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3887 N.Valentine Ave.* Fresno, CA 93722 *(559)444.1730 l U l a b l e <br /> License No. 779267* AN EMPLOYEE OWNED COMPANY ����ry �IOJ�rr. <br /> Please Visit Our Webslte: www.1cservices,com <br /> pE7ROLEUM MAINTEAIANCECO. E= Not Billable <br /> p,.. . FRESNO,CA <br /> Bid Joro <br /> Name: � � <br /> �- A SR N° 148077 <br /> Service <br /> Address. a 5W I Amd- Date: 1I1S It-y <br /> City: Fs sti.lai.i zip: Phone: Work Order# F <br /> Dispenser Make Cust.P.O# 61 z`! 3/6 <br /> Dispenser Model: <br /> Close Conilr.# � <br /> Dispenser Serial #: <br /> Purchase Order# <br /> Pump Test: Gallons: Dollar Amt: <br /> Description of Work Performed <br /> -Z <br /> Si nature & Date I, give authorization to LC Services <br /> GlilB✓� I 1 IS 12-S Print Name <br /> Vne w]Ee respwnHhr aIIfi.00 pekkeepNg leellmnbr to run my credit card as form of payment. <br /> az�+alHasegrzdiea Pad pNYlaMutlMa 5oJe sir Eeumrcrad <br /> b WumanYa Ueknre NlAHa9reannnt�Ineprevygw9 tYihae OeeMiikebreammaYe NlmkY'ikesvGtlx GiWld h&�kn <br /> irar u.b(Yaamurtr)orrr.vbcoaan�Nr=neretrygaMmrye N Card#• <br /> aszua mrinvadRybNGm'our fltaMlaloWpaLNn bNtsaq�p��aitiyua Na Nftlbwi�yanpbyiwdwnnaaeAlrryMb • <br /> Nee eram cerewbab Card Type: Billing Zip: <br /> IliDy�pwmbs � e. YWraSce,alTMrascAe,.bmxalmWsEYP`ereIltMe ire <br /> „ma I,I emearas.�aar�bllalwaemappaoH.amr, Exp Date: / ! 3D1git Security Code: <br /> Urksaoben'iae IXdxalg DYIa�N No aefar(LC aenkesi raebY��ilyAxHMial Vreeanlbs,einxeiWesa<datYn{d:e,Mudee Name on Card: <br /> rnY Mpleexaaanrydmertnribhaltyol Mess fora paNOWW <br /> brparyr 50YbameRonxNlneasbof aeitl prAizla mobs,vticeap'assuaeamraNgiIIes arygwp�wnbanune <br /> WorkAuthorized by Date <br /> Signature <br /> A 3%CONVENIENCE FEE WILL BE APPLIEDTO ALL CREDIT CARDTRANSACTIONS <br /> Qty Part No. Inv. Description & SIN Each Amount <br /> Loc# <br /> Worker Date Depart Arrive Depart Stop O/T <br /> t/ I I LS I I S 2 f 15 Total Labor <br /> Total Parts <br /> Mileage <br /> Travel <br /> Freigbt <br /> Sales Tax <br /> TotalAmount <br />