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SERVICE/REPAIR AUTHORIZATION <br /> MCK'Cm <br /> OW00a[EQUOPHIEH4 COoflO ICC, <br /> CALIFORNIA CONTRACTOR LICENSE 309105 A-C61/040 HAZ <br /> 808 N.UNION ST.STOCKTON,CALIF.95205 <br /> P.O.BOX 508 STOCKTON,CALIF.95201 <br /> PHONE 209/464-8333 <br /> SALES SERVICE INSTALLATION OF PETROLEUM DISPENSING LUBRICATION g INDUSTRIAL SERVICE EQUIPMENT <br /> DATE <br /> P.O.# L <br /> ^i AUTHORIZING NAME 1$ COMPANY NAME ,y(' <br /> r I !�ia f �.. )� L �f.�i J E � I i�•,. !�•:i"1. t �t'(,• �I F" <br /> ADDRESS ST. <br /> BUSINESS <br /> LOCATION <br /> CITY ZIP PHONE <br /> AUTHORIZED REPAIR OF THE FOLLOWING EQUIPMENT <br /> t <br /> I <br /> I HEREBY AUTHORIZE 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 FULLANY UNPAID BALANCES SHALL CONSTITUTE A LIEN ON THIS <br /> EQUIPMENT.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 /> /i UTHORIZED S!pNAyTURE' TITLE <br /> FORM S 0015 CUSTOMER COPY <br /> r <br />