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\1/ <br /> HEAC1l, <br /> 02 JUN? 2 7 PM ►: 33 <br /> SERVICE/REPAIR AUTHORIZATION <br /> 0O M 202WOC IF <br /> R-08(lolL©MOG°C�C=G�40010 Q <br /> CALIFORNIA CONTRACTOR LICENSE 309105 A-C61/D.0 WII <br /> BOB N.UNION ST.STOCKTON.CALIF.95205 <br /> P.O.BOX SOB STOCKTON.CALIF.85201 <br /> PHONE 309/<fi0-8333 <br /> SALES SERVICE INSTALLATION OF PETROLEUM DISPENSING • LUBRICATION A INDUSTRIAL SERVICE EQUIPMENT <br /> DATE <br /> P.O.# y'ate oz <br /> AUTHORIZING NAME COMPANY NAME <br /> ADDRESS ST. <br /> BUSINESS <br /> LOCATION <br /> CITY ZIP PHONE <br /> AUTHORIZED REPAIR OF THE FOLLOWING EQUIPMENT <br /> �vr n vr,. Ai,. <br /> vin�a+'.. (.�� drG�+r Gl».✓ .r �ivw, <br /> (&,a-" iir45 *rrrt.,c• <br /> P*4vrr►4sl L.CBD. 3- W I T-•rB r �fn- s., u. , <br /> d- 1+,#4 IV ph 'fi - <br /> I HEREBYAUTHORIZE THE REPAIR/SERVICE WORK TO BE DONE BY STOCKTON SERVICE STATION EQUIPMENT COMPANY <br /> INC.AS DESCRIBED ABOVE ON THE EQUIPMENT NAMED HEREON.ALL REPAIR PARTS ARE TO BE BILLED AT S.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 SATISFACTORY TO S.S.S.E.AND UNTIL PAID IN FULL ANY UNPAID BALAN4S SHALL CONSTITUTE ALIEN ON THIS <br /> EQUIPMENT.I FURTHER AGREE THAT SS.S.E.WILL NOT BE HELD RESPONSIBLE FOR LOSS OR DAMAGE TO SAID <br /> EQUIPMENT FROM FIRE,THEFT OR OTHER C USE EYOND S.S.S.E'S CONTROL. <br /> I AGREE TO BE INVOICED AND WILL BE SU 0f�DTERMS. <br /> AU:FHOR12 TITLE <br /> X <br /> OFFICE COPY <br /> FORM 0 D015 <br />