TRANSMITTAL

Date:
Project #:
Transmittal #:
Project Name:
To:
Attn:

WE ARE SENDING VIA

Mail
Federal Express
Courier
Hold for Pick up

Attached
Under Separate Cover

Drawings
Specifications
Timeline
Correspondence

Samples
Other:

QTY	DATE	NUMBER	DESCRIPTION

ACTION

For review and comment
For approval
As requested
For your use

Returned for Corrections
Acceptable as noted
Rejected
For your Files

REMARKS

Signed by:

Copies:
File

1

Mailing Address:

street

city, state zip

phone

Fax

<your logo here>

Page 1 of 1

AT Transmittal

Tom Rauscher

1999-02-03

Preferred Customer