|
EE I CONTRACTORS, -INC.
<br />253&WPgwam pr, State Llio. ,0660'076 JDB GS/CRK 4RD'ER'6C
<br />-,Stocckton; 01:95295, : TdME CARC►'
<br />(209•). 4616.337 FOX (209) 461-8342
<br />9lii9iv�sbCgipb&Lnet �;; , ',
<br />PA. a FAC 0 PHONE,# DATE . ; 71ME'' TAKEN BY
<br />JOB'NAME
<br />MF� TEST MC�S� :
<br />Tpu
<br />-M L4
<br />SP N
<br />l.'"•:/ r _ f?�.•�!�'�• r� rf. ��""JP %.,f 't'.�.',1y/. % 'i -;r ✓"�,�r j: r J ��-../
<br />�•�.i� W:
<br />JOB SITE ,..
<br />o
<br />1./,, ^"'f.,f!%�if.I•• „�r+„fY • f�j{ �� y +,r,%'r' � •"+%.�' . �� 7'" '.. • .'.".�:� ,•C''' .
<br />ORDERED.BY
<br />r':r „f,�`rd �''.''r�.": ''� „r'� • ' f .�'^r'
<br />WORK ORDERED' -'i4r r"
<br />,^ .r9 '.r:r"'"'•'":f•' C/I• r /sf%'
<br />r r✓r'` .,'... f
<br />` i /.;r''frr� �,� J ' f%r. i:•, .L,�:'1, �r'i'f+•�':'"�.•:' ' �, ,r'".�; y' �,•�,r;) ..'",.�'""'
<br />x
<br />QTY MATSRIALUSEI) "X'ltXCX3 AMOt7NT", t 1f' . 11 1S I 1.•ZJSBt) XyRXC.l3 '' '' (nTDli
<br />-✓ I�+'eJE'r' .•�.:, QTR': .r. .
<br />{ r
<br />TAX
<br />" 'I'OY"AL • '
<br />'..lr=".: `S!`l$XN' +'SXx2'OC11', : '' f�S :' 'RAT9AW."T,
<br />AM
<br />AN
<br />• lYil . Pj�t '•^
<br />'1'RA�6L
<br />PUEL.-
<br />COWU=
<br />,.,.. �o vo- w,rY.�aote c.;..: >�s.;:... o... cin....�rss.:,..; ro+;,`':, s;; `;'; : ORANATOTAL '
<br />C 00/ 000 d2t00 xsx BT btff 0Z M la 41: T CTOZ%WLC
<br />oe=iPTiON•OP'.WORK DONE
<br />l.'"•:/ r _ f?�.•�!�'�• r� rf. ��""JP %.,f 't'.�.',1y/. % 'i -;r ✓"�,�r j: r J ��-../
<br />�•�.i� W:
<br />''� ''�' I'. ' �r.':.' "'� I
<br />o
<br />1./,, ^"'f.,f!%�if.I•• „�r+„fY • f�j{ �� y +,r,%'r' � •"+%.�' . �� 7'" '.. • .'.".�:� ,•C''' .
<br />+�' i'� `I � .,.:.� �
<br />r':r „f,�`rd �''.''r�.": ''� „r'� • ' f .�'^r'
<br />�` • • ri/,) 1 '
<br />r r✓r'` .,'... f
<br />` i /.;r''frr� �,� J ' f%r. i:•, .L,�:'1, �r'i'f+•�':'"�.•:' ' �, ,r'".�; y' �,•�,r;) ..'",.�'""'
<br />ice' 'S '.ri% / ,.
<br />. '
<br />y' ��• i''~ �
<br />'^Yi�.Si'9:/.rr�
<br />•'� � � r,,,,. •. rte.,. +'•� '' ,•
<br />+!'J. .r ,�'.f'.••i� '�•t.� :+�✓,'.i
<br />J!'.'
<br />''' ;,�"'' „'F.S.^,r /
<br />.r✓ri"� /!"�
<br />,r
<br />+ r.f ,r
<br />% ! %!!f A l J,i it �/
<br />•�f "F r'I ' r y; '% rnA'
<br />i xJ r�, ..,/•%+'�..'`'�:o'•r+!�, 'i.r .,i.� "'r �.f,j: .�G r• ��f"
<br />I HEREBY AC"QWI EDGE9ONf0LETiON 61 OYE DL°SCFiBEA WORK
<br />l{i i' •':
<br />r. .r
<br />WGRATU
<br />QTY MATSRIALUSEI) "X'ltXCX3 AMOt7NT", t 1f' . 11 1S I 1.•ZJSBt) XyRXC.l3 '' '' (nTDli
<br />-✓ I�+'eJE'r' .•�.:, QTR': .r. .
<br />{ r
<br />TAX
<br />" 'I'OY"AL • '
<br />'..lr=".: `S!`l$XN' +'SXx2'OC11', : '' f�S :' 'RAT9AW."T,
<br />AM
<br />AN
<br />• lYil . Pj�t '•^
<br />'1'RA�6L
<br />PUEL.-
<br />COWU=
<br />,.,.. �o vo- w,rY.�aote c.;..: >�s.;:... o... cin....�rss.:,..; ro+;,`':, s;; `;'; : ORANATOTAL '
<br />C 00/ 000 d2t00 xsx BT btff 0Z M la 41: T CTOZ%WLC
<br />
|