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<br />,....,,'-...., .."".. ......"'""....'..."... <br /> <br />........"......., "....... <br /> <br />~ "''''..../ VV"f <br /> <br /> <br />. GRADING <br />. ROAD CONll'mUCTION <br />. SewEFI.. WATER ' <br />. EQUIPM~T R!NTAL <br /> <br />"',;.. <br /> <br />14777 LAKE DRIVE <br />FOREST LAKE, MN. 55025 <br />PHONE 651/464-4500 <br />FAX 651/464-4722 <br />WORK ORDER NO. 4 2 1 7 <br /> <br />EQUIPMENT RENTAL ~ FORCE ACCOUNT <br /> <br />DATE 5"-/)L)-C> 9 <br /> <br />RENTED TO: C, 'tV bF r:-€,.,/It'A Vlll r <br />ADDRESS: <br /> <br />JOB NUMBER OR LOCATION OF WORK: <br />DESCRIPTION OF WORK: !~lJ <br /> <br /> <br />I',v <br /> <br />t;.<f JA1.J'7o ,v <br /> <br />LABOR - NAME AND JOB DESCRIPTION <br />,,",Ilo' - .r::;,4';"'".v <br />-0 <br />- t'n' <br /> <br />'1" <br /> <br />- <br /> <br /> <br />AMOUNT <br />/33.,1 <br />'Z- <br /> <br />- <br /> <br />DIU <br /> <br /> <br />MATERIALS. SERVICES. SUPPLIES. SUBS <br /> <br />QUANTITY - RATE AMOUNT <br /> <br />PLUS SALES TAX ON MATERIALS <br />PLUS 15% ON MATERIALS, SERVICES, SUPPLIES AND SUBS & TAX <br /> <br />APPR,gVED BY: <br />~7r,d,~...- <br />Fa ,LAKE CONTRACTING, INC, <br /> <br />TOTAL <br /> <br />g~5. (PI <br /> <br />PURCHASER <br /> <br />NOTE: ABOVE LISTED eQUIPMENT INCLUDES OPERATOR UNLESS OTHERWISE SHOWN. <br /> <br />....P.ot!ll.......1:l <br /> <br />V~T.T.f'lOO .... OFFlr::F. <br /> <br />PINK - PURCHASER <br />