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""PUI r of unsat►ifecto <br /> See back for m8r ctiona: 7rr , rY Work lr' r r r <br /> l a"" afdeehaniCB (aaaberorWae TIME & MATERIAL <br /> Stan limo °"rt0b1NM111W INVOI E <br /> Release No, - '`- e ."t ' _ Joh Data <br /> Raoaeo Obte Duitt Time <br /> I tationf _ Equrpt Repaired l Locadon No. 7 <br /> Date, <br /> f <br /> 009826 <br /> U9826 u SCost Element <br /> T Fora" <br /> . n � �i Mac�eniojRCharpp lH)hr/ <br /> D B A TRACT B L Y D `C 3 mo-1e 10 Verity wort we C�ompletnd in i d plod <br /> TRACT d <br /> A <br /> J7TS T FL YD (��ke/page3./f r ye <br /> •w N Me.Wnrariw.ri dd4re :or <br /> CA x t/ h L� D to <br /> Descri ion of Work Performed en Job Na. <br /> � dMatanal Ueed. .( <br /> E-w <br /> Code <br /> -lease No. 7 <br /> Witty n arl <br /> Locadon y�r /!/. i.•. _. Pr-. <br /> i (street) _ t te) (ZIP) <br /> Work to be Performed _ <br /> zi —xi <br /> f <br /> No. Materials Amount No. I Equipment Amount <br /> La Labor. <br /> HOURS <br /> pate Labor Labor Travel Total Rate E Amount <br /> LZ <br /> Labor Cost <br /> ,,,mpleted by <br /> ?I r+.r- Date n cel " Materials Cos <br /> i ank•c{w-Fo ,nen) Sales Ta <br /> Acknowledgement of Completion r <,i r r Date <br /> ( .pr•..�wtwel <br /> Equipment <br /> L, <br /> -n nue rh no Mlseella <br /> ATTENTION: SUBJECT TO ALL TERMS AND CONDITIONS LISTED ON REVERSE SIDE. TOTALCO <br /> £T/S'd 6T8£118998T:01 L0£S2286021 dols )IOndi A3d8i:WO?Jd Sb:bT £T02-9T-NUW <br />