Maintenance Work Order
Date
-
Month
-
Day
Year
Date
Person Requesting
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
On-site contact
*
First Name
Last Name
On- Site Contact Phone Number
*
-
Area Code
Phone Number
Program /Store/ Quarters
*
McKinnell House
OAP
Food Pantry
Clitheroe Mens Residential
Clitheroe Womens Residential
Clitheroe Outpatient
Serendipity
DHQ
Northern Lights
B Street Warehouse
Anchorage Corp
Anchorage Korean
4841 Kalenka Circle
7017 Caravelle Dr
7041 Caravelle Dr
6827 Crawford Street
10144 Lido Circle
Please Leave a Detailed Request of what is needed to be done. PLEASE INCLUDE LOCATION
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ADMIN ONLY
Assigned to
Hugo Disla
Greg Wright
Alex Contreras
Kevan Garrett
Jason Madison
Subcontractor
Date
-
Month
-
Day
Year
Date
Admin Notes
Job Status
Accepted
Completed
Approximate time to complete job (hours)
Cost to complete job (if known)
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Name of person completing job
First Name
Last Name
Date
-
Month
-
Day
Year
Date
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Maintenance Notes
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