Exhibit_11_Daily_Job_Order_Form_1_July.xls
XLS spreadsheet 38 KB Posted
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- W564KV-17-R-0002
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Exhibit 11 - Daily Job Order Form
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Sheet1
| DAILY JOB ORDER FORM | DATE: | |||||||||||||
| NAME OF CONTRACTOR: | CONTRACT #: | |||||||||||||
| Task ORDER # | REQUISITION #: | |||||||||||||
| AFH | ||||||||||||||
| UPH | Page________ of _________ | |||||||||||||
| REIMB | ||||||||||||||
| FMO WAREHOUSE ADDRESS: | ||||||||||||||
| Name of Driver & Porter ____________________________________________Truck License #__________________________ | ||||||||||||||
| DETAILED DAILY SCHEDULE | ||||||||||||||
| TRIP | DESTINATION | TYPE OF | CUBIC METERS | DOMESTIC APPL. | ARRIVAL | DEPART | DISTANCE | REMARKS* | AFH | |||||
| HOUSING | ISSUE | TURN-IN | INSTALL | UNINSTALL | TIME | TIME | KM | cbm | ||||||
| # | Circle One | Circle One | cbm | |||||||||||
| AFH | 00-25 | cbm | ||||||||||||
| 1 | UPH | 26-75 | appliances | |||||||||||
| REIMB | or | appliances | ||||||||||||
| AFH | 00-25 | hrs | ||||||||||||
| 2 | UPH | 26-75 | cbm | |||||||||||
| REIMB | or | |||||||||||||
| AFH | 00-25 | UPH | ||||||||||||
| 3 | UPH | 26-75 | cbm | |||||||||||
| REIMB | or | cbm | ||||||||||||
| AFH | 00-25 | cbm | ||||||||||||
| 4 | UPH | 26-75 | appliances | |||||||||||
| REIMB | or | appliances | ||||||||||||
| AFH | 00-25 | hrs | ||||||||||||
| 5 | UPH | 26-75 | cbm | |||||||||||
| REIMB | or | |||||||||||||
| AFH | 00-25 | |||||||||||||
| 6 | UPH | 26-75 | ||||||||||||
| REIMB | or | |||||||||||||
| AFH | 00-25 | |||||||||||||
| 7 | UPH | 26-75 | ||||||||||||
| REIMB | or | Total: | cbm | |||||||||||
| AFH | 00-25 | Total: | appliances | |||||||||||
| 8 | UPH | 26-75 | Total: | hrs | ||||||||||
| REIMB | or | |||||||||||||
| AFH | 00-25 | |||||||||||||
| 9 | UPH | 26-75 | ||||||||||||
| REIMB | or | |||||||||||||
| AFH | 00-25 | |||||||||||||
| 10 | UPH | 26-75 | ||||||||||||
| REIMB | or | |||||||||||||
| (DATE, AND DRIVER'S SIGNATURE) | (REVIEWED BY GOVERNMENT OFFICIAL) |
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