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® SERVICE/REPAIR AUTHORIZATION <br /> fMMAnK-TO..WRVICE <br /> CALIFORNIA CONTRACTOR LICENSE 309105 C-61,SA <br /> •E 606-820 N.UNION ST.STOCKTON.CALIF.95205 - <br /> P.O.BOX 508 STOCKTON,CALIF.95201 <br /> PHONE 209/464-8333 TAX I.D.894-1573741 _ <br /> SALES .- SERVICE . INSTALLATION OF PETROLEUM DISPENSING LUBRICATION!INDUSTRIAL SERVICE EQUIPMENT <br /> P.O. Ji 6�� o(O DATE <br /> AUTHORIZING NAME <br /> COMPANY NAME <br /> BUSINESS ADUHIzSS ST. <br /> LOCATION 3 ® '! <br /> CITY ZIP J PHONE <br /> � (} ! a <br /> 4 <br /> 44IV f <br /> a� <br /> IVY <br /> i HEREBYAUTHORiZE THE REPAIR/SERVICE WORKTO BE DONE By STOCKTON SERVICESTATION EQUIPMENT COMPANY <br /> INC-AP DESCRIBED ABOVE ON THE EQUIPMENT NAMED HEREON.ALL REPAIR PARTS ARE TO`SE BILLED AT MPAN. <br /> REGULAR PRICES.0 AGREE TO PAY CASH FOR SUCH REPAIR PARTS AND LABOR ON DELIVERY OF EQUIPMENT OR ON <br /> TERMS SATISFACTORY TO S.S.S.E.AND UNTIL PAID IN FULL ANY UNPAID BALANCES SHALL CONSTITUTE A LIEN ON THIS <br /> EQUIPMENT.i FURTHER AGREE THAT S.$.S.E.WILL NOT BE HELD RESPONSIBLE FOR LOSS OR DAMAGE TO SAID ` <br /> EQUIPMENT FROM FIRE,THEFT OR OTHER CAUSES BEYOND S.S.S.E'S.CONTROL. <br /> I iAGREETO'BE-INVOICEDANDWILL$ESU <br /> ECT TO TERMS. _ •�-••-.-.r�^^� <br /> Sia <br /> RIZ (GNAT TITLE ""- ` <br /> RM OFFICE COPY <br />