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Billable <br /> SERVICE REPORT [= Factory Warr. <br /> r� r I[= Maintenance aintenance <br /> INTNA )�� ` �_ Not Bil(able® R VOCP -RESJ <br /> t= Bid )Ob <br /> (559)444-1730 * Fax;(559)444.1735 * 3887 N.Valentine Ave.* Fresno,CA 93722 * License No.779267 <br /> Please Visit Our Webslervlcos.com <br /> Name, vc # <br /> Service ��O—Address: Oates <br /> City:_ t Zip: Phone: WorkOrderO <br /> Dispenser Make Cuat.orderrt <br /> Dispenser Model: close Connr.0 <br /> Dispenser Serial M Parts order# <br /> Pump Test: Gallons: Dollar Amt: <br /> Description of Work Performed <br /> 1 S Lc !. <br /> �, \\ <br /> i <br /> DATE OMPL ETE I, give authorization to LC Services <br /> Print Name <br /> �„¢ a,, ,a,tre�pp�yy�p�yy�r�arcmud►aw�¢Ep¢yxdprryklmnGur Maf9wltrmud to run my credit card as form of payment. <br /> b Wd M a M Ww¢d er e�e.¢.�l M f...rt a•V N+e¢uiN�l b iwo,N1¢¢fbr+{a b¢n1 M CoW d fnOnun <br /> Nae.Mtw�+hlarunoc«.�ryM¢r,nrp.abyay..r¢ ti b�+^N�9�F+Nati,¢mau.y�b Card7�pe: Card Billing Zip: <br /> b¢¢¢s er/w�5fyb 10H!¢,fa¢Lime aifpam b N erwr✓t <br /> amau.u+ua�era�d��+tFw.yapumw+b�ar aka.v la+.olpq boxweNra 1,pen.rr.... <br /> Exp Date: security Security Code: <br /> wpm.krbw Name on Card: ' <br /> Ikt¢w Wrni¢P��i e,trr,N rete(tC SY,te�j r+¢til uV�l dodo a eernk�et+¢�►e¢��4�^0 )� <br /> ear F.NN�reJrdnrda'ASOiVdkewbea•>�WP¢o¢.�^�OOn'as^Y jJO°�p°Tr pei►"°"b¢¢�°0 Work Authorized by Date <br /> b1e'N¢�1Twnr¢Do�wli ea¢¢6d¢ed ie0uek ¢fit N.me � <br /> Qty Part No. Inv. Description& SN Each Amount <br /> Loc# <br /> i <br /> Ii <br /> 1 <br /> I <br /> i <br /> i <br /> 3 <br /> i <br /> i <br /> Worker pate Depart Arrive De art Sto O/T Total Labor I <br /> t <br /> TO Parts <br /> Mileage <br /> Travel <br /> I <br /> Sales Tax <br /> Total Amount <br /> I <br />