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Unsatlstactory worK <br /> P ,,No <br /> ledic'sNam $taoITIME & MATE IAL <br /> _ Release Date' puittingTime tlbpeiied INVOICE <br /> r ,ton -- , , Data Location No. <br /> Foreman or Mecaonio in Che (Riot/ <br /> OOg82LLi5 - n {�.y ,,,,.. Cost Element <br /> JDBA <br /> G T This.is la rent,work was completed in ind to u <br /> RACV BLVD C S'" (See beat ofpage3 FBCdiryf6pasenbt m sign and dare.TRACT BLVD X (1e �^(N (cf <br /> CA "" ��^^ tractor <br /> Work Parlormed and Material Used: L ' ice/lob No. IZ.o7 Datek <br /> 1, by <br /> Code1.gepin Cop//See dd o/peyo7/a WtOuatlon/ MS 64111.0 _ . . <br /> Release No. <br /> ,Location <br /> Ail <br /> (City)., <br /> Work to be Performed-- w e-. <br /> 1 <br /> 4 aim L crMr <br /> 1 1` <br /> N.G. Materials Amount No. Equipment Amount <br /> ,etT' <br /> Outlabor: <br /> HOURS <br /> Date o Labor Labor Travel Total Rate Amount <br /> I <br /> C2 I V <br /> < 17 <br /> S2 IJ <br /> lie �_ yy,,,,__ �, Labor Cost <br /> ompleted b Date Materials Coat <br /> Sales Tax <br /> Acknowledgement of Completion -' At 0 -517 rLfdt.0 Date <br /> ( ner.Bepresenurlve) Equipment <br /> wra ms) Miscellaneous <br /> ATTENTION: SUBJECT TO ALL TERMS AND CONDITIONS LISTED ON REVERSE SIDE. TOTAL COST <br /> i <br /> £T/2'd 6T8£1.L8998T:01 L0£S2£8602T dols ADnai .oath:Woad Lo:t�T £T02-9T-Nuw <br />