WORK REQUEST TO SUBCONTRACTOR somerrainna Contract # 8967-XK CONSTRUCTION SERVICE WUR-D To: PT. TACOPATRA, aes : ss con cen cant ati ea wa EF ES atari S878 ae 3 [Drawing Reference Required Stor bate (06-MN-—[Required tnd Date: [DAMM] 29-Apr-13 20yun3 [Suboneractor Name Subcontract: JWR Amount lr. tacoparra 169,182.33 cope of instruction: contractor Shere By REGO me rea bed below nT 7 fie request work described below in full accordance with the terms and conditions asset forth in the contract stated above. [Gontractor Notes & Disposition: signed by [as Bite station an done rte issn. We tu is stueion xm INorer Jr. tacoParea Irstweton by Ia Treen ta coed by PE TACOPATIN Prepared by Rewew by [roves by acepted By prjectcontot construction _rojct Manager froject conto Tacopatra Fexteraray, fe rwanys pres Nowandi yy Wily Y Ba ap Kena: ove senarre senate: loste: Ilet Aoate: 3/8/23 [oare ate:_13/05//3 Ta a a Tl poroved by Subconratr: Poproves by Sie tena: ignature: ate fpae Ions TT within Teeven) calendar days no acviy nthe A Ie wil wih Grow he WH and Convacior wil be penaized. 7] tisistwton shoul ot be exceed requas change to sope and tern and used to have cnanges or new work scope i Such case, this WR shal be returned tothe requestor Attachments: Bill of Cty