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UST <br /> .Inb Order I Invoice W2 40 1QCi_ <br /> 19skerat9eld:(881)831-3870 - San Jose:(089)200-0678 <br /> Toll Free-(900)339-9930 <br /> Neme ('nnlidcruc LIST Site Name C �, C, <br /> Street 116250 Mencham Road Street SQ S twCd i <br /> City I3Ake -field,C'A Q.1 114 city A State (A Zip <br /> Terme. Store No <br /> Description of work perforated <br /> We- c- r'ilx� �r� 5+k , VAe me,Zt >N ,iC Ccs tip, vl R� <br /> C1 CC C5 Z, ft-e ) fLhe (,Jc c"j '{e `-/ ,Ac a .� <br /> 30 <br /> 6. 011.60 5,- Lan CiNC ^ k of� in 'd d <br /> OU C�1 1 C ho)ra + f t� fL Lv h 5 OCv r, 1Ai.P c�X10 <br /> k �' f o , JILe or, - hL.% k. we Clea^ J v <br /> �� Ir <br /> TRAVEL and LABOR OVERTIME(5:00 PM-7:00 AM) <br /> Date Technician(s)Name Start End Total OT Start OT End OT Total <br /> �OI1 ,hCt r Travel /•O ►� :CJQ/9l'� <br /> Labor O(,)( M1s <br /> Travel .QQ M (J;C)Q r"'1 <br /> Date Technician(s)Name Start End Total OT Start OT End OT Total <br /> Travel <br /> Labor <br /> Travel <br /> SUPPLIES MATERIALS- RENTALS Check One <br /> Qty. Name Part Number UST Parts Site Parts <br /> !. <br /> V5K /V ' Nc Ve.,TS9$f <br /> Z l x3 <br /> alts ;` c <br /> x y �1 <br /> / r►'t� �fc7S - o� is� <br /> COMMENTS <br /> ' Store Emplo ee Print Name <br /> Technician Print Name: <br /> Store Empl ee Signature <br /> Dat-7 ician Signa Oat <br /> �.. <br />