Laserfiche WebLink
SERVICE/REPAIR AUTHORIZATION <br />o Oa M 21MO E <br />om LOMO ° Ew Oo uma <br />CALIFORNIA CONTRACTOR LICENSE 309105 C-61, SA <br />808-820 N. UNION ST. STOCKTON, CALIF. 95205 a <br />- P.O. BOX 508 STOCKTON, CALIF. 95201 <br />PHONE 209/464-8333 j <br />9 <br />SALES SERVICE INSTALLATION OF PETROLEUM DISPENSING LUBRICATION & INDUSTRIAL SERVICE EQUIPMENT <br />P.O.# DATE <br />s - S 7. <br />AUTHORIZING NAME COMPANY NAME <br />BUSINESS ADDRESS ST. <br />LOCATION <br />CITY ZIP PHONE <br />16? <br />AUTHb, <br />4f" -14!j j <br />zap <br />I HEREBY AUTHORIZE THE REPAIR/SERVICE WORK TO BE DONE BY STOCKTON SERV <br />INC. AS DESCRIBED ABOVE ON THE EQUIPMENT NAMED HEREON. ALL REPAIR PA <br />REGULAR PRICES. I AGREE TO PAY CASH FOR SUCH REPAIR PARTS AND LABOR O <br />TERMS SATISFACTORY TO S.S.S.E. AND UNTIL PAID IN FULL ANY UNPAID BALANCES <br />EQUIPMENT. I FURTHER AGREE THAT S.S.S.E. WILL NOT BE HELD RESPONSIBLE <br />EQUIPMENT FROM FIRE, THEFT OR OTHER CAUSES BEYOND S.S.S.E'S CONTROL. <br />I AGREE TO BE INVOICED AND WILL BE SUBJECT TO TERMS. <br />CTR01!;)� �SIGNATRE <br />FORM # 0015 - <br />CUSTOMER COPY <br />r _ <br />TIGN EQ PANY '. <br />ERY EQUIP OR ON <br />CON UTE A THIS <br />�R"ltOSS DAM E SAID <br />ff("fLE <br />o <br />Z C�+D <br />'Ti <br />