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date <br />JIM THORPE OIL, INC. <br />351 N. Beckman Road <br />P. 0. Box 357 <br />Lodi, CA 95241-0357 <br />Gentlemen: <br />This will acknowledge receipt of one (1) gallon underground <br />storage tank from Jim Thorpe Oil, Inc. <br />This tank is to be used for <br />at my place of business located <br />It is understood and agreed that the Buyer, for himself, his heirs, executors, <br />administrators and assigns, hereby releases, relinquishes and discharges and <br />agrees to idemnify, protect and hold harmless, the Seller, its successors and <br />assigns, of and from any and all claims, demands -and liability for any loss, dam- <br />age, or injury, including death, or other like or different casualty to persons <br />(whether they be third persons, Buyer, or employees of either of the parties <br />hereto) and to property (whether it be that of either of the parties hereto or of <br />third persons), by reason of any leakage, fire or explosion of or from such equip- <br />ment, or by reason of any casualty, whether due to negligence of the Seller or <br />otherwise. <br />In the event of any legal action or litigation to enforce or interpret any <br />terms or conditions of this agreement, it is agreed between the parties that <br />Jim Thorpe Oil, Inc., shall recover from the Buyer on demand Jim Thorpe Oil, Inc's. <br />reasonable attorney's fees and costs incurred in such legal action. <br />Signed <br />Address__— <br />Phone <br />��nu� //QZo AOL <br />