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A  LABOR          ORDER NO.
   84--420-2789 R^V.  i-57   ENGINEERING DIVISION
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          SUPPL^EMENTARY PROJECT WORK ORDER
                                                                           u  MATERIAL       PRODUCT CODE
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   TO DEPT.              FROM DEPT.            DATE ISSUED           DATE COMPLETE           PROGRAM NO. C-XaJ O
        Io 2- ^10                                                                                 C         O
                            I | MATERIAL       THIS REQUEST
   THIS REQUEST COVERS          LAB0R
                                               NOT TO EXCEED $                MATERIAL                HRS. LABOR









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   REQUESTED BY                                  PHONE NO.              APPROVED BY


   DISTRIBUTION:
                    Green copy to the Department performing. Yellow copy to be retained by the requestor.
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