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DIAMOND PETROLEUM SERVICES, INC. <br /> Ph: (925)470-0803 • Fax: (925) 238-0871 • Lic. #1005444 <br /> SERVICE REQUEST FORM <br /> Site:_ DSC C) L/ ? `( <br /> WO x: Date: <br /> Address: 13 4 0 <br /> CiknC `� lG T- Phone: <br /> Service Requested. 9�R"r� f• �f — <br /> lir a Show � L /1 � � Br !)� <br /> Description of Work Performed: C F'(_' r°I1 ✓, c V r (�• ., <br /> �I"J`t'�r9 w..+L. v ,�v. (_�✓ �` �C Z. <br /> s. <br /> -Y <br /> e ✓ ft�-F `79tiJ-290 20-r <br /> 5L43 :?000 l.1 � - �F, �' sf 13I000 !rL cel ,CtJk' <br /> �G(I CI l,l.r � S�r�r.,r• <br /> VIA'$ - <br /> Ir<'h- <br /> &L),3 Shvidow . <br /> 1 le— <br /> Work Preformed by: Arrival Departure Labor Travel Total Hours <br /> Time Time Hours Hours <br /> Guadalupe Sanchez Lr-r i r �- <br /> fi <br /> I HAVE rHE AUTHORITY TO ORDER THE WORK, WHICH HAS BEEN SATISFACTORILY PERFORMED,AS OUTLINED ABOVE IT IS AGREED THAT THE <br /> SELLER WILL RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL THAT MAYBE FURNISHED UNTIL FINAL PAYMENT 15 MADE,AND IF SETTLEMENT IS <br /> NOTMADE AS AGREED,THE SELLER SHALL HAVE THE RIGHT TO REMOVE SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAMAGES <br /> RESUJ.TING FROM THE <br /> /REM O AL THEREOF. <br /> -TIC <br /> customer signal <br /> Date <br /> Print Name - — --- - <br /> TERMS:30 DAY6 NET. A FINANCI CHARGE OF 3%PER MONTH WILL BE CHARGED ON INVOICES UNPAID 30 DAYS FROM BILLING DATE IN ANY ACTION <br /> MECESSARY TO ENFORCE TNLS AGREEMENT. THE BUYER WILL PAY REASONABLE ATTORNEY FEES AND COSTS DETERMINED BY THE COURT. <br /> •RETURN CHECK POLICY *Return Checks will he charged a minimum of$25.00 each <br />