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DICKERSON FLORIDA, INC. NQ_ 2560 <br />RENTAL OR EXTRA WORK AGREEMENT <br />INVOICE TO: ICS 5 DATE: 17 ".2 UZ! <br />Address: JOB or <br />P.O. No.. <br />COUNTY: T'ila "g"l LOCATION: -XR. <br />_ 1 yri' igVr <br />WORK PERFORMED: Pct / . _ flG_(Pd_Se- T" <br /><<�e�l/'CT ea-i'�� <br />LABOR <br />NO. OF <br />EMP <br />HRS.PER <br />EMP <br />TOTAL <br />HOURS <br />RATE <br />$ AMOUNT <br />Unskilled Laborers <br />2 <br />1 v <br />y 9? <br />Zo <br />Skilled Laborers <br />Foreman/Supervision <br />Survey Crew <br />EQUIPMENT RENTED WITH OPERATOR <br />EQUIP NO. TYPE OF EQUIPMENT HOURS RATE $AMOUNT <br />�v S� 3 .7o <br />MATERIALS USED: SUPPLIER, DATE, TYPE AND QUANTITY AITACHDELIVERY T►CW! <br />Desai tion Quantity Price $Amount <br />APR <br />TOTAL RENTAL WORK THIS DATE: $J S7, -70 <br />Accepted Report Made By J r4 S, -ti l ,11-e- y <br />Owner or Agent <br />DFI Superintendent <br />Green -Main Office Yellow -Customer Pink -Field Office Gold -Accounting <br />