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ARCO. Products Company 'J%' WORK ACKNOWLEDGMENT <br /> A756281 <br /> VENDOR NAME DATE: <br /> r-�itis o rac ors, J f <br /> ADDRESS 2-536 WigWam Dr- FACILITY#: ,� AUTH#/JOB ORDER: <br /> Stockton, CA 95205 / <br /> CITY LOCATION: <br /> STATE, ZIP CODE <br /> SERVICE REQUESTED: C C- ` L a�f ! r �� "/r r ? ( � <br /> i <br /> SERVICES ACTUALLY PERFORMED: <br /> > ' • �r7 / / <br /> w <br /> PARTS: <br /> NUMBER OF OF OF • <br /> • • • :•- <br /> PERSI <br /> AM AM <br /> I <br /> PM PM <br /> FOR NON-LESSEE/CONTRACT DEALER USE ONLY: FACILITY STAMP <br /> ❑ MAINTENANCE VENDOR (Attach white copy to invoice and mail to technician.) <br /> ❑ LIGHTING <br /> ❑ LANDSCAPING / FLOOR / PEST CONTROL VENDOR <br /> ❑ FIXED COST (Dispensers, General Contractor, Signage) <br /> TOTAL <br /> PRINTED 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 /> APC-3316 (10-95) Distribution. White: - Attach to invoice Canary - Left at location Pink - Vendor's copy <br />