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RELIABLE PETROLEUM SERVICES/INC. <br /> 521 branding Iron St. Oakdale Ca 95361" Ph;(209)845-8586, fax(209)845-8953 License #883706 <br /> SERVICE REQUEST FORM <br /> N) W-0 Date' <br /> -7 <br /> Address: P.O. <br /> COME, — phone. <br /> Service Requested: <br /> Description of Work Performed: <br /> J <br /> 44 <br /> Work Preformed by: Arrival Departure Labor Travel -Total Hours <br /> Time Time Hours Hours <br /> Guadalupe Sanchez <br /> Robert Barnhart <br /> I HAVE THE AUTHORITY To ORDER THE WORK, WHICH HAS BEEN SATISFACTORILY PERFORMED, AS OUTLINED ABOVE IT IS AGREED THAT THE <br /> _tS <br /> SELLER WILL RETAIN TIRE TO ANY EQUIPMENT OR MATERIAL THAT MAYBE FURNISHED UNTIL FINAL PAYMENT IS MADE,AND IF SETTLEMENT IS <br /> NOT MADE AS AGMED, THE SCURR SHALL HAVE THE RIGHT 7-0 REMOVE SAME AND THE SELLER WILL BE HELD HARMLESS!-FOR ANY DAMAGES <br /> RESULTING A%99T*c REM RVAL THEREDF-- <br /> custorner S~ Date <br /> Print Name <br /> TER&MI,SO DATE NET. A FINANCE CHARGE OF 3%PER MONTH WILL ME CHARGED ON INY01CPS UNPAID SO DAYS FROM MZLU"Q DATE IN ANY ACTION <br /> NECEE"My To ENFOOtCE THIS AGREEMENT. THE BUYER WILL PAY REASONABLE ATTORHEY Fee$AND COSTS D"IrUNINED my THE COURT. <br /> *RETURN CHECK POLICY *Return Checks will be charged a minimum of $25.00 each <br />