The file's text, extracted by GovTribe without its formatting.
Service Ticket Date of Service: ________________________ Receipt #: _______________ Contract Number: _____________________________________________________________ Location of Service: (Shop Name) _________________________________________________ Address of Service: (Shop Address) _______________________________________________ Company Name: _____________________________________________________________ Company Address: ____________________________________________________________
Contact Phone: ______________________________
Delivery Employee: _____________________________ Phone: ______________________ Clean Uniform Sets / Shop towels Delivered
Dirty Uniform Sets / Shop Towels Picked Up
| CLIN |
| Items Description |
| Total Number |
| CLIN |
| Items Description |
| Total Number |
| ___002 |
| Shop Uniforms Sets |
| ___002 |
| Shop Uniforms Sets |
| ___003 |
| Office Uniforms Sets |
| ___ 003 |
| Office Uniforms Sets |
Additional Comments:
Signatures Delivery Employee: _______________________________________ Date: ______________ Authorized Government Employee: ___________________________ Date: _____________
