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Backflow Preventer Correction Work Order - 720 Rangeline Road
� = 5570 West 73rd Street �� `� t,� ;,�, Indianapolis, IN 46278 *r��� r,�,��.-�+ (317J 299-3889 Da�mat�an t3i7j 299-4078 FAX � TO � °` � ,� C.� r- QiY. MATERIAL ;' i...r 9 .n� � - • t �€s��C= �-,i AMOUNT DESCR1PTtON OF WORK � �A �_ } ""� •: '.. '• �' � ,;.� `'�•. � �' � 4' `�-- i !1 '� � : W � , � .+ r� �Q.'r" •- . rp - (,%ti :•^p � :r� � �� a. �y ' -r j � � �. �� •. � � y C: As P � 1 OTHER CHARGES T/ �'�ik.. '1't, . u�oR � ' . S c��; ,, �r� TOTAL MATERIALS Wock orclered by „ � _ �__� i ` .. ._ f,� • Signatup�e `"� . . ' ��t hqr'e6y aeknow��xtory eomptatton oe the abare deseNbed work � � 7�TAL OTNER , � HRS. RATE AMOUN7 T07AL LABOR TOTAL MATERIALS TOTAL 07HER SALES TAX TOTaa F�ELD 1N�RK aRDER No,