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0 <br />Elite IV CpntractOrs <br />2535 Wigwam Dr. <br />Stockton, CA. 96205 <br />r�P>;ACE IN SERVICE NOTICE <br />Vk <br />0 <br />Phone: (209) 461-6337 <br />Fac: (249) 461-6342 <br />P.©.# /Work Order# Zr <br />NOTICE DF SALE, LEASE, LOAN <br />BateService Agency Registration No. <br />11� f p� 2278 <br />I nr AgnnN nxp -nvv rrV. <br />Name of CWstomer <br />4c6 i <br />Address <br />�L� <br />-zW.os <br />City <br />zip <br />wvrrIIms'-* no UP ACYTQnvr- nVVTrW4Z PEACV.11 YN RFRVI", <br />Manufacmim <br />Mo" Number <br />Sedal Number <br />Device Type <br />Gert- of Cont. No. <br />(if device is new <br />and markets) <br />Capacity <br />Our of Order <br />')fig Number <br />Device <br />Location <br />�t ! ����� <br />.� �� <br />���� <br />airs <br />-�° <br />-- <br />�-- <br />��►.�,� <br />1lPinwl1.3: 4� i4"`�.� � �/!/Yi (,� ��j� {i+• � 4+'� �!'� <br />Tags enclosed if applicable <br />U Yes © No (if ito explain in remarks) <br />Date placed in service <br />45 / t j ! / <br />Date this notice was: ❑Mailed <br />❑ Faxed <br />Print Name of Service +Agent <br />61C.. 04C Lr6e%1 <br />Signature of Service Agent <br />f je <br />Service Agent's License No, <br />5/9 <br />L!L d OIQW00 031503 " 0£:Z4 6b-80-6002 <br />