Product Overview

Job/Customer _________________________________ Date ____________________ Contractor _____________________________
Model Specified _______________________________ Qty _____________________ Approved By ___________________________
Designer/Engineer _____________________________ Date ____________________ Contractor’s PO# ________________________
Submitted By _________________________________ Date ____________________ Other _________________________________
THIS SPACE FOR DESIGNER/ENGINEER APPROVAL
STANDARD
BRASS
ITEM #
LEAD
FREE
ITEM #
SIZE
CTN
(LEAD FREE QTY)
CASE
(LEAD FREE QTY)
A
B
C
D
Cv