D
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DATE P.O. ISSUED ________________________________ P.O. NO. _______________________
DATE JOB STARTED _______________________ DATE JOB COMPLETED__________________
CO'S APPROVAL (SIGNATURE) _______________________________________________________
(Sign here when job is completed)
CO’S INITIALS
(Daily)
DAYS
ACTUAL DATE
COMMENTS
This form must have every day signed off by the "CO" for contractor to receive credit for days not worked. Days
which are not "signed off" will be considered work days.
Upon completion of this job a copy of this form must be sent to Affirmative Action Dept.