTING <br /> El LANDSCAPING / FLOOR PEST CONTROL VENDOR <br /> El FIXED COST(Dispensers, General Contractor, Signage) <br /> TOTAL <br /> F,RINTED NAME OF DEALER <br /> OR STORE MANAGER/EMPLOYEE: DATE: <br /> SIGNATURE OF DEALER <br /> OR STORE MANAGER/EMPLOYEE: <br /> SIGNATURE OF DEALER (OR STORE MANAGER) DOES NOT OBLIGATE DEALER IN ANY WAY, NOR DOES IT SIGNIFY ANY APPROVAL OF WORK <br /> DONE. CONTRACTOR IS RESPONSIBLE FOR FILLING OUT THIS FORM AND OBTAINING SIGNATURE. <br />