SAMPLE
XYZ Charter
719
555/555-1234
Date: _________________ Time:
_____________ Work Order No.: ______________
Location:______________________________________________________________
Description of Repair or Work Needed: _____________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________
Labor: _______________________________________________________________
_____________________________________________________________________
Materials:_____________________________________________________________
_____________________________________________________________________
Corrective: ____________ Preventive: ____________ Requisitioned:
_____________
Cost Center No.: _______________________
Time spent: ______________________
Labor $______________________________________
Materials $___________________________________
Total $______________________________________
Assigned
to: _______________________ Assigned by: ________________________
IV.
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