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Na <br /> I Billable <br /> SERVISE 'C REPORT ® Factory Warr- <br /> CE Maintenance <br /> Pt7ROLEUM xHR/NTENRNCE CO. Not Billable <br /> ?act FRESNO.CR d B I d J o b <br /> (559)444-1730 *Fax: (559)444-1735*3887 N.Valentine Ave. *Fresno,CA 93722 < License No.706992 <br /> Name: <br /> Service <br /> Address- Z 3 7 1 ZG 7 ��/� Date: 7- 7—� <br /> City: /� 'o7L� 4 �� Zip- Phone- Work Order# l'/0 733 <br /> Dispenser Make: Cust.Order# <br /> Dispenser Model: Close Confir.# <br /> 6 <br /> Dispenser Serial#: Parts Order# <br /> Pump Test: Gallons: DollarAmt.: <br /> Description of Work Performed <br /> -7 <br /> 1,2 <br /> gA /ori e 4c �r ? <br /> 6j <br /> 'ah / le7 <br /> DATE COMPLETE 7 / <br /> Unless otherwise providing by law,the seller(LC Services)hereby expressly disclaims all warranties,either expressed or implied,including VeYtfiec Date <br /> any implied warranty of merchantability of fitness for a particular purpose,and neither assumes nor authorizes any other person to assume <br /> for it any liability in connection with the sale of said products. <br /> Qty Part No. Inv. escription &S/N Each Amount <br /> Loc# <br /> SC o 5 o r 5;171 111 <br /> Worker Date Depart Arrive Depart Sto O/T <br /> 8j0 /bU (j Total Labor <br /> Total Parts <br /> Mileaje <br /> Sublet <br /> Sales Tax <br /> Total Amount <br /> Printed by SUPER PRINT 559-222-1525 <br />