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by WORK ACKNOWLEDGEMENT FORM <br /> Aft <br /> 1w <br /> E-MAINTENANCE TICKET NO. �jS Z��—i DATE L D—z'i <br /> FACILITY NO.&ADDRESS <br /> CONTRACTOR COMPANY NAME Gettler-Ryan Inc. <br /> Suite <br /> SERVICE REQUESTED ONE TICKET: Dublin, 68 <br /> 4 —- A q IX <br /> llckco <br /> WORK PERFORMED ONSITE(for parts replaced, provide part name(s),part number(s)&quantities,as applicable): <br /> G Y rA 5 i - 1-e r10\�j l Ip r <br /> j AC00A C�tay'\d Q zo 5 kl�� <br /> �fiV � i �� m 5�'a1) ry�.1 0G.V�5, IVl S�c � C � �p w s���. 5u <br /> k �Z" c��e� seo 1c, 14b �o elct5kek- A akice ,. ISS <br /> ' vavlf <br /> 14�:, i-P W44 kw /h S 1A>—p vtiII aY 1v'�-'? ,Q}� Fi r 3V1 <br /> ti <br /> 11A Cam <br /> WAS THE REQUESTED WORK COMPLETED?(circle ane} NO <br /> IF NOT,ESTIMATED RETURN DATE? AND PROVIDE DETAIL BELOW ON WHY <br /> _ 1 <br /> FEB 17 2021 <br /> ARRIVAL TIME l �� DID YOU CHECK INTO THE BP IVR?(circle one) NO <br /> DEPARTURE TIME rLI 12- DID YOU CHECK OUT OF THE BP IVR?(circle one) KYES NO <br /> NO.OF PERSONNEL ONSITE <br /> TECHNICIAN NAME( INTLEGI LY) SITE PERSONNEL( N LEGIBLY) <br /> '�A TECHNICIAN NAME(#N) SITE PERSONNEL(SI N) <br /> DISTRIBUTION WHITE-CONTRACTOR COPY / YELLOW-SITE COPY <br />