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n BANKS & CO. <br />Pump Test Receipt 22238 <br />License No. 383550 <br />PRODUC"IS 2403 E. BELMONT - FRESNO, CA 93701 <br />AYMRMONEY BEFOREMONEY (209) 485-3456 <br />DATE: <br />AFfT-.R GALLONS BEFORE GALLONS NAME <br />T9CAL GALLONS PUMPED ADDRESS TIME: <br />ALL FMI RETURNED TO SI)ORAGETANK <br />ILI <br />Z— CUST. ORDER: <br />Ta lniciansSignattlre a PHONEt <br />SERIALNUMBER Work Ordered By: <br />RO <br />F_f <br />D <br />.R <br />UM <br />NE _JE <br />ONS <br />ANK <br />OFLD4X' <br />Ell 0 [Illei kilt %L TTMpj mv <br />7' <br />Cyt <br />100, <br />r I DESCRIPTION OF WORK PERFORMED <br />17, 17 <br />—e <br />ij <br />4 <br />If- <br />LL) <br />—4 <br />CL <br />7717�/F <br />v �Ztrt <br />Z <br />--,-,T',,7T0TAI. PARTS,— <br />U.1— othwi-- pro,i" b)- law, the sdl" (H gala A' 7.) bereby uprc�- dil.iraz 6%] --ti� CiLb-( <br />VERI FICA�Qt�4,�PF-hYC.FR'Ul�-Y]iQL)?,-SfMAT-EMALS Sl IOWN ARECORRECT <br />IUTAL LAWR <br />caprcued cc implied, I a cJudi a g any itaplitJ wamM Of scmb"t3b I irY Jr FiLncw fCl & panic a hr PUrp"Ac, and <br />neither luoaccx cot -lbortz" any c4w P-16 to somucc. (" it "y liabili ry in "a—lion wiih (be .> Jt ct <br />IUIAL PARIS <br />taid p -Lim <br />Verified By oate <br />TIME AND LABOR RECORD <br />7, <br />MILEAGEEAGE <br />Z/9 <br />TRAVEL WORK '* <br />DEPART ARRIVE <br />WORKER I)ATF- QFPj <br />START STOP Imp's RATE <br />COST <br />-- ; <br />U <br />S SUBLEF <br />u B L FE -17T <br />7) <br />:io <br />Jr <br />AMOUNT <br />TOTAIL <br />