Attachment___27_Work_Order_Form _Sample.pdf
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- Domestic Appliance Repair
- Solicitation number
- W564KV16R0033
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IMCOM-E G4 Furnishings Division
UNIT 23103
Sembach Kaserne, Sembach-Heuberg 67681 Phone: 0611-143544- plus extension Fax:
Work Order 86411 Work Order Control Log Number ll
Asset/Inventory L35969 Install Date 6/25/1905
Appropriation AFH
Description REFRIGERATOR (GOV. OWNED) MLFB K237 Location Room: WorkShop CFMO Manufacturer FRIGIDAIRE Model
Garrison
FGTD18V5CWO
eMH Barcode L35969 Requester
Service Property Shop Supervisor Account
CFMO
0001-Repair BE AFH workshop CFMO Area 4 Area4 Patrice Sculier
41XX
Description Work Order Repair
Reference
Phone Vendor Doc#
Issued 5/11/2015 10:19:22 AM Appointment 5/12/2015 PM Status Open Substatus Repair at CFMO
Hours:
Std Hrs 0 Priority 2 Type Demand Taken By HLL
Technician ID
41XX 2027
Category
AFH
Est. Reg. Time In Time Out
Parts Description Location
Other Costs Description 41 XX E2025AD Basic Rate for repair/cannibalization at the local FMO
Primary Failure: Secondary Failure:
Comments: not cold in the fridge part
Date: Charge to:
Customer Signature and Date:
Technician Signature and Date:
Supervisor Signature and Date:
Technical Monitor Signature and Date: Exchange Necessary:
IEiectr. Safety Test !Grounding Resistance Q !Insulation Resistance
0.00
Qty Est. Qty Used
Est. Cost 0.00
Date Reported to SPOC:
M Q I current Leak mAl
WO
NSSG/05122015/5065
068275376
S/N ba50612887
JUAN's EXAMPLE 07242015
MEL:
Estimate
Labor :
Parts :
Other Costs :
Total :
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