Guntersville Fabrication and Sprinkler Corp., Inc.

8305 AL Hwy. 79 South
Guntersville, AL 35976
Toll Free: 1-800-239-4045   Phone: (256) 582-3245      Fax: (256) 582-2268
E-Mail:
info@gfab.com      Website: www.gfab.com
______________________________________________________________________________

Job Cover Sheet
(Print and Fax)

Job Name ______________________________ Purchase Order No. ___________________
Job City & State _________________________ Ship Date ___________________________
Customer Name _________________________ Person to Contact _____________________
Head Count ___________________________ Taxable _______________  Non-Taxable*
Head Size   _______ ½" _______ ¾" Contractor:(Name,City,State)

Job Description - Check All That Apply:

__ 1 - Center-Center __ 8 - Black Domestic C.I. Fittings __ 15 - Galvanized Pipe
__ 2 - Cut __  9 - Black Domestic M.I. Fittings __ 16- Schedule 40
__ 3 - Domestic Spec. __ 10 - Galv. Domestic M.I. Fittings __ 17-Schedule 10
__ 4 - Threaded Lines __ 11 - Black Import C.I. Fittings __ 18-Schedule 07 
__ 5 - Welded Lines __ 12 - Grooved Fittings - Painted __ 19-Threadable Thinwall
__ 6 - Hanger Material - Standard __ 13 - Grooved Fittings - Galvanized __ 20-Special Instruct.See Below 
__ 7 - Hanger Material - Galv. __ 14 - Black Pipe  

Guntersville Fab To Supply Following Items:

__ Pipe __ Fire Dept. Connection __ Earthquake Bracing
__ Threaded Fittings __ Alarm or Dry Valve __ Concrete Fasteners
__ Hanger Material __ Backflow Preventer __ Sleeves
__ Grooved Fittings __ Flow & Tamper Switches __ Hose Valves
__ Flanged Fittings __ Elec Bell & Water Motor Alarm __ Flanged OS & Y Valves
__ Grv'd B'fly & Check Valve __ Air Compressor __ Wafer B'fly or Check Valves
__ Brass Valves __ Heads & Escutcheons  

Special Instructions:

 Please Include or Fax Directions to Delivery Site
*Please Include Exemption Certificate To Avoid Tax Charges.