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Dec 19 10 01:10P Reliable Petroll& 2&5-8953 p.2 <br /> ELIABLE PETROLEUM SERVICESFINC. <br /> 521 Branding I on St. Oakdale Ca 95361* Ph:(209)845-8586, fax(209)845-8953 License#883706 <br /> SERVICE REQUEST FORM <br /> Site: Co — Q W.0 #: l' &l)(t' Date: <br /> Address: Ll JS (l t P.O. �Y <br /> CUMV lLL I Phone: <br /> Servic Requested: — <br /> W v2 <br /> Des tion of Work Pe or ed: l' <br /> c ip <br /> XU T `e s <br /> v f <br /> jea rz e c — L <br /> e 1 L S�W 10 <br /> w -ra 15 <br /> , . <br /> 1 z 4 <br /> Work Preformed by: Arrival Departure Labor Travel Total Hours <br /> nme Time Hours Hours <br /> Guadalupe Sanchez <br /> Robert BarnM1art <br /> I HAVE THE At "ORITYTO OR ER THE/YORK, WHICH HAS BEEN SATISFACTORILY PERFORMED AS OUTLINED ABOVE IT IS AGREED THAT THE <br /> SELLER WILL RETAIN TITLE T ANY EQUIPMENT OR MATERIAL THAT MAYBE FURNISHED UNTIL FINAL PAYMENT IS MADE,AND IF SETTLEMENT IS <br /> NOT MADE AS AGREFDI THE S LLER SHALL HAVE THE RIGHT TO REMOVE SAME AND THE SELLER WILL BF HELD HARMLESS FO ANY DAMAGES <br /> LTING FROM THE REMOV L THEREOF. <br /> . ZQ <br /> tomer Signatur Date <br /> i <br /> Print Name <br /> TERNS:30 GAYS NET. A FINANC CHARGE OF 344 PER MONTH WILL HE CHARGED ON INVOICES UNPAID 30 DAYS FROM BILLING GATE IN ANY ACTION. <br /> NECESSARY TO ENFORCE THIS A REEMENT. THE BUYER WILL PAY REASONABLE ATTORNEY FEES AND COSTS DETERMINED BY THE COURT. <br /> *RETURN CHECK POLICY *Return Checks will be charged a minimum of$25.00 each <br />