Attachment 4 sample service ticket

Page 1

1 On Site Service Ticket – Lawn Care Version 1.3; 29 Jun 2017 Contract number: _____________________ Location: _____________________ DATE: __________ LAWN MAINTENANCE TYPE (include all) ☐Type 1 ☐Type 2 ☐Type 3 ☐Type 4 ☐Mowing ☐Edging ☐Trimming ☐Policing ☐Spring/Fall Cleanup ☐Weed & Feed (Provide Chemical report) ☐Weeding Comments: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Check In/Out: Vendor Employee(s) Name (print):_____________________________________________________ _________________________________________________ __________________________________________________ __________________________________________________ Designated Rep. Person Check In Print Name: _____________________________________________ Designated Rep. Person Check Out Print Name: ___________________________________________

This Service Ticket shall be filled out by the contracted vendor each time the service provider performs services on location. This service ticket does not provide proof of inspection or acceptance of services. The Government reserves the right to fully inspect work performance of all requirements under contract any time or place it deems necessary.

Version 1.3

29 JUN 2017


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