T & M Ticket

Labor Breakdown*

Description of Work
Please provide an accurate description of the work you performed. Be sure to include the location(s) of work you performed in detail. *
Upload any pictures of the work you have taken. *

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Please enter a description of the material you used and the quantity of each.*

Please enter a description of the equipment you used and the quantity of each.*

Contractor Acknowledgment
Print Name of Contractor's Representative:*
Date*

MonthDayYear
Date
Email
example@example.com
Signature*

Clear
The above work and material has been received and inspected and is accepted as satisfactory and subject to terms and conditions listed below.

Terms & Conditions: All invoices net, due & payable immediately upon presentation, unless arrangements made and approved by our credit department. Maximum legal rate of interest will be charged on all accounts after due date, and, in event collection is necessary reasonable attomey's fees will be added. Sales tax will be charged wherever applicable.
Please verify that you are human*
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