W911SA-17-Q-3050__Attachment_4_Service_Ticket.pdf

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Custodial Terre Haute IN
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W911SA-17-Q-3050
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Version 1.3 05 APR 2017

On Site

Service Ticket – Custodial

Version 1.3; 05 Apr 2017

Contract number: _____________________ Location: _____________________

DATE: __________

Custodial Service TYPE (include all) ☐Dust Mop ☐Damp Mop ☐Spray Buff

☐Strip, wax, Buff ☐Remove Trash ☐Vacuum ☐Carpet Shampoo

☐Service Restrooms (Clean/Sanitize toilets, urinals, sinks, showers, walls, partitions)

☐Restroom floor cleaning ☐Low Dusting ☐High Dusting ☐Window Cleaning

Comments:

Check In/Out:

Vendor Employee(s) Name (print):_________________________________________________

Designated Rep. Person Check In Print Name: ________________________________________

Designated Rep. Person Check Out Print Name: ______________________________________

This Service Ticket shall be filled out by the contracted vendor each time the service provider performs services on location. This service ticket does not provide proof of inspection or acceptance of services. The Government reserves the right to fully inspect work performance of all requirements under contract any time or place it deems necessary.

File details come from the government source that posted it. Updated .