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low Adbl <br /> s..+..EN....O111111W <br /> RELIABLE PETROLEUM SERVICES, INC. <br /> 11::30 Horseshoe Road* Ph:(209)845-8586, fax(209)845-8953 License #883706 <br /> SERVICE REQUEST FORM <br /> Site: <br /> Address: J h Date: <br /> P.O. <br /> Client: � <br /> Phone: <br /> Service Requested: <br /> Description of Work Performed: <br /> Work Preformed by: Arrival Departure Labor Travel Total Hours <br /> Time Time Hours Hours <br /> Guadalupe Sanchez <br /> Robert Barnhart <br /> I HAVE THE AUTHORITY TO ORDER THE WORK, WHICH HAS BEEN SATISFACTORILY PERFORMED, AS OUTLINED ABOVE IT IS AGREED THAT THE <br /> SELLER WILL RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL THAT MAYBE FURNISHED UNTIL FINAL PAYMENT IS MADE,AND IF SETTLEMENT IS <br /> NOT MADE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO REMOVE SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAMAGES <br /> RESULTING FROM THE REMOVAL THEREOF <br /> Customer Signature <br /> Date <br /> y <br /> Print Name <br /> TERMS:30 DAYS NET. A FINANCE CHARGE OF 3%PER MONTH WILL BE CHARGED ON INVOICES UNPAID 30 DAYS FROM BILLING DATE IN ANY ACTION <br /> NECESSARY TO ENFORCE THIS AGREEMENT. THE BUYER WILL PAY REASONABLE ATTORNEY FEES AND COSTS DETERMINED BY THE COURT. <br /> *RETURN CHECK POLICY *Return Checks will be charged a minimum of$25.00 each <br />