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ARCA,P.raducts Company �� WORK AC OWLEDGMENT A 7 9 414 9 <br /> VENDOR NAME DATE: ll <br /> Elite IV COntract <br /> ADDRESS 2536 inwin Dr. FACILITY#: �� AUTH#/JOB ORDER: <br /> Stockton, CA -962M <br /> CITY LOCATION: <br /> STATE,ZIP CODE <br /> f <br /> SERVICE REQUESTED: <br /> SERVICES ACTUALLY PERFORMED: <br /> ,,, l�rr,� • �7 i � L <br /> tV�''1 j7C.c,L fir.-_ � / --7�th/, IN Gr-, �l'�-,t,•--� <br /> v <br /> PARTS: <br /> NUMBER OF OF OF • TOTAL :•- <br /> • •UT TIME LESS MEAL TIME <br /> AM AM <br /> PM PM <br /> FOR NON-LESSEE i 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 /> TOTALn <br /> PRINTED NAME OF DEALER r M <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 />