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AM <br /> _ �m Billable <br /> s v s SERVICE REPORT 11= Factory Warr. <br /> U-1 Maintenance <br /> PM MMAZNMENAWECO I[] Not Billable <br /> FRESNO.GA <br /> I[= Bid Job <br /> (559)444.1730 Fax:(659)444-1735 * 3867 N.Valentine Ave.* Fresno,CA 93722 License No.779267 <br /> Please Visit Our Webelte: www.Icservices.com <br /> Name: 4�Str �,�-tc�. # NR 93320 <br /> Service <br /> Address: Lc a ce Date: <br /> City: Zip: Phone: workvrder# �C <br /> Dispenser Make cusl.Ordertl <br /> Dispenser Model: Closecofir.x <br /> Dispenser Serial#: Paris Order 9 <br /> Pump Test: Gallons. Dollar Amt: <br /> Description of Work Performed <br /> a\r. c\'4� D•c �^ F: <br /> e :_c o»v n <br /> c' �C• t \ c �w�� S•>n� ,c'�Arcc v N�� .,�� \.►.. qNC S <br /> _�3 r <br /> DATE COMPLETE I, give authorization to LC Services <br /> Print Mame <br /> Ihawf rr.gandOletrIW&Q0bobsw/rnff"w mRn twpad b•Md PAM b o0wewb SMJd wuMw d to run my credit card as form of payment. <br /> b Solan O^ta M trrn rA bb fid.�P�'eOn/INI'rhrt r WON bnnY.Elo dwerr/e lea atl M Cburlol N+KWm� <br /> rMrbpm aa.dN ahaene Caud„Vre hrreb/Yrl byou are�enCr lipbb�tlreaWgwdaMeaeM lepalb Card Type: Card#• Billing Zip: <br /> eeeeec Ppa►tat9 b bf PryMlf fnsddl ah10Na^b tib eosPewlt <br /> IlcardMldtilan brPltneoewy,IhavWPrntebrbYw ofot,aydr eaipu,bmnmtaenn try peoetWn re Exp Date:—/—/ Security Code: <br /> avr010010.eo0 a rna6q dedw b WweM.OnsaN^aJ N M PvrWn/a rare nd ldgr♦weLa. <br /> Name on Card: r <br /> Win dariapwAftb/br,M UW QC SWACWtff*aPU*d WK dwPr&ULOft apasMa irlp" <br /> Work Authorized by - Date <br /> tQ i�tl f ebMr h oaerelon taM 6te+da d pt0 PoA�g6 <br /> r t Name <br /> Qty Part No. Inv. Description&SIN Each Amount <br /> L.oc# <br /> v M {p•r, L� <br /> OY t <br /> RE ( law E <br /> 4L TH <br /> Worker Date Depart Arrive Depart StopO/T NT <br /> Total La r <br /> Total Parts <br /> Mileage <br /> Travel <br /> Sales Tax <br /> Total Amount <br />