Sei sulla pagina 1di 1

TCNICO:

______________________________

ORDEM DE SERVIO NR _______

( ) INSTALAO ( )RETIRADA ( ) TESTE PROPAGAO ( ) M. PREVENTIVA ( ) M. CORRETIVA


( ) FONE CELULAR FIXO ( ) TCR ( ) MONOCANAL ( ) MODEM ( ) OUTROS ________________
LOCALIDADE:__________________________ MUNICPIO:_______________________________UF:_______
TELEFONE: _____________________________ TELEFONE P/ CONTATO: ___________________________
SERVIO A EXECUTAR: _____________________________________________________________________
____________________________________________________________________________________________
PEDIDO NR _________________________________ ITENS ______
SOLICITANTE: ____________________________

DATA:

______ _____
PRAZO:

OBSERVAES:____________________________________________________________________________
____________________________________________________________________________________________
SERVIO EFETUADO:________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
MATERIAL UTILIZADO:__________________________________________________ R$ _________________
________________________________________________________________________ R$ _________________
________________________________________________________________________ R$ _________________
_______________________________________________________________________ R$ _________________
DESLOCAMENTO: VECULO _________________ KM________ Km X R$ _______ R$ _________________
MO DE OBRA + VISITA TCNICA

R$ ________________
TOTAL: R$ ________________

FORMA DE PAGAMENTO: ( ) VISTA ( ) COBRANA BANCRIA ( ) CONTA CORRENTE


____/_____/______
DATA

Tempo de Execuo: _______________


(Horas ou Dias)

_____________________________________
ASSINATURA DO TCNICO

Debitar de: ______________________________ Creditar Para: _______________________________________

Potrebbero piacerti anche