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Description of Parts Used and Part or Vender No. (Include S/N of Original and Replacement Part):
Miscellaneous Information:
PLC CODE: FLX Version:
Method of Travel:
Charter Air Other [ ] Please
Road [ ] [] Explain:
Tesco Vehicle Unit Number: Rental Vehicle Unit Number:
Person Vehicle: [ ] YES [ ] NO Other Information:
KM's From Base To Location: KM's From Location To Base:
TOTAL KM's Traveled:
Customer Representative: Customer Signature:
(please print)
Date of Authorization: Tesco Technician Signature:
Tesco Corporation LABU
Av. Belgrano 1217, Piso 6, Ofic 67
Buenos Aires
Tesco Products Division Phone:+54-11-4384-0199
Field Order Ticket No: 1
Description of Parts Used and Part or Vender No. (Include S/N of Original and Replacement Part):
Miscellaneous Information:
PLC CODE: FLX Version:
Method of Travel:
Charter Air Other [ ] Please
Road [ ] [] Explain:
Tesco Vehicle Unit Number: Rental Vehicle Unit Number:
Person Vehicle: [ ] YES [ ] NO Other Information:
KM's From Base To Location: KM's From Location To Base:
TOTAL KM's Traveled:
Customer Representative: Customer Signature:
(please print)
Date of Authorization: Tesco Technician Signature:
Tesco Corporation LABU
Av. Belgrano 1217, Piso 6, Ofic 67
Buenos Aires
Tesco Products Division Phone:+54-11-4384-0199
Field Order Ticket No: 3
Description of Parts Used and Part or Vender No. (Include S/N of Original and Replacement Part):
Miscellaneous Information:
PLC CODE: FLX Version:
Method of Travel:
Charter Air Other [ ] Please
Road [ ] [] Explain:
Tesco Vehicle Unit Number: Rental Vehicle Unit Number:
Person Vehicle: [ ] YES [ ] NO Other Information:
KM's From Base To Location: KM's From Location To Base:
TOTAL KM's Traveled:
Customer Representative: Customer Signature:
(please print)
Date of Authorization: Tesco Technician Signature:
Tesco Corporation LABU
Av. Belgrano 1217, Piso 6, Ofic 67
Buenos Aires
Tesco Products Division Phone:+54-11-4384-0199
Field Order Ticket No: 1
Description of Parts Used and Part or Vender No. (Include S/N of Original and Replacement Part):
Miscellaneous Information:
PLC CODE: FLX Version:
Method of Travel:
Charter Air Other [ ] Please
Road [ ] [] Explain:
Tesco Vehicle Unit Number: Rental Vehicle Unit Number:
Person Vehicle: [ ] YES [ ] NO Other Information:
KM's From Base To Location: KM's From Location To Base:
TOTAL KM's Traveled:
Customer Representative: JAIME PARADA Customer Signature:
(please print)
Date of Authorization: 4/21/2010 Tesco Technician Signature: