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SERVICE/REPASUTHORIZATION <br /> TOCK70M BERVOCE <br /> CALIFORNIA CONTRACTOR LICENSE 309105 C-61,SA <br /> BOB N.UNION ST.STOCKTON,CALIF.95205 <br /> P.O.BOX 506 STOCKTON,CALIF.95201 <br /> PHONE 209(484.833 <br /> SALES • SERVICE . INSTALLATION OF PETROLEUM DISPENSING LUBRICATION&INDUSTRIAL SERVICE EQUIPMENT <br /> 4kP' <br /> Gr <br /> DATE <br /> P.O.# 7-/0- 7 <br /> AUTHORIZING NAME COMPANY NAME <br /> pof <br /> BUSINESS ADDRESS ST. <br /> LOCATION <br /> CITY ZIP PHONE <br /> AUTHORIZED:REPAIR OF,THEFOLLOWINCs:t UIPMENr<{ o-M;7 <br /> 1 rl S FG. f'l4L/ �✓,e/ t <br /> /� �f�! <br /> G .t T(U��I.c SG�r/l •'t1�7/`. �7i rYrG, .n 'qve"-d OS C�cd . c/•d, <br /> i <br /> i <br /> i <br /> 1 <br /> IHEREBYAUTHORIZETHEREPAIR/SERVICE SEDONEEBYSTOCKTON STATIQN' ANY- <br /> INC.AS DESCRIBED ABOVE ON THE EQUIPMENT NAMED HEREON:ALt:REPAIR PARTS ARETO BE BILLM AT SS.S E- <br /> REGULAR PRICES=I AGREE SO PAY CASH FOR SUCH-REPAIR PARTSAND LABOR ON DEUVERY OF EQUWMENTOR ON <br /> TERMS SATISFACTORY'TO S.SS.E AND UNTILPAID IN FULL'ANY UNPAID BALANCES SHALLCONSTITUTEA LIEN OWTHIS <br /> EQUIPMENT.is FURTHER AGREE THAT SSS E VML NOT BE HMURESPONSIBLE.FOR LOSS OR TO.WJIX <br /> i E®UIPMENT , -TH�OR a TQ _a°`^.,.�a ..,e s ONO SSS.ES CONTRT "�. '_ 'e"', <br /> r u T <br /> I AGREE TO 1 AND VOL[ ECt ,.. ea<^;til•y X *4 .`-.R <br /> HORIZED SIGNA RE TITLE <br /> tt. <br /> I <br /> X <br /> FORM#0015 CUSTOMER COPY <br />