W.O.

# :
[Street Address] W.O. Date : 2/18/2025
[City, ST ZIP]
Phone: [000-000-0000] Requested By:
Fax: [000-000-0000] Customer ID:
[Web Address] Department:

JOB BILL TO SHIP TO (if different)

Name: Name:
Company Name: Company Name:
Street Address: Street Address:
City, ST ZIP: City, ST ZIP:
Phone: Phone:

QTY DESCRIPTION UNIT PRICE LINE TOTAL

15 Part XYZ 150.00 ZMW 2,250.00
5 Hourly Labor for ABC (5 hours) 50.00 ZMW 250.00
ZMW -
ZMW -
ZMW -
ZMW -
ZMW -
ZMW -
ZMW -
ZMW -
ZMW -
ZMW -
ZMW -
ZMW -
ZMW -
SUBTOTAL ZMW 2,500.00
Other Comments or Special Instructions TAXABLE Err:504
1. Total payment due 30 days after completion of work TAX RATE 16.000%
2. Please refer to the W.O. # in all your correspondence TAX Err:504
3. Please send correspondence regarding this work order to: S & H ZMW -
OTHER ZMW -
Name: ……………………………………………………………… TOTAL Err:504

Phone: ………………………………………………………………

E-mail: ………………………………………………………………

I agree that all work has been performed to my satisfaction.

Completed Date:
Signature:
Date:

Thank You For Your Business!

 [Company Name / Logo] WORK ORDER
W.O. # : [123456]
[Company Address] W.O. Date : 12/22/2010
[City, ST ZIP]
Phone: [000-000-0000] Requested By: [Customer Name]
Fax: [000-000-0000] Customer ID: [abc1]
[Web Address] Department:

JOB BILL TO SHIP TO (if different)

[Enter general description of work] [Name] [Name]
[Company Name] [Company Name]
[Street Address] [Street Address]
[City, ST ZIP] [City, ST ZIP]
[Phone] [Phone]
Additional Details:
[Enter additional details to describe the work, as needed]

Authorized By: Date:

SERVICE and LABOR Qty Unit Price Line Total

[Description of Task] 3 75.00 225.00
[Description of Task] 4 75.00 300.00
-
-
-
-
[42]
SUBTOTAL ZMW 525.00
TAX RATE 0.000%
TAX A ZMW -
PARTS and MATERIALS Qty Unit Price Line Total
[Material Description] 4 12.42 49.68
[Part Description] 2 53.21 106.42
-
-
-
-
-
[42] SUBTOTAL ZMW 156.10
OTHER COMMENTS TAX RATE 16.000%
1. Total payment due 30 days after completion of work TAX B ZMW 24.98
2. Refer to the W.O. # in all correspondence and in your payment S&H ZMW -
3. Please send correspondence regarding this work order to: OTHER ZMW -
[Name, Phone #, E-mail] TOTAL ZMW 706.08

I agree that all work has been performed to my satisfaction.

Completed Date:

Signature: Date:

Thank You For Your Business!