HISTORIC ST. AUGUSTINE PRESERVATION BOARD


MAINTENANCE WORK ORDER


LOCATION OF WORK: / 9-.jo ( g i cSt. Qc o/ C /? )


DATE: -/7/


PRIORITY: Urgent:


High:


Medium:


Low:


AUTHORIZATION:___


DESCRIPTION OF WORK: SAma a diall onl'esar sea


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WORK RECORD: (Describe any deviation or change from that stated in "Description of
Work" or agency standards. List paint types, colors, caulk types, and any other
special materials or techniques used).


I hereby certify that the above described work
was done under my supervision and was
completed as per agency "standards" except
as noted in the Work Record.


Signature


Date


.


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W..#:0 4-


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