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CITY PART# DESCRIPTION AMOUNT <br /> �O LD COAST J <br /> %J' <br /> a <br /> t-lf=-r TRUCKS, NC. CONTACT PERSON: <br /> JFU 3'r I'l <br /> 6asirzri FORKLIFT SERVICE, SALES, RENTALS & PARTS <br /> 335-5 E.Wetmore-61reet Manteca,California 95337 CONTACT PERSON'S <br /> 4i' ?A 15 INICL h AJ� P KOMAVSU 0ffIce3(888)456-0694-Fax#-(209)249-5454 <br /> F.1%icl 1$4 1 Dzil, F-_1I: 1F.f Authorized Dealer WWW.GOLDCOASTLIFTTFIUCKS.COM <br /> Name Date 11; <br /> TROUBLE REPORTED113Y CUSTOMER: <br /> Address P.O.# <br /> W <br /> city Phone <br /> MakeaiMod—el <br /> HOURS: <br /> SMI.D. Mechanic <br /> -3, A-41. <br /> G <br /> DESCRIPTION <br /> IQ 93 P_(°k 't�r I r".a,t e <br /> McUto' .8-m pr>x.j -orta-ir.-I piq <br /> 'r e.C[ AJF-(.O AreLiAJ 10":� <br /> _ tom <br /> r. <br /> LABOR • <br /> PARTS <br /> FREIGHT <br /> I(buyer)hereby authorize the above repair work to be done along with the necessary material and hereby grant <br /> you (seller)and your employees permission to operate the equipment herein described an streets,highways or OUTSIDE <br /> elsewhere for the purpose of testing and/or inspection. I also acknowledge that all parts, equipment attach- <br /> ments and/or equipment purchased remains in Me seller's title until paid in full.Seller has the right to reclaim all LABOR <br /> parts, equipment attachments and/or equipment pay for them within the sellers terms <br /> stated on invoices. Buyer is to pay s I "reasonable collection costs-'arid fees, Including but not limited to <br /> attorney's fees. <br /> TAX <br /> work orized by sig atur* <br /> TOTAL <br /> Please Print Full Name and Title% <br />