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SERVICE/REPAIR AUTHORIZATION <br /> Mmk70a VERY= <br /> CALIFORNIA CONTRACTOR LICENSE.105C 1.SA <br /> 80&810 N.UNION ST.STOCKTON,CALIF.8510S <br /> P.O.BOK 508 STOCKTON,CALIF.SSRI <br /> PHONE MIB/W.8333 <br /> SALES SERVICE INSTALLATION OF PETROLEUM DISPENSING LUBRICATION i INDUSTRIAL SERVICE EQUIPMENT <br /> P.O.IN <br /> �' <br /> AUTHORIZINTi NAME AA COMPANY NAME <br /> , : u'! <br /> BUSINESS ADDRESS ( ST. <br /> LOCATION <br /> CITY ZIP PHONE <br /> AUTHORIZED REPAIR OF THE FOLLOWING EQUIPMENT <br /> l� <br /> I HEREBYAUTHORIZE THE REPAIR/SERVICE WORKTO BE DONE BY STOCKTON SERVICE STATION EOUIPMENTOOMPANY <br /> INC.AS DESCRIBED ABOVE ON THE EQUIPMENT NAMED HEREON.ALL REPAIR PARTS ARE TO BE BILLED AT S.S.S.E. <br /> REGULAR PRICES I AGREE TO PAY CASH FOR SUCH REPAIR PARTS AND LABOR ON DELIVERY OF EQUIPMENT OR ON <br /> TERMS SATISFACTORY TO S.S.S.E.AND UNTIL PAID IN FULL ANY UNPAID BALANCES SHALL CONSTITUTE A LIEN ON THIS <br /> EQUIPMENT URT ER AGREE AT S.S.S.E.WILL NOT BE HELD RESPONSIBLE FOR LOSS OR DAMAGE TO SAID <br /> EQUIPMENT M RE,THE R THER CAUSES BEYOND S.S.S.E'S CONTROL. <br /> IAGREET B INV CED WI BE SUBJECT TO TERMS. <br /> AUTORIZED I NATURE r TRLE <br /> x r�� ui� I q,r <br /> FORM a 0015 CUSTOMER COPY <br />