gistfile1.txt

  <style>
    .underline {
      border-bottom:1px solid #000;
    }
  </style>

  <div class="container">
    <div class="row" style="padding:20px;">
      <div class="logo col-xs-5">
        <img src="http://fc03.deviantart.net/fs71/f/2013/206/1/9/simple_linux_logo_by_dablim-d5k4ghu.png">
      </div>
      <div class="company-info col-xs-7 text-center">
        <div><strong>Comapny Name</strong></div>
        <div><strong>blah blah blah</strong></div>
        <div>Address</div>
        <div class="pull-left">Phone #</div>
        <div class="pull-right">other number</div>
      </div>
    </div>

    <div class="row" style="padding:10px;border-bottom:5px solid #000;">
      <div class="col-xs-9">
        <div><h3><strong>WORK ORDER</strong></h3></div>
        <div>General something something</div>
        <div>Description: lorem ipsummmm</div>
      </div>
      <div class="col-xs-3">
        <div class="row">
          <div class="col-xs-6">Work Order:</div>
          <div class="col-xs-6">12345</div>
        </div>
        <div class="row">
          <div class="col-xs-6">D Number:</div>
          <div class="col-xs-6">D12345</div>
        </div>
        <div class="row">
          <div class="col-xs-6">Date:</div>
          <div class="col-xs-6">19-Jul-14</div>
        </div>
      </div>
    </div>

    <div class="row">
      !! YOUR TABLE !!
    </div>

    <div class="row" style="padding:20px;border-top:5px solid #000;">
      <div class="col-xs-8">
        <div class="row">
          <div class="col-xs-4">SIG 1</div>
          <div class="col-xs-8 underline">&nbsp;</div>
        </div>
        <div class="row" style="margin-top:20px;">
          <div class="col-xs-4">SIG 2</div>
          <div class="col-xs-8 underline">&nbsp;</div>
        </div>
      </div>
        <div class="col-xs-4">
          <div class="row">
            <div class="col-xs-3">Date:</div>
            <div class="col-xs-9 underline">&nbsp;</div>
          </div>
          <div class="row" style="margin-top:20px;">
            <div class="col-xs-3">Date:</div>
            <div class="col-xs-9 underline">&nbsp;</div>
          </div>
        </div>
    </div>
  </div>