Service Report

Customer Service Technician Machine No. / Machine Type

data field "machine"

Work Request No.

data field "name"

data field "Customer"
City data field "City" State data field "State" Contact Person

data field "machinetype" data field "machinetype" data field "machinetype"

data field "WR#"

Note:

data field "machine" data field "machine" data field "machine"

Internal Use Only:

data field "note"

data field "Contact"

Service Type

data field "machinetype"

PO

data field "PO"

data field "service type"

Indication of hours
Weekday Date Travel
from until

Week:
Work Time
from until

29
Time
regular over travel

Work Time
from until

Travel
from until

Break

Comments

* Sun Mon Tue Wed Thu Fri * Sat

14-Jul 15-Jul 16-Jul 17-Jul 18-Jul 19-Jul 20-Jul

01:00 01:00 01:00 01:00 01:00 01:00 01:00

02:00 02:00 02:00 02:00 02:00 02:00 02:00

03:00 03:00 03:00 03:00 03:00 03:00 03:00

04:00 04:00 04:00 04:00 04:00 04:00 04:00

05:00 05:00 05:00 05:00 05:00 05:00 05:00

06:00 06:00 06:00 06:00 06:00 06:00 06:00

07:00 07:00 07:00 07:00 07:00 07:00 07:00

08:00 08:00 08:00 08:00 08:00 08:00 08:00

00:30 00:30 00:30 00:30 00:30 00:30 00:30

NA 1:30 1:30 1:30 1:30 1:30 NA

1:30

2:00 2:00 2:00 2:00 2:00 2:00

data field data field data field data field data field data field data field

* - Sat, Sun & Holidays are subject to overtime rates as listed on the xxx USA rate sheet provided Work Executed

1:30

2:00

7,50

3,00

14,00

Total

24,50

Pester - Intern Information:

Parts Used for the Assembly

qty. ID no. description qty. ID no. description qty. ID no. description

I, the undersigned, confirm that the work was done to our satisfaction and the machine was functioning properly upon completion of all servicing, the working hours indicated above are correct, and we have received a copy of this time sheet and dally report.
signature of customer

Guards and Safety System Operational:

YES
If NO explain:

NO

Donnerstag, 26. September 2013

Date signature of service technician

data field "Contact"

Donnerstag, 26. September 2013

Date

service-usa@domain.com

data field "name"

version 3,60