Work Order Authorization - Reliable Jet Maintenance printable pdf download

WORK ORDER AUTHORIZATION

RELIABLE JET MAINTENANCE

DATE:

W/O:

Billing Information:

CUSTOMER NAME:

ADDRESS:

CITY:

STATE :

ZIP CODE :

PHONE # :

FAX :

CELL PH # :

LOCAL ADDRESS :

ALL charges are COD unless PRIOR arrangements have been made

PAYMENT TYPE:

WIRE TRANSFER

COMPANY CHECK

CASH

CREDIT CARD: _________________________________

EXP DATE:

SEC CODE:

Services Information:

AIRCRAFT KEY : YES

NO at ____________

AIRCRAFT/ENGINE LOGBOOKS PROVIDED:

YES NO

EXPECTED DEPARTURE DATE:

TIME :

SERVICES REQUESTED:

Aircraft Information:

AIRCRAFT MODEL:

REG NO:

S/N:

AIRCRAFT TOTAL TIME:

TOTAL LDG:

HOBBS:

#1 ENGINE MODEL:

S/N:

TT:

TSCN:

#2 ENGINE MODEL:

S/N:

TT:

TSCN:

APU MODEL:

S/N:

HOURS:

MAINTENANCE TRACKING PROGRAM:

TYPE of OPERATION:

FAR 91

FAR 135*

*If you are a FAR 135 operator please provide a copy of HAZMAT Compliance IAW FAR 135.505 (e)

I, as owner and/or authorized agent of the owner of the aircraft described herein, hereby authorize RELIABLE JET MAINTENANCE LLC, its agents and

employees, to undertake and perform all repairs detailed herein, together with all necessary parts, materials and supplies required in order to effectuate

same. RELIABLE JET MAINTENANCE LLC, its agents and employees, is/are further authorized to operate said aircraft for the purpose of testing and

inspection. I understand and agree that all labor, parts, materials, supplies and work are performed on a C.O.D. basis unless other arrangements are

made. In the event that payment is not made upon delivery, same shall be subject to a finance charge of 18% per annum, together with a parking fee of

$50.00 per day for aircraft, which I agree to pay. In order to secure payment for all such parts, labor, material, supplied and work RELIABLE JET

MAINTENANCE LLC is hereby granted an express mechanics lien per s329.51 and ch. 713, part II, Fla. Stats. In the event that it becomes necessary for

RELIABLE JET MAINTENANCE LLC to employ the services of an attorney to enforce its rights hereunder to collect any balance due, or otherwise arise

hereunder, the owner and/or agent agrees to pay all court costs and reasonable attorneys' fees incurred with regard thereto by RELIABLE JET

MAINTENANCE LLC. RELIABLE JET MAINTENANCE LLC IS RELIEVED OF ALL RESPONSIBILITY FOR ALL LOSS OR DAMAGE TO SAID

AIRCRAFT OR ARTICLES LEFT THEREIN IN THE EVENT OF FIRE, THEFT OR ANY OTHER CAUSE BEYOND THE DIRECT CONTROL OF

RELIABLE JET MAINTENANCE LLC.

OVERTIME APPROVAL:

SIGNATURE:

DATE:

(OWNER/AGENT)

FAX TO: 561‐417‐5039

Revised 8/14/09

Work Order Authorization - Reliable Jet Maintenance

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