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RELIABLE PETROLEUM SSERVIlCEScense #I NC . <br />11930 Horseshoe Road* Ph:(209)84S-8586, <br />RE �c VEST FORM <br />A S rA} f A `/ t kl F. ✓tdj wo #: �, Date: <br />Site: fi �o� (1A �' S � 12 P.O. i11P.+� j <br />Address./1010? �. A/W 9q -I` c- k <br />`a Phone: �r / <br />Client: t'S, ! aX n n - Ccs, , c % vF s�, r re^ r. f ' <br />Service Requested: <br />Description of Work Performed: <br />{ D f/ cM <br />'... l.;i, ,.�1��3i CI ♦...` Q. '% Yl.! � i�1 ^ 'L �(�r • ' I � \ 5 1 <br />a r <br />ries 4 . T?_P—O-J#.C� a <br />AL)r S - c - <br />!, • J� �. �I�' 1` 1 -c. .t� .f� r va. <br />" <br />c C C-tS <br />rLc+ , y. .J %! rt <br />t - <br />r 113 CA 4:. o <br />1 T/ _ .4 <br />Work Preformed by <br />Guadalupe Sanchez <br />Robert <br />Arrival Departure <br />Time I Time <br />lw.-r A , •t. It <br />Labor Travel <br />Hours I Hours <br />Total Hours <br />I HAVE THE AUTHORITY TO ORDER THE WORK, WHICH HAS BEEN SATISFACTORILY PERFORMED, AS OUTLINED ABOVE IT IS AGREED THAT THE <br />SELLER WILL RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL THAT MAY BE FURMSHED 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 />RESULTING FROMT�REMOVAL THERFO . <br />Customer <br />Date <br />Print Name <br />TERMSt 30 DAYS NET. A FINANCE CHARGE OF 301c PER MONTH WILL BE C14ARGED 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 />E`d ZZi,£89t,:D1 8€99TE6602T NOW3H9 U0M]0W:WQZI� tti ST TT08-IT-83A <br />