Door 2019 Attachment 6 - Work Certificate Repair.pdf

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Attached to
M&R Safety Inspection of Doors
Solicitation number
W912PB20Q3004
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ATTACHMENT 6 - Work Certificate Repair (Name Contractor)

Work Certificate - Repair Work (Routine & Emergency Repair)

Inventur Nr. / Inventory No. Kontroll Nr. / Control No. R Standort / Community Service Order No.

Kunde / Customer Adresse Geb./ Address Bldg.

Tel. Nr. / Phone No. Dat. u. Zeit d. Anrufs/Date a.Time of Call

Gerät Typ / Equipment Type Hersteller / Manufacturer

Modell / Model Baujahr / Year of Manufactured

Normal Anruf / Rout. Call Notruf / Emerg. Call Notruf / Emerg. Call

Datum CLIN Nr. Beginn Ende 0800-1600 0800-1600 1600-0800 Techniker Einzelpreis Gesamtpreis Date CLIN No. Start Finish ELIN 10AA ELIN 11AA ELIN 11AC Technician Single Price Total Price

Gesamt Arbeitszeit /Total Labour Time Lohnkosten / Labour Cost €

Beschreibung des Schadens / Description of Failure Beschreibung der ausgef. Arbeiten / Description of Work Performed

Ersatzteile benötigt / Parts used Rechnung / Invoice Information ELIN Bezeichnung Betrag / Price €

Bezeichnung-Ersatzteil und Nr. Menge Einzelpreis Preis 09AA Inventarisierung / Inventorying

Part Name and Number Quantity Unit Price Price

10AA

Lohnkosten Normal Anruf, 0800 - 1600 Labour Routine Call

10AB

Fahrtkosten Normal Anruf, 0800 - 1600 Travel Fee Routine Call

11AA

Notruf 0800 - 1600 Emergency Repair

11AB

Fahrtkosten Notruf 0800 - 1600 Travel Fee Emergency Repair

11AC

Notruf 1600 - 0800 Emergency Repair

11AD

Fahrtkosten Notruf 1600-0800 Travel Fee Emergency Repair

12AA Ersatzteilkosten / Part Costs

12AB Materialaufschlag / Material Handling Fee

Ersatzteilkosten / Parts Cost € Gesamtkosten / Total Cost €

Datum, Unterschrift (Techniker) / Date, Signature (Technician) Datum, Unterschrift (Inspektor / COR) / Date, Signature (Inspector / COR)

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