Attachment_5_-_work_certificate.pdf
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- Attached to
- PREVENTIVE MAINTENANCE AND REPAIR
- Solicitation number
- W912PB-18-R-3004
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Attachment 5 - Sample Work Certificate Form
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Text version
Kunde/Customer Work Certificate Number
Address WON (US Controll Number)
Tele No. Dat. U. Zeit d. Anrufs/Date and Time of Call Task Order Inventory-Nr./Inventory No.
Modell/Model Hersteller/Manufacturer
Rechnung und Information/Invoice Information
Bezeichnung
Ausstattung/Equipment Type Bj./Year of m.
Preventive Maintenance (FFP)
Gerätepreis/Axquisition Price Reparatur Limit/Repair Limitation Inventory and Labeling (FFP)
Emergency Call Hours (T&M)
Datum Tech. Anfang Ende Work Kunde Unterschrift Regular Repair Hours (T&M)
Date Techn. Start Finish Unit Customer Sign.
Replacement Parts (T&M)
Teile benötigt/Parts used
Teil/Part Me/Qty.
Total AW (Labour hrs.)
Art des Anrufs/Type of call (check one)
Routine Call
Notruf/Emergency Call
Vorbeugende Wartung/Preventive Maintenance Total T&M
Inventory and Labeling Total FFP
Total German Law Inspection
Beschreibung des Schadens/Description of Failure
GRAND TOTAL
Beschreibung der ausgeführten Arbeiten/Description of Work Performed
Tag, Unterschrift/Date, Signature (Techniker/Technician Tag, Unterschtift/Date, Signature (Inspektor/Inspector)
Work Certificate Contract ######-##-####
Sub. ELIN
Wert EU
….0……
..035
Preis/Price
..036
..037
..038
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