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a <br /> SERVICE/REPA'- A VTHORIZATION j <br /> G°Q5P0Oa q X00�IIGJGe d <br /> CALIFORNIA CONTRACTOR LICENSE M105 C-61,SA <br /> I 80&820 N.UNION ST.STOCKTON.CALIF.95205 <br /> P.O.Box 508 STOCKTON,CALIF.55201 <br /> I PHONE 209/iW-BJJJ <br /> I <br /> SALES . SERVICE . INSTALLATION OF PETROLEUM DISPENSING LUBRICATION&INDUSTRIAL SERVICE EQUIPMENT <br /> P.O.# DATE <br /> AUTHORIZING NAME COMPANY NAME <br /> BUSINESS ADDRESS ST. <br /> I. LOCATION <br /> kr CITY ZIP PHONE <br /> 1 JJ <br /> t AUTHORIZED REPAIR OF THE FOLLOWING EOUIPMENT <br /> d <br /> ,-0, <br /> fff <br /> k G� ��9y ro ,v <br /> HEREBY AUTHORIZE THE REPAIRISERVICE WORK TO BE DONE BY STOCKTON SERVICE STATION EOUIPMENTCOMPANY <br /> E NC AS DESCRIBED ABOVE ON THE EQUIPMENT NAMED HEREON.ALL REPAIR PARTS ARE TO BE BILLED AT SS.S.E. <br /> REGULAR PRICES,I AGREE TO PAY CASH FOR SUCH REPAIR PARTS AND LABOR ON DELIVERY OF EQUIPMENT OR ON <br /> EQU PM NT. I FURTHER AGR E THAT S STS E.AID WILL NOT BE HELDTERMS SATISFACTORY TO S S S.E.AND IN FULLANYAID RESPONSIBLEBALANCESSHALL FOR LOSS ORUDAMAGE THISA LIENTE N <br /> EQUIPMENT FROM FIRE,THEFT OR OTHER CAUSES BEYOND S.S.S.E'S CONTROL. <br /> ( I AGREE TO BE INVOICED AND WILL BE SUBJECT TO TERMS, <br /> I AUTHORIZED SIGNATURE <br /> _ TITLE <br /> X r Nf: fe j " �� I <br /> FORM#0015 <br /> CUSTOMER COPY <br />