REPAIR / MAINTENANCE FORM

Store Manager Name
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Store Location
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Date of Order
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PLEASE SELECT REPAIRS OR MAINTENANCE NEEDED

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Notes
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Part:
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Broken Washer Notes
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Broken Dryer Notes
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Broken Vaccum Notes
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IPAD Notes
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Repair/ Replace lights Notes
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Move Equipment Notes
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Comments
Does something else need maintenance but wasn't listed above? Mention it here.
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Manager Signature
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