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SERVICE/REPAI ' THORIZATION <br /> • o o„��[�@3N11i � <br /> CALIFORNIA CONTRACTOR LICENSE 009106 C41,SA <br /> WIS-820 N.UNION ST.STOCNTON,CALIF.95106 <br /> P.O.BOX STOCKTON,CALIF.ISM1 <br /> PHONE 909 11*00 <br /> SALES SERVICE INSTALLATION OF PETROLEUM DISPENSING LUBRICATION&INDUSTRIAL SERVICE EQUIPMENT <br /> DATE <br /> P.O.# } <br /> AUTHORIZING NAME VA ! <br /> ST. <br /> ADDRESS <br /> BUSINESS <br /> LOCATION <br /> CITY ZIP PHONE <br /> 1 <br /> 1 AUTHORIZED REPAIR OF THE FOLLOWING EQUIPMENT <br /> t <br /> Y CJ <br /> - - r <br /> i <br /> IHEREBYESCRIB DA ABOVE <br /> EQUIPMENT <br /> NATO MED NE HERBYSTOCATONSERVICTSTATION BEBIL BILLED <br /> NY <br /> INC.AS DESCRIBED ABOVE ON THE EQUIPMENT NAMED HEREON.ALL REPAIR PARTS ARE TO BE BILLED AT 8.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 SATISFACTOP.Y TO S.S S E AND UNTIL PAID IN FULL ANY U PAID 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 <br /> EQUIPMENT FROM FIRE,THE FT OR OTHER CAUSES BEYOND S.S.S.IFS CO OL <br /> i <br /> I AGREE TO BE INVOICED AND WILL 13 SUBJECT TO TERMS. __ __._�______.__ <br /> AUTHORIZED SIGNATURE T <br /> x <br /> F^P” 0075 <br />