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�SERVICE/REPAIR AUTHORIZATION (;U'3 0 1989 <br /> TioN0&8=Co,M <br /> CALIFORNIA CONTRACTOR LICENSE RICIN CH,V <br /> 101-110 N.UNION ST.STOCKTON.CALIF. <br /> 16165 <br /> P.O.BOX 501 STOCKTON,CALIF.M l <br /> PHONE 10 W_BSO <br /> SALES SERVICE INSTALLATION OF PETROLEUM DISPENSING . LUBRICATIONS INDUSTRIAL SERVICE EQUIPMENT <br /> P.O.# DATE <br /> AUTHORIZING NAMECOMPANY NAME <br /> C,q S 612 <br /> BUSINESS ADDRESS ST. <br /> LOCATION <br /> CITY ZIP PHONE <br /> to i- /C <br /> AUTHORIZED REPAIR OF THE FOLLOWING EOUIPMENT <br /> / -!i <br /> { F/ <br /> y <br /> vwz re-.9 <br /> l <br /> 4 <br /> G I <br /> 777; <br /> 1 HEREBY AUTHORIZE THE REPAIR/SERVICE WORK TO BE DONE BY STOCKTON SERVICE STATION EQUIPMENT COMPANY <br /> INC.AS DESCRIBED ABOVE ON THE EOUIPMENT NAMED HEREON.ALL REPAIR PARTS ARE TO BE BILLED AT S.S.S.E <br /> REGULAR PRICES.1 AGREE TO PAY CASH FOR SUCH REPAIR PARTS AND LABOR ON DELIVERY OF EQUIPMENT OR ON <br /> TERMS SATISFACTORY TO S.S.S.E.AND UNTIL PAID IN FULL ANY UNPAID BALANCES SHALL CONSTITUTE A LIEN ON THIS <br /> EOUIPMENT. I FURTHER AGREE THAT S.S.S.E.WILL NOT BE HELD RESPONSIBLE FOR LOSS OR DAMAGE TO SAID <br /> EQUIPMENT FROM FIRE,THEFT OR OTHER CAUSES BEYOND S.S.S.E'S CONTROL <br /> 1 AGREE TO BE INVOICED AND WILL BE SUBJECT TO TERMS. <br /> AUT,HOWED SIGNATURE TITLE 1 <br /> X (n�lt % 1 i Jn. . �1�_ S ,oma �5✓im„� j <br /> FORM 10015 <br /> CUSTOMER COPY <br />