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( -- SERVICE/REPAIR AuInvF." <br /> F CALIFORNIA CONT RAOTOR,CEENSFEg pID5641,SA <br /> BOB N. ON <br /> UNIST.STOCNTCCAL95181 <br /> PHONE M9<W-B03]TON, _ . <br /> TALLATION OF PETROLEUM DISPENSING Im LUBRICATION 6,INDUSTRIAL SERVICE EOUIPMENT <br /> SERVILE INS ^, <br /> SALES • DATE <br /> P.O. ! <br /> COMPANY NAME � <br /> AUTHORIZING NAME <br /> ST. <br /> ;.DCP.ESS <br /> BUSINESS PHONE <br /> LOCATION ZIP <br /> CITY <br /> AUTHORIZED REPAIR OF THE FOLLOWING EQUIPMENT <br /> r <br /> (HEREBY AUTHORIZETHE REPAIRISERVICE WORKTO BE DONE BY STOCKTON SERVICESTATION EQUIPMENT COMPANY <br /> INC.AS DESCRIBED ABOVE ON THE EQUIPMENT NAMED HEREON.ALL REPAIR PARTS ARE TO OF BE BILLED EQUIPMENT S.S.S. . <br /> R PARTS.AND <br /> H FOR <br /> EOM PMENT FACT R TOS-SEEATHATSS.5.5 ESWILLR OT IBE HELD RESPONOSIBLOE FOR LOSS OR DPMAGE TO SAID <br /> TERMS SATPRICES I AGREE TO ISFACTORY TO S.S.S.E.AND UNTIL PAID IN FULL AUCH I UNPAID BALANCES SHALL CONSTITUTE A LIEN ON THIS <br /> EOUIPME T FROM FIRE,THEFT O0.OTHER CAUSES BEYOND 5 S.S.E'S CONTROL <br /> IAGRE BEINVOICEDA OWILL BE SU JECT TOTERMS <br /> . TITLE <br /> AUTH0 IZ D IGNAT <br /> X <br /> CUSTOMER COPY <br /> FORM#0015 <br />