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Dec 19 10 01:10P Reliable PetrASA 045-8953 p.3 <br /> ELIABLE PETROLEUM SERVICES,INC. <br /> 521 Branding I on St. Oakdale Ca 95361* Ph:(209)845-8586, fax(209)845-8953 License #883706 <br /> SERVICE REQUEST FORM <br /> � I �Site: W.O #t -- /_��O Date: 1 I <br /> Address: Ll SSS P.O. ✓ <br /> ClieA(: v r v� Phone: 2O-` <br /> Service Requested: C — ! L — - <br /> Description f Work Perfor ed: �(' 1f <br /> q l ( L l C(A A is 8Z 'f <br /> rna ' +0.Atiew e- <br /> + 4 _ <br /> On 67 <br /> � L <br /> Work Preformed by: Arrival Departure Labor Travel Total Hours <br /> Time Time Hours Hours <br /> Guadalupe Sanchez <br /> Robert Barnhart !d. q! (-T- <br /> 1 <br /> I HAVE THE AUTHORITY TO O ER THE WORK, WHICH HAS BEEN SATISFACTORILY PERFORMED,AS OUTLINED ABOVE IT IS AGREED THAT THE <br /> SELLER WILL RETAIN TITLE T ANY EQUIPMENT OR MATERIAL THAT MAY BE FURNISHED UNTIL FINAL PAYMENT IS MADE AND IF SETTLEMENT IS <br /> NOT MADE AS AGREED,THE S LLER SHALL HAVE THE RIGHT TO REMOVE SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAMAGES <br /> R TING FON THE REMOV L THEREOF. <br /> ,:C <br /> Omer Sig at re Date <br /> Print Name <br /> TERMS-.�10AYS MET. AFL CHARrE OF 3%PER MONTH WINECISSAROTO ENFORCE THIS A REEME . TNERUYER WILL PIAYLREASONABLE ATTORNEY FEES AND COSTS DETERMINED BY THE COURTBE CHARgED ON 1"voices UNPAID 30 DAYS FROM BILLING DATE IN�NT ACTION <br /> M <br /> *RETURN CHECK OLICY *Return Checks will be charged a minimum of$25.00 each <br />