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Urvice6 N. Fifth Street <br /> N. <br /> CA 95112 <br /> swoon (408)971-2445 Fax(408)971-0135 WORK ORDER NO. 89647 <br /> Syr$ten!$: /nC. Calit.State Lie. No,485484 <br /> Bill to: �`,� - Station No. Jab#/PO# <br /> Location: 1^� Ul�i'` - Service Station Systems Job# <br /> Work Auth. by Date ' <br /> (Company Representative) <br /> DESCRJPTION OF WORK PERFORMED (Indicate equipment In warranty worked on,by type and serial number) <br /> Y1� t <br /> LABOR—ONE HOUR MINIMUM <br /> HOURS LABOR <br /> DATE SERVICE TECHNICIAN CODE RATElHOUR AMOUNT <br /> ARRIVED DI-'PARTED LABOR TRAVEL TOTAL <br /> m <br /> am a ..+ <br /> pm pm <br /> 1 <br /> am am <br /> pm pm <br /> am am I <br /> pMA pm i <br /> am am � i <br /> Pm pm i <br /> GAS TECH METER READING SUBTOTAL $ i <br /> I <br /> INITIAL: LEL OXYGEN PPM <br /> MILEAGE ► $ i <br /> AFTER <br /> EXHAUST LEL OXYGEN PPM TOTAL LABOR/MILEAGE ► $ "i' <br /> TERMS OUTSIDE SERVICES - MATERIAL <br /> PART NUM13ER DESCRIPTION QUAN. PRICE AMOUNT <br /> Sometimes one service call does not resolve all specific <br /> problems due to defective equipment or Intermittent <br /> problems not present or which cannot be duplicated <br /> when our Service Technician is at your promises.Some <br /> equipment requires removal on one trip,In-house repair, <br /> and another trip for reinstallation. <br /> Charges will be made for each service call at rates in <br /> effect at time of service.We,therefore.cannot warrant <br /> solutions to all problems on one service call. <br /> Time"Arrived"and time"Departed"recorded by our <br /> Service Technician will be the guideline used in recor- <br /> dation of repair time and charges.It is the customer's <br /> responsibilty to audit and verify times recorded on the <br /> invoice by our Service Technician while he is on your <br /> premises.We cannot and Will not atter anytime charges <br /> billed after our Service Technician has left your �. <br /> premises. <br /> REMARKS SUBTOTAL ► $ <br /> �j { I understand and accept MARKUP ► $ i <br /> J 1 � all terms and <br /> conditions as outlined TAX (IF APPLICABLE) ► $ <br /> TOTALMATERIAL ► $ <br /> 5 Dealer/ a ger/Attendant TOTAL INVOICE $ j <br /> nav ov rwr""If-lC—ToiiMC NFT 4f] DAYS PAST DUE ACCOUNTS SUBJECT TO 11/2%PER MONTH <br />