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<br />EQUIPMENT RENTAL - FORCE ACCOUNT
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<br />. . GRADING
<br />. ROAD CONSTRUCTION
<br />. SEWER" WATER
<br />· EQUIPMENT RENTAL
<br />
<br />/
<br />DATE ~I/ ~ ~ /...
<br />.... ,_'_ .' / L
<br />
<br />14777 LAKE DRIVE
<br />fOREST LAKE, MN, 55025
<br />PHONE 651/464-4500
<br />FAX 651/464-4722
<br />WORK ORDER NO. ,,~'~,;
<br />
<br />RENTED TO: l: i' ,
<br />ADDRESS:
<br />
<br />JOB NUMBER OR LOCATION OF WORK: {' ~('.2.
<br />DESCRIPTION OF WORK: ,<,.,', "/,, .:'.' .'" .... '. .... " .,. r.. .', <';0. ..>,' /''''1 ,;.,. .,
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<br />LABOR - NAME AND JOB DESCRIPTION HOURS I RATE AMOUNT
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<br />EQUIPMENT - NUMBER AND DESCRIPTION I HOURS RATE AMOUNT
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<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
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<br />Af.PROVE9;SY:
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<br />FoRE~.tLAKE CONTRACTING. INC.
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<br />.. TOTAL
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<br />PURCHASER
<br />
<br />NOTE: ABOVE LISTED EQUIPMENT INCLUDES OPERATOR UNLESS OTHERWISE SHOWN.
<br />
<br />WHITE: - OFE'ICE:
<br />
<br />YE:LLOW - OFFICE PINK - PURCHASE:R
<br />AN EOUAL OPPORTUNITY EMPLOYER
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