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Store <br />Addr <br />City <br />Phone <br />Manager Name <br />Nick Name <br />n <br />Repairs needed, <br />JOB # DATE: <br />Emp Number/Hours Z640 a <br />Emp Number/Hours <br />Emp Number/Hours <br />Emp Number/Hours <br />Completion Date <br />0 <br />:M <br />Parts Out By Parts In By <br />Local Purchase Y/N Receiving Attached Y/N <br />Start Finish Total Part # Price Out Used In <br />Travel To <br />On Site AEO- oar, <br />Travel From <br />Travel To <br />On Site <br />Travel From <br />Total <br />Parts $$ <br />-je Total Parts Cost <br />Total Hours 4w— x Total Labor Costj-ee!;��o <br />(Hours) (Hourly Rate) <br />Total Repair Charge <br />Prvr-eg7i ons iefa-Store E Signature <br />Date <br />Comments <br />