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SERVICEIREPAIR AUTMORIZAT N <br /> .. CALIFORNIA CONTRACTOR LICENSE 3M*S C41,SA <br /> L JL. I SW N.UNION ST.STOCKTON.CALIF.95205 <br /> ` P.O.BOX 508 STOCKTON,CALIF.95201 <br /> ,`u x PHONE 2091464.11=1 <br /> SALES . SERVICE . INSTALLATION OF PETROLEUM DISPENSING LUBRICATION A INDUSTRIAL SERVICE EQUIPMENT <br /> DATE <br /> P.O.# 7'/G'�� <br /> AUTHORIZING NAME COMPANY NAME <br /> BUSINESS ADDRESS ST. <br /> LOCATION <br /> CITY ZIP PHONE <br /> L � faro <br /> :AUTHOR ROFTHEFOCLOWINGEQUIPIMERr' 2 <br /> �• H S TG. ��C �Y J c-v A3'I 6L e n 6 Uv <br /> /v-t k .•'ru,..,, 'n;✓'. I?c Piv i��c�.� L=,(3 c.✓ c.. � 1��f, rc5 i- <br /> /to> f'G1.AF e � y� G.Ls.-1/C.1 ca../� <br /> � �G1 .d' Li.•v1 C/G �L' /G.ew9�G>r S°f°J+'`d't` e / t? POt SyS r`=t• 76,�SILG /F• <br /> ' 'l 6. 6 C <br /> i <br /> • j <br /> 1 <br /> 1 <br /> I <br /> I <br /> I HEREBY AUTHORRETHEREPAIPJSERV=WORKTO BEDONE RYSTOOODN SBW CESTATgN eMM-MENT COMPANY- <br /> i INC AS DESCRIBED ABOVE ON THE EQUIPMENT NAMED HEREON;ALL REPAIR PARTS'ARETO.BE,WLLEO'AT S.S:S:E: <br /> REGULAR PRICES:I AGREE TO PAY CASH FOR SUCH REPAIR PARTSAHD LABOR ON DELIVERY OF EOUIPMENT OR ON- <br /> TERMS TERMS SATISFACTORY TOSAL&EAND UNTIL.PAIDINFULLANY OBALANICESSHALLCQkSTTTUTEA-UENON-THIS'. <br /> + EQUIPMENT [Rl ER AGREE THAT S SS E NOT BEH RESPONSIBLE <br /> FOR LOSS OR DAMAGE TQ SAID. <br /> EQUIPMENIT E THEFTOR OND S,S.S.E:T(OMEO6_ {;;' <br /> :... <br /> JISORIZ7ED SIGNATURE TITLE <br /> X <br /> FORM Is 0015 CUSTOMER COPY <br />