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AUTHORIZATION NO. am No. 21896 <br /> 0 JOB NAME /9r'(V 1 33 Ni1oiu,"CW 1101 Z P&IM"14 <br /> JOB # <br /> 1717 DOOLITTLE DRIVE • MAILING ADDRESS.P.O. BOX 5555, SAN LEANDRO, CA 94577-0655 • 510/895-2333 <br /> 14920 SO. SAN PEDRO • MAILING ADDRESS: P.O. BOX 2258, GARDENA, CA 90247 • 310/538-4200 <br /> Ordered By: Date �� t, -,?R <br /> FOR OFFICE USE ONLY <br /> DO NOT WRITE WITHIN BOLD LINE <br /> DESCRIPTION:List below each item of material,equipment or labor used. Quantity Unit Price or TOTAL <br /> List mechanics'names and classifications. or Hours Hourly Rate <br /> I <br /> 2 <br /> 3 J <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> it <br /> 12 p� <br /> 13 <br /> 14 <br /> 15 <br /> 16 -4 <br /> 17 O <br /> 18 <br /> 19 u <br /> 20 <br /> 21 0 <br /> 22 <br /> 23 `A <br /> 24 <br /> 25 <br /> 26 r <br /> 27 <br /> DESCRIPTION OF WORK PERFORMED: SUBTOTAL <br /> TAX <br /> ON MAT'L <br /> O <br /> f ®[) �A41� fr HAND TOOLS <br /> Product I-ep-qllr -3 Fe er <br /> I HEREBY ACKNOWLEDGE THAT THE ABOVE WORK WAS AUTHORIZED AND COMPLETED AND MARK UP <br /> THAT WE AGREE TO PAY FOR COSTS AND MARK UP. <br /> TOTAL <br /> (SC-301 7/81) <br /> _ BILLING <br />