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New Mexico State University
College of Arts and Sciences
Department of Chemistry and Biochemistry
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 Equipment Repair for Arts and Sciences Shop

Work Sheet -- Complete the top part of the following form beginning with Department (Chemistry, Biology, etc.), and bring the form and equipment to room 230 Chemistry Building. Or bring the equipment to room 230 and ask for a blank form then complete request for service.

Work Order Number 121-00
Department Requesting Repair

Request Date/Date Needed

Index Number

Contact Person/Professor

Office/Cell Phone Number

Mail Stop and Room Number

NMSU Property Bar Code

Work Requested:

Date

Hours No Part Ordered

Cost

Ship
Total
    1        
    2        
    3        
    4        
     

Cost of Total Parts

  
Total Hours    

Labor + Parts

  
Labor*     Date Work Started  
      Date Work Finished  
* Hours x $10     Work Completed by  

Comments on Service Rendered:

 

 

Date Requesting A&S Research Center to Transfer of Funds:  ______________

 

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