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'RVICE/REPAIR AUTHORIZATION <br /> O OO <br /> Q5f11O 1EMPKIEw60 m <br /> CALIFORNIA CONTRACTOR LICENSE MIM C41.SA <br /> ` 8416-820 N.UNION ST.STOCKTON,CALIF.95305 <br /> L P.O.BOX SM STOCKTON,CALIF.S5nI <br /> PHONE 3 W-8358 <br /> SALES • SERVICE • INSTALLATION OF PETROLEUM DISPENSING LUBRICATION{INDUSTRIAL SERVICE EDUIREM <br /> -DAT <br /> ' P.O.O 3 23ESg <br /> AUTHORIZING NAME COMPANY NAME , <br /> i f <br /> BUSINESS ADDRESS ST. <br /> LOCATION n <br /> CRY ZIP PHONE <br /> [ AUTHORIZED REPAIR OF THE FOLLOWING EQUIPMENTrl <br /> IL- <br /> T--- P <br /> c <br /> l \QV <br /> C r^ <br /> I HEREBY AUTHORIZE THE REPAIR/SERVICE WORK TO BE DONE BY STOCKTON SERVICESTAT NEOUIPMENTCOMPANY <br /> INC:AS DESCRIBED ABOVE ON THE EQUIPMENT NAMED HEREON.ALL REPAIR PARTS ARE TO BE SILTED AT B.B.S.E. - <br /> REGULAR PRICES.I AGREE TO PAY CASH FOR SUCH REPAIR PARTS AND LABOR ON DELIVERY OF EQUIPMENT . ON <br /> TERMS SATISFACTORY TO S.S.S.E AND UNTIL PAID IN FULL ANY UNPAID BALANCES SHALL CONSTITUTE A LIEN ON THIS <br /> EQUIPMENT.1 FURTHER AGREE THAT S.S.S.E.WILL NOT BE HELD RESPONSIBLE FOR LOSS OR DAMAGE TO SAID <br /> EQUIPMENT FROM FIRE,THEFT OR OTHER CAUSES BEYOND S.S.S.E'S CONTROL. ' <br /> 1 AGREE TOQBE.INVOICED IAAANNDQWILLLL�BEE SUBJECT TO TERMS. <br /> AUnO•' .�/�^�iRA 7.IQA1�AVC f E TITLE <br /> X <br /> FORM 10015 <br /> CUSTOMER COPY - <br />