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..., <br /> Billable <br /> SERVICE REPORT EM Factory rr. <br /> w.> IZEUM MAMTEWAACECO. Maintenance <br /> PRE5l .G" 1=1 Not Billable <br /> (559) 1730 st Fan:(559) -1735 3867 N.Valentine Ave.* Fresno,CA 93722 * License No.779267 Bid .lob <br /> / Please Visit our Website: www.Icservices.com <br /> Name:_ # <br /> N 0- 99808 <br /> Service <br /> Address: c1 ® ,f',�,� 10-16-17 <br /> ®ate: <br /> City:_ A67 S Zip: Phone: Work Order# <br /> Dispenser Make <br /> Cust.Order# <br /> Dispenser Model: <br /> Close Conflr.# <br /> Dispenser Serial : <br /> Parts Order# <br /> Pump Test:Gallons: DoliarAmt: <br /> ascription of Work Performed <br /> DATE COMPLETE_/2--(2— 17 t, give authorization to LC Servic <br /> yarpr �,®gym tea ® Print Name <br /> to run m <br /> y credit card as form of payment. <br /> �� a ma�ar��mn � sm�,r anmrermdsm <br /> Card e. <br /> a TYP Card#: Billing Zap: <br /> Exp Date: / / Security Code: <br /> OW 8MM&ORIN WOW",0 ruyimM pwMq r mid Mwjw.. <br /> Name on Card: <br /> by .ft (LC &ndwar .mP.m <br /> �7 •mama,d r1 �e ,m9 ra mryr4sa ffi <br /> Work Authorized by Date <br /> �ff <br /> MY <br /> Part No. Inv. Description&SIN Each Amount <br /> Lac# <br /> Worker Date De art Arrive De art Stn /T <br /> r Total Labor <br /> Total Parts <br /> Mileage <br /> Travel <br /> Sates Tax <br /> I Total Amount { <br /> I <br />