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SERVICE/REPAIR AUTHORIZATIO' <br /> o OO �3C�aM(IC�C� <br /> CALIFORNIA CONTRACTOR LICENSE 509105 C$1,SA <br /> 905 450 N.UNION ST.STOCKTON.CALIF.95305 <br /> P.O.BOK 508 STOCKTON,CALIF.95101 - <br /> PHONE 109/191.8131 <br /> SALES • SERVICE • INSTALLATION OF PETROLEUM DISPENSING LUBRICATION&INDUSTRIALSERVICEEOUIPMEM <br /> P.O.# DATE . <br /> AUTHORIZING NAME COMPANY NAME <br /> ILL- <br /> BUSINESS <br /> ADDRESS - �� ST. <br /> LOCATION -J� < <��,. 1- , <br /> CITY IP PHONE <br /> AUTHORIZED REPAIR OF THEPOLLOWING EOUIPMENTLp' <br /> la 11 <br /> iI <br /> Y � 1 U <br /> `` 1989 <br /> VIi2UIVMEI /.-L'HEALTH <br /> _ - HE <br /> I HEREBYAUTHORIZE THE REPAIR/SERVICEWORK TO BE DONE BY STOCKTON SERVICE STATION EQUIPMENTCOMPANYI <br /> INC.AS DESCRIBED ABOVE ON THE EQUIPMENT NAMED HEREON.ALL REPAIR PARTS ARE TO BE BILLED AT S.S.S.E <br /> REGULAR PRICES.I 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.S.E.WILL NOT BE HELD RESPONSIBLE FOR LOSS OR DAMAGE TO SAID 1 <br /> EQUIPMENT FROM FIRE,THEFT OR OTHER CAUSES BEYOND S.S.S.E'S CONTROL <br /> I AGREE TO BE INVOICED AND WILL BE SUBJECT TO TERMS. - <br /> AUTHORIZED S!�NATURE TITLE <br /> FORM 110015 <br /> COPY <br />