|
PUBLIC WORKS TRANSPORTATION
<br />BILLING WORKSHEET
<br />LOCATION: WA 14WV Ill i A.G.- Ex (CS,5r,Ja /' 4 /0"A JA
<br />DATE RECEIVED: Z-15 . (7_ 1 CREDIT/ DVSW:
<br />BILL TO L c oun t- . t. ) d
<br />PHONE NUMBER:
<br />DESCRIPTION OF SERVICE/REPAIR and /or MISC. COMMENTS: ,
<br />• ... , .3 syyJ "{ili. :C9$v „� . • ••• '•:,4 ,..•• •• '•',Mi- ii- i "v',ri ]Y ':tl " {:J'i]: { {•f '•�] -' =Jith" 3:i!i^^h *tiO:R!t,Y- }:d }Y }.J. 4NC:!:. 'K• :� '•Y.\^
<br />: }; ;;`: ; . ,} 3•. h;c .v qq • ,. ? " "{Y'" :. tY '+%v'
<br />. >. }: {At } A 4 j i<:..!a: } 3 i .C�*,.. } rf{{ �3.;Q }�W,,.^L ta-�1N 3" N , vu:4''•,..A, `.t�: /5:'i�$'v'� �'•. {:',
<br />:v } N-Fey }hY���{{ }.; yt+.,`:}y, c:.G;, y • E':}'Ai: } :{:.v5- {:: (] l0.• ?{',C_,'3 °if Q•:..i”- :;is;� ?? :1: . }.. "v ��'�`. ?i +R }.v "Jy ?:C•.!'3 {i 4!?J.•:;,! {fin' \ {JY:
<br />f.: 3�. .{
<br />.0. OWN
<br />n d4l" : v.. v.!'^ F. 3ni44} h..^:. rY::.. nn. iM.}.: 3} rx.: n. .'�?Y•��n'�. ..3.:...t .... l.: n`H`J:!?: J }�i. :tv.;h ;tpvn, }•!.{k{•.v:::
<br />DATE EMPLOYEE NAME REGULAR HRS OVERTIME HRS
<br />3 -/S - I(
<br />a
<br />-t7-(l
<br />Z
<br />:uvFY.:3:L: i ^Y3 }ti :'4 :.. .r>.•u.:.:a}%
<br />•n �:3i
<br />sG! fv �+ 3.av+ih{,•�:..2�`ti
<br />.:n.: n4: n•. �' •
<br />DATE
<br />.. . { v , % .. .. .. tiiti!O: v %!; ,., .. : } \3!'
<br />�'_ahm 4� , { 'fi•`;ir ,a: 2 .�•.. ?�3h - -- {c;.ioor- .p?iF"y"1 w. b ': " p ct
<br />:�� .wa�"^{�Wa".- r., �t r • • t :.. {or ; � �y 3 eR: v:s G $$ - h }:. 3.
<br />„r ♦ { •Y• " ,fir'.�]kn � r. n. . 4��' �1 35MM. � �Y�?} 9, C' Mh 3f��a�w�J]"::{"', v i�kfi?' wi-:} �i�iyi-
<br />EQUIPMENT NUMBER
<br />"• :•{(�3� { :`•:- i:Y� h+C•^. ,. ???'a }
<br />YStC{ 's'fif'
<br />f u' n Y: u� v $rx.'m���'r'a�:.v. " \ ?•}?}1 'S.A� J. {i }i+ {ti•:::
<br />TOTAL HOURS
<br />3-1s-(t
<br />4o 10
<br />i_
<br />3 - -1 {
<br />.5.3k© o
<br />((jj ..� 4�� '�''•} °^�� : l;'• s };Y� ?h•ySL ";L. " : " ",fi-.p.� -�v #, ..,.,. y: . v {.. -T..3K v:.: :'+;,;?�. !!,'w ".R; "J:•: - :. Y;,
<br />���� !t:v.}v •r. u:vx:y{ :.v:: : .. -. - . %Y Y ':hY »ri: `:'4{ -• .. .
<br />'i��' ij jq[; :, - .; jp. .;_,. �. �., r . y 3 '•' (} $ . �- t. \ ;•�•Csy+, .', . {;:Y2k:.1cv. }�': ,Y ••o: , .mo 7y�4;, �, N %s�;ytit.3,3i�•*2�'r>.N{<.[':3;:
<br />. 3 ... n.:.. 3.....:}. R]. � } .3�..., r v.v v y 4 \��CR -0�:v�].r�.-0 Y.lh ��!' �] �C%•. � �f.. �f �...,,}, �vy�i? y C. �•! C^ r, �„(. ft 7? R" u' 4•: v45tvit? 4Y. Ai r£ N.: L n�w': �'• 3 i+ �.w���M�n���n��� fii �� '..�- .<i�'i�}hi
<br />vi a A,K•F��x••,l��ro �•'.��}�:,,��n: rof .. nY•j: , vA+4: 4 n,�,v�, 4ry•u• �;; {.:55':0.. .5. ....i,• ��{k�tt -•3 ��•Ui
<br />MuvvnvnW.:♦ 4 •' .. .. .,.. ... r.. r r•: 3i'.'• ': % ::..'.� %i•�.4- x'},+/i%s'C•h• Axi'k.,`a •]Y ".' ,!:.'@,',.;
<br />QUANTITY SIZE TYPE
<br />
|