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CITY ENGINEER'S OFFICE PARTS / MATERIALS REQUISITION SLIP

MECHANICAL SECTION Description


Quantity Unit
Repair / Preventive Maintenance (Dimension/Size/Brand)
JOB ORDER

Date/Time Issued: Job Order No.:


Vehicle/Equipment: Plate No.

Driver's/Operator's Complain:

Prepared by: Noted by:

Mech'l Shop Gen. Foreman Engineer-in-charge

Requested by:

Requested by: Noted by:


Name and Signature

Name & Signature of Mechanic Mech'l Shop Gen. Foreman


Personnel/s Assigned:

Work to be done:

Date/Time Work Started:

Date/Time Work Suspended:

Date/Time Work Resumed:

Est. Date of Work Completion:

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