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SERVICEIREPAIR I"ITHORIZATION <br /> CALIFORNIA CONTRACTOR LICENSE] j i CAII.SA <br /> C pip,BOX M STOCKTON.CALIF.100011F.Y5205 <br /> PHONE MW46 p <br /> J <br /> 1f€ SALES SERVICE INSTALLATION OF PETROLEUM DBPENSINO • LUBRICATION A INDUSTRIAL SERVICE EQUIPMENT <br /> J <br /> T <br /> P.O.# iNAM:��� <br /> AUTHORIZING NAME COMPANYE q <br /> ]li <br /> BUSINESS ADDRESS <br /> LOCATION 393"- i3(,JLQR <br /> (� TCITY ZIP PHONE <br /> - - AUTHORIZEDRE`RAIR OF TME FOLLOWING EQUIPMENT <br /> f <br /> �i G 0�1�9TiGw <br /> C7 'u OfAo< 1,4- <br /> 6A, <br /> hGa <br /> GN�3 7 GOA • 5 <br /> I <br /> A4T <br /> 4 <br /> THEREBY AUTHORIZETHE REPAIRISERVICE WORKTO BE DONE By STOCKTON SERVICESBE BILLED AT S.S.S.E.ARETATION EOUIPMENTCOMPANY <br /> INC.AS REGULAR DESCRIBED <br /> ABOVEAGREE TONPAV CASHTHE IFOR SUCH REPAIRPMENT NAMED RPAON.ALL RTS AND LABIOR ONTDELIVERVOOF EQUIPMENT OR ON <br /> TERMS SATISFACTORVTO S.S.S.E.AND UNTIL PAID IN FULL ANY UNPAID BALANCES SHALL LOSS OR ITUTE <br /> RENON THIS , <br /> EQUIPMENT FMENT I FURTHER IRE,THEFTOTHER CAUSES BEYOND S.HELLS CONTROL.LE FOR LOSS OR DAMAGE TO SAID a <br /> L <br /> j <br /> ETOB IN ICED AND WILL BE SUBJECT TO TERMS. TITLE <br /> THORIZED SIGNATURE <br /> FORM B 0015 CUSTOMER COPY <br />