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<br />/NiHHi/ To Reorder: 1-800-225-6380 orwww.nebs.com
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<br />PRODUCT 211
<br />
<br />MARTIN ELECTREt, tNC.
<br />14827 North 10th Street
<br />P.O. 60x 437
<br />....AOf: Ci"'-' - F' ORIOA 335"v 0437
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<br />< ')408 WORK On~R
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<br />15941
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<br /> .... '- " CUSTOMERS ORDER NO. DATEg,~EREDI
<br />- (352) 521..3319 C{, 1<"/0 <,.
<br /> f.AX (352) S:Z 1-0291 ORDER TAKEN BY D~Tf PROMISED Jd"A.M.
<br /> I 1/ z, 'if' 0 P.M
<br />B1LLJ"q les ~ It PHONE
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<br />ADDRE~ ' '$" .f\ f MECHANIC
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<br />CITY l'~ \ \ <, HELPER
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<br />JOB NAME AND LOCATION )!t DAY WORK
<br />DESCRI~~ OF WOR~ "' [.l CONTRACT
<br /> €y.- "', ~, '- <::, . ~I : l.. of" [] EXTRA
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<br />QUANT. DESCRIPTION OF MATERIAL USED PRICE AMOUNT
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<br />~ PlIyment ...., in full w!t!!'.n \0 days of ~Q!'! dllte
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<br />HOURS LABOR - AMOUNT
<br /> TOTAL I '
<br /> MECHANICS @ MATERIALS J ..' \
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<br /> HELPERS @ TOTAL _ T, (
<br /> LABOR
<br /> I hereby aCk~~:ge the satislact~ I TOTAL LABOR TAX
<br /> completiQJJ.Ol it abQve describetr orly
<br />SIGNA-ro~~ /ra~A --~ DATE lOMPjETED TOTAL ')'1 Sd IVV
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