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OLD NORTH STATE MASONRY, LLC <br />on P. O. Box 1260 <br />Matthews, NC 28106 <br />OLD NORTH STATE Phone: (704) 971.4060 Fax; (704) 847.1187 <br />MASONRY EXTRA WORK ORDER <br />Date: /-4�4 ONSM Project No, /"Z' <br />Project: �,14M po a <br />Location: Address: <br />Description of work: <br />G_�,—a g_ in( <br />s'4 a� i � l� K ('y <br />Labor <br />No. Men Reg, <br />OT Total <br />Bricklayer Foreman: <br />_ <br />/ <br />Bricklayer: <br />/ <br />Mortar <br />Labor Foreman: <br />Sand <br />Hammer Drill <br />Laborer: <br />/ <br />r <br />Miscellaneous: <br />Misc. 2 <br />1 IJW,2 <br />Materials <br />Quantity Equipment Hours <br />Block <br />Lull <br />BrickMixer <br />Grout <br />Table Saw <br />Mortar <br />cutoff Saw <br />Sand <br />Hammer Drill <br />in,Rein <br />Hilli Shot Gun <br />Misc.1 <br />Misc, t <br />Misc. 2 <br />1 IJW,2 <br />Above aMdonaf work to be pedo ed u � ons maVerffiCfitlon <br />ag- . m sfipulaW. <br />Authod d S' nature: Sipahlre a YI18t Ticket No. <br />Date:'% A11 iigtYelp@flt <br />(Signature) ONSM Representative: k" bcoat tact' 0 3 9 4 9 <br />F-7 <br />Attachment number 3\n <br />Page 147 <br />