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Shields, Harper &Co. '° "`° "' M"" INV.. <br /> Technician No.: -� <br /> INCORPORATED <br /> ELECTRONIC SYSTEMS SERVICE Dispatch Date: <br /> 800-772-3208 or 510-652-4814 MALFUNCTION OR SERVICES REQUESTED <br /> LOCATION <br /> 4UMBER: F <br /> 4AME: -4r7-1-17 G �/' i� ��' SERVICES PERFORMED <br /> l <br /> C-� tL-� n F r o <br /> - /-- f // i / /.., /' /���, is�^ �' 'y.••y. <br /> ,IT* r / ZIP: - = <br /> PHONE: <br /> LABOR PARTS <br /> WARRANTY: <br /> NON-WARRANTY: <br /> MARKETING: <br /> OTHER: EQUIPMENT <br /> QTY. PART NO. DESCRIPTION MFR. , MODEL NO. SERIAL NO. <br /> f <br /> ARRIVED: / ' G NOTES <br /> DEPARTED: - <br /> CUSTOMER APPROVAL: <br /> F09MM-;I6' - DATE: T- .. <br /> � - CUSTOMER <br />