{% load static %}
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Client File No.
{{client_file_no}}
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Vessel Name
{{vessel_name}}
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Is a PO No. Required?
{{po_required}}
|
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Surveyor:
{{surveyor}}
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Senior Surveyor:
{{senior_surveyor}}
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Appraiser:
{{appraiser}}
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Priority Level:
{{priority_level}}
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Due Date, Required if a Priority:
{{due_date}}
|
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Select If New Client or info is not in Juris {% if select_new_client %} |
Requested By:
{{client_name}}
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Request Date:
{{request_date}}
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Client/Company:
{{requested_by}}
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Phone:
{{client_phone}}
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Email:
{{client_email}}
|
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Invoice Instructions:
{{invoice}}
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Send
{% if i.s_check_report == 'true'%}
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||
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Company:
{{i.company}}
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||
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Address:
{{i.add}}
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||
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City:
{{i.city}}
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State:
{{i.state}}
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Zipcode:
{{i.zipcode}}
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Attention Of:
{{i.attention_of}}
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Phone:
{{i.phone}}
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Country Code:
{{i.country_code}}
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Email:
{{i.email}}
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||
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Date of Survey:
{{date_of_survey}}
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If Damage, Date of Loss:
{{date_of_loss}}
|
|
{% if fleet_check %}
Type of Fleet:
{{fleet_type}}
{% else %}
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Survey Type:
{{survey_type}}
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Others
{{survey_type_other}}
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{% elif fleettype %}
Survey Type:
{{survey_type}}
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Describe What This Fleet Consist Of
{{survey_type_fleet}}
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{% else %}
Survey Type:
{{survey_type}}
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{% endif %}
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Survey Location (City, State):
{{survey_location}}
|
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Assured We Represent:
{{assured_we_represent}}
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Asset We Represent:
{{asset_we_represent}}
|
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Asset Surveyed:
{{asset_surveyed}}
|
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Owner of Asset Surveyed:
{{owner_of_asset}}
|
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Survey Contact Info:
{{survey_contact_info}}
|
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Quoted Amount:
{{quoted_amount}}
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Person Submitting This Request:
{{person_request}}
|
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Notes:
{{another_notes}}
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