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A   LABOR         ORDER NO.
   *84-420-2789 RL  -57     ENGINEERING DIVISION                           e
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   TO DEPT.              FROM DEPT.             DATE ISSUED           DATE COMPLETE          PROGRAM NO.
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                                               THI^ REQUEST
                             □ MATERIAL
   THIS REQUEST COVERS
                                 LABOR         NOT TO EXCEED $               -MATERIAL                HRS. LABOR
   DESCRIPTION OF WORK TO BE PERFORMED OR MATERIAL TO BE PROCURED:










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