Laserfiche WebLink
Elite IV Contractors <br />2535 Wigwam Dr. <br />Stockton, CA. 95205 <br />PLACE IN SERVICE NOTICE <br />10 <br />Phone: (209) 461-6337 <br />Fax: (209) 461-6342 <br />ROX / Work Order# <br />•NOTICE OF SALE, LEASE, LOAN <br />County DateService Agency Registration No. <br />_.T <br />LOCATION 001DEVICE <br />Nun of Customer <br />Address <br />city <br />zip <br />� <br />,•-. ---. <br />Capacity <br />. _ Out of Order <br />U8 Number <br />Device <br />Location <br />UWTr-MWr- AQ WXV A QTTDTW&M r►'VXTrr V0 nr A rW" TXT 01MnXr1r;NW <br />Manufeehuer <br />Mode! Number <br />- - - -- _ -- <br />SerialNumber <br />-- • — -- <br />Device Type <br />Cert. of Conf. Nov^.. <br />(if dovico Is now <br />,•-. ---. <br />Capacity <br />. _ Out of Order <br />U8 Number <br />Device <br />Location <br />and marked) <br />f i •j <br />Remarks: <br />j <br />'legs enclosed if app c�bl <br />Date placed in service <br />bate this notice was: 13 Mailed <br />r3 yes , M No (if no explain in remarks) <br />; <br />�iIli lX 9±axed <br />Print Name of Service Agent <br />Sign tuxe of Service Agent <br />Service Agent's License No. <br />