W911SA-22-Q-3108 - Attachment 6 IDS Corrective Maintenance Trip Ticket.pdf

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Attached to
81st RD Multi-Site- Intrusion Detection Systems Services
Solicitation number
W911SA-22-Q-3108
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[Facility] Dispatch Time:

[Street Address] Dispatched By:

[City, ST ZIP] Facility Arrival Time:

Phone: [000‐000‐0000]

QTY UNIT PRICE LINE TOTAL

2 150.00 300.00

[42] SUBTOTAL 300.00$

G&A ___1__% 3.00$

OTHER ‐$

TOTAL 303.00$

IDS Corrective Maintenance Trip Ticket

Completion Time:

JOB Description

Materials , Labor & Travel Costs

Part XYZ

[Enter description of work]

Other Comments or Special Instructions

1. Please refer to the W.O. # in all your correspondence

2. Please refer to the Facility in all your correspondence

3. Please send correspondence regarding this work order to:[Name, Phone #, Email]

4. All travel costs shall not exceed JTR in accordance withFAR 31.205-46.

5. Shipping and Handling shall not be separately priced.

Material cost shall include all shipping and handling.

Enter description of work:
2Row1:
Part XYZRow1:
15000Row1:
2Row2:
Part XYZRow2:
15000Row2:
2Row3:
Part XYZRow3:
15000Row3:
2Row4:
Part XYZRow4:
15000Row4:
2Row5:
Part XYZRow5:
15000Row5:
2Row6:
Part XYZRow6:
15000Row6:
2Row7:
Part XYZRow7:
15000Row7:
2Row8:
Part XYZRow8:
15000Row8:
2Row9:
Part XYZRow9:
15000Row9:
2Row10:
Part XYZRow10:
15000Row10:
2Row11:
Part XYZRow11:
15000Row11:
2Row12:
Part XYZRow12:
15000Row12:
2Row13:
Part XYZRow13:
15000Row13:
2Row14:
Part XYZRow14:
15000Row14:
Other Comments or Special Instructions:
S H OTHER:

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