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SACRAMENTO EQUIPMENT MAINTENA•COMPANY,INC. • (916-925-2716)(916-925-2816 fax) <br /> Connie Drive <br /> Sacramento, <br /> CA Contractors'License#502377 <br /> Sacramento,CA 95815-2809 Federal ID#68-0110167 <br /> Customer Job Location wo#116044-1 Work Order# 114®4 4 <br /> 7 -Eleven,lnc. 7-Eleven#32190 f1 Chevron#301647 <br /> %Jeff Simonson 4943 South State Route 99 @ Arch Road Date Received: <br /> 04-19-04 15:50 <br /> 2339 Gold Meadow Way#101 Stockton,CA 95602 Contact: Gaty(t177/11 <br /> Gold River,CA 95670 209-939-0679 Customer PO# 0404192677 <br /> 800-828-0711 <br /> Station# 2235132190/3016 <br /> Work to be Performed: Do not ramdve:VBritone Baby/Chavfon oxtanded contratY ieali BAN Support)(off active 07l23703? <br /> Do not remove:HD 800-987-0711 # National Gas/Chadene Worley(fD 214-828-?939 <br /> PII-Pump water out of vnp or box <br /> Work Perormed: FQm cae� Mfg Mwd se.� <br /> 7 ti n . , a <br /> `f <br /> Partdmg Ptoblctns: <br /> Qq' PartM Mfg Dew Ncw SerW# Cove Pang Com S—W# EQ ID Fault Co" Ac�nn <br /> 50n Sde1`n le Store Stamp&Signature <br /> 1. <br /> �, 'S Arrival nep:uturc <br /> Office Use Only. <br /> Signa ! //Print Name: <br /> 1 �ll <br /> Subject to and conditions on back hereof. <br /> Data Entered? Notice:A Finance Charge of 1 1/2% o <br /> MOB Yes B per month,which is an atmual percentage tate of 18d will be <br /> g <br /> Yes charged on past due accounts over 30 da Contractors are aired <br /> W+M Report Needed?- Yes❑ No ❑ by the Contractor's State License Board.Auce9 concerning 61'law m be licensed and regulated <br /> Monitor Report Needed Yes❑ No ❑ Regt'War of the Board whose address is: Contrctor's State LicenBoard c 83 mayy be referred to the <br /> Job Complete Yes❑ No ❑ 26000,Sacramento,CA 95826 9835 Geothe-P.O.Box <br /> White(Enc)// Blue(Emc Pending) // Green(customer copy) <br />