Client Information Purchase or Work Order Date: Client Contact : Billing Address: Physical Address: Service Information Problem: (detailed description of complaint) Problem Resolved: YesNo Description Of Follow Up If Needed: Service Technician Employee Name Hours Worked ST / OT Expenses Parts Used: (List) Employee Signature Clear Client Acknowledgement Client Signature Clear Service Information Service Description: (Include serial # if possible) After arriving at the plant site, found the following: