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. , 3887 N.Valentine Ave.*Fresno,CA 93722 *J559)444.1730 E:::l Billable <br /> 'E= Factory Warr. <br /> 5� <br /> License No.779267*AN EMPLOYEE OWNED COMPANY V�� ES to coo <br /> Please Visit Our Wehslte: www.icservlces.com 10 Not Billable <br /> PETRQLEU,N MAIfVT'EAIANCECO. <br /> FRESNO,CA _.� M Bid J o b <br /> me: Sv SA�P SR N° 138308 <br /> Service O �r AA(r.� <br /> Address:_ �'`� Date: <br /> nA /� <br /> City!Y 1��f l-�(�[� ^Zip: PhDne: WorkOrdera <br /> Dispenser Make rust P.D# <br /> Dispenser Model: Close Confir.# <br /> Dispenser Serial#: Purchase order# <br /> Pump Test: Gallons: DollarAmt: <br /> Description of Work Performed <br /> At <br /> I, give authorization to LC Services <br /> nature&Date Print Name <br /> to run my credit card as form of payment. <br /> tryppemlefn a 575 DD tndJur,:�q!Be r Inpbv mwa u msir-ny b a AYE pYt)'W oo�u4mi.5�o Ynl Et <br /> .rdur dm,= wwtiaew�v�swyra�eaanumm��m�a ry,+�s.�eeer.u}.�orr« Card 4: <br /> slat Oe r you cunryl a Fiesna camr+.u.a naebr grnrn m yw n rryassgnoet'e y�q.uiry empo�ne��a run a aaa rcpa�m <br /> a}w fhb u am w. o bjamn ne s sxee nn r Card Type: filling Z ip: <br /> rwmna mheta a-5.vhv vara wmcson uyua errs.a eau a qwb-4n"tn phone.rareae <br /> u ne.,..—IM d—h wmti a, r g.-yo�64poW js�+monaVo o-ter. Exp pate:`! 1 3 Digit Sernrity Code: <br /> ones cmrxaa tewurg oy law,tr sew RLsamx�i octant erpeasgoisdans sr wananees.eoerau.�seeer mpee.StluQrq Name an Card: <br /> au1'rnded'aaTeray tl vRidiantdb'YY tl SVnf tr a AarS�arNKM1a.entl naMr afl�lr 1 eaf aimenns s'1 eViel pe'&en b aso.x <br /> -Work Aatborixed by Date <br /> Signature <br /> A 3%CONVENIENCE FEE WILL RE APPLIED TO ALLCREDIT CARD TRANSACTIONS <br /> Qty Part No. Inv, Description&SIN Each Amount <br /> Loc# <br /> Worker PAC Depart Arrive Depart Stop OIT <br /> Total Labor <br /> Total Parts <br /> Mileage <br /> Travel <br /> Freight <br /> Sales Tax <br /> Total Amount <br />