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Apr 20 11 12:22p Elite V Contactors 120946 342 <br />Elite IV Contractors <br />2535 Wigwam Dr. <br />Stockton, CA 95205 <br />,PLACE IN SERVICE NOTICE <br />p.1 <br />I 'hone: (209) 461-6337 <br />APR 2 0 2011 Fax: (209)46 ; 3 <br />P.O.# J' ` lbrk Order# <br />t-. <br />Lj NOTICE OF SALE, .LASE, LOAN <br />ocy Registration No. <br />2278 <br />LOCATION OF DEVICE _ _ <br />Name of Customer Address City Zip <br />105 <br />r,L�arr*1 0 Dr A 1 LTi" 714 411 DVTr1l? <br />Manufacturer <br />Model Number <br />Serial Number <br />Device Type <br />Cert. of Conf. No. <br />(if device is new <br />and marked) <br />Cal .city <br />Out of Order <br />Tag Number <br />Device <br />Location <br />Remarks: /T/G G9 /Grp';' <br />Tags enclosed if applicable Date placed in service 13f :this notice was: ❑ Mailed <br />❑ Yes ❑ No (if no explain in remarks) � ' a�� 12, 0 f 11 U xed <br />Print Name of Service Agent <br />Signature of Service Agent <br />& vice A-eelnt's License No. <br />