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DIAMOND PETROLEUM SERVICES , INC . <br /> Ph : ( 925 ) 470 - 0803 • Fax : ( 925 ) 238 - 0871 • Lic . # 1005444 <br /> SERVICE REQUEST FARM <br /> Site , t CU fl ` <br /> w. o # ; y 17 -6 <br /> nate: <br /> Address: <br /> Client: .•sJr c Phane: <br /> Service Requested: (�40�1 71 <br /> Description of Work Performed; 2 C< 47 Lot re, t . h • i v <br /> ,� I rl� �i✓ ! � .i -� Q � fl f .R.r ltc+ G h c��/U •? 1 t 4ej <br /> a 7 :� /J,� act# 1// + �C� 1� 0ieyLf <br /> fkj / toe Ct 4F f—7 G� tej _ L' t/ Le C r�- P � ?Yo _'C. a.,n ,� , •L '� 4 � ./ A A, -1 72"t <br /> 21 / <br /> / ° ✓ 1,1/ oryltt n, lob lei.,•A ( Piir_' C • rt1 <br /> � � �..�.; � e , � Ot,• .,,C� 7`1' 1 � �- , � >/uHJ , ,/1, �.+ �ir ; (� � :' J ' • ft.C_. �d7L' r� �`, <br /> /�L t t} g lr ✓ _�!�[; �. ^. 2 f"!cr �-- - ���� v (a j:2 r/4< < � <br /> fig [ ( S41 i t 7tt w // f C -L /�!'c !((J [ c �. c r_Lr�%i< .( <br /> ' LAJ re• re e (+ p )4 Je 6".[ ✓ lr�' [ i / T : C I f 1 tt' J' T <br /> e,l .r AvIeA /I olatj /. <br /> p / Lg' " fA•`� ! Y 2 ��� �' �� O y _ ( v �L.- rte 4 ..: •^..� rnrr' <br /> p 3 � ti11� � t�• �+�� � 4'l7s <br /> Work Preformed by: Arrival Departure Labor Travel Total Hours <br /> Time Time Hours Hours <br /> Guadalupe Sanchez <br /> 1 HAVE THE AUTHORITY TO ORDER THE WORK, WHICH HAS BEEN SATISFACTORILY PERFORMED, AS OUTLINED ABOVE IT 15 AGREED THAT THE <br /> SELLER WILL RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL THAT MAYBE FURNISHED UNTIL FINAL PAYMENT IS MADE, AND IF SETTLEMENT IS <br /> NOT MADE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO REMOVE SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAMAGES <br /> I RESULTING FROM THE REMOVAL THEREOF. / <br /> Customer Signature Date <br /> Print Name <br /> TERMS; 30 DAYS HET. A FINANCE CHARGE OF 30/a PER MONTH WILL BE CHARGED ON INVOICES UNPAID 30 DAYS FROM BILLING DATE IN ANY ACTION <br /> NECESSARY TO ENFORCE THIS AGREEMENT. THE BUYER WILL PAY REASONABLE ATTORNEY FEES AND COSTS DETERMINED BY THE COURT. <br /> * RETURN CHECK POLICY * Return Checks will be charged a minimum of $ 25 .00 each <br /> i <br />