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Determining the Facts


Transcript: Job Application
and Completion Record

This record is a form that was completed by filling in tables. An outline of the information was created to make it easier for reading purposes.

Form No. 10-352
Symbol No. MD04
UNITED STATES
DEPARTMENT OF THE INTERIOR
NATIONAL PARK SERVICE
EMERGENCY ACTIVITIES
JOB APPLICATION AND COMPLETION RECORD

Region: I
State: Maryland
Area: Catoctin - RDP
Name of Job: (Administration Bldg. Camp 1-C)
Form 7 No. 120
Job No. 9
Location of Job: Organized Group Camp 1-C
Master Plan No. 9014-1-1
Working Plan No. 9004-1-1

I. BLOCK A - PROPOSED WORK
No. of Periods Required to Complete Job (1/6)
A. Previously approved:
1. Work Contemplated
a. Unit: No
b. No. Units: 1
c. M-Hrs.: 1610 [M-Days was printed on form, but crossed out]
2. Estimated Costs
a. Labor: 553.60
b. Materials: 99.80
c. Equipment: -
3. Total=653.40
B. Additional Request:
1. Work Contemplated
a. Unit: -
b. No. Units: -
c. M-Hrs.: 250 [M-Days was printed on form, but crossed out]
2. Estimated Costs
a. Labor: 84.00
b. Materials: -
c. Equipment: -
3. Total=84.00
C. Total:
1. Work Contemplated
a. Unit: XXXX
b. No. Units: 1
c. M-Hrs.: 1860 [M-Days was printed on form, but crossed out]
2. Estimated Costs
a. Labor: 637.60
b. Materials: 99.80
c. Equipment: -
3. Total=737.40

II. BLOCK B -- LABOR SUMMARY
A. No. of Man-Hours
1. Type of Labor--Unskilled: 100
2. Type of Labor--Intermediate: 100
3. Type of Labor--Skilled: 50
4. Type of Labor--Prof. & Tech: -
5. No. of Man-Hours Total=250
B. Cost of Labor
1. Type of Labor--Unskilled: 26.00
2. Type of Labor--Intermediate: 33.00
3. Type of Labor--Skilled: 25.00
4. Type of Labor--Prof. & Tech: -
5. Cost of Labor Total= 84.00

Submitted by: S. B. Williams [signature]
Title: Project Manager
Date: May 22, 1937

III. BLOCK C -- CLEARANCE
A. Park Authority: S. B. Williams [signature]
B. Date: 5-22-37 [4 (April) was written as the month, but crossed out and 5 was added]
C. Procurement Officer: Williams, S. B. [signature]
D. Date: [not legible]
E. Inspector: [signature not legible]
F. Date: 5/25/37

IV. BLOCK D -- COMPLETION RECORD
[Block D was not filled out on this form. Following was the requested information.]
A. Work Accomplished
1. Date of Completion
2. Unit
3. Number Units
4. M-Days/M-Hrs
B. Total encumbrances Completed Job
1. Labor
2. Materials
3. Equipment
4. Total
5. Balance

Approved by: [signature not legible]
Title: Regional Officer
Date: June [?] 1937
Release Date: [blank]

(Justification on back of sheet)

Back to Determining the Facts, Document 1

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