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Work Order# 376538 <br /> Fuer Services Site: 953 Tracy Fedex Ground <br /> 5655 Hood Way <br /> Phone: 1-800-215-4839 x2 FSR#: 4260 Gettler-Ryan,Inc. Tracy,CA 95377 <br /> Fax: 1-305-6294288 FSR FAX#: 925-551-7888 <br /> Phone: 209-839-2060 <br /> Work Order Summary <br /> This form must be COMPLETED &ATTACHED to all invoices submitted for payment. <br /> Trip# Date Arrival Time Departure Time Travel Hours Miles Traveled <br /> J"s <br /> Description ofWorkPerformed) ' :(Required) / 1 <br /> e- <br /> rc---6 (�J 4 0 576---1U �ip's XJ. <br /> I verify that any dispensers put in the override mode durinq service have been returnee IQ the normal operatinq mode. <br /> ode, <br /> e�4 I! yy <br /> f <br /> Tech.Name(Printed) Tech Signature Date <br /> Required) <br /> If additional trip is required call 1-281-647-8900 x2 and request additional "work order summary" <br /> Material Used (Attach list if required) <br /> Part# Serial# Description Area/Location Date Installed <br /> 7 <br /> Customer Comments RECD OCT 3 0 201 <br /> rl verify that all work was performed as described above. <br /> Al— k <br /> Customer Name(Printed) Customer Signa ure Date <br /> (Rsquired) <br /> Paqe 3 of 3 <br />