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f ---- I= Billable <br /> SERVICE REPORT >o Factory Warr. <br /> IC7 Maintenance <br /> of MAIAIWENAFco k S I[= Not Billable <br /> FRESNO,CA Ip Bid J o b <br /> (559)444.1730 * Fax:(559)444.1735 3887 N.Valentine Ave, Fresno.CA 93722 Llcense No.779267 j <br /> Please Visit our Webslte: www.icservices.com N® 98097 <br /> JS�EES <br /> Name: NTEGA # <br /> � <br /> Service n <br /> Address: I k �� � _ cite: 47, <br /> I <br /> City:_ C Zip:___Phone: work order= <br /> Dispenser Make, cuel�order t+ <br /> Dispenser Model: close Confit. i <br /> Dispenser Serial#: ----- Puts order a <br /> i <br /> r <br /> Pump Test: Gallons: Dollar Amt: <br /> i <br /> Description of Work Performed <br /> r j <br /> LA <br /> 1 i <br /> DATE COMPLETE _ ►,_ ___ ive orizat ion to LC Services <br /> Print Name <br /> to run my credit card as form of payment. 1 <br /> udr+d,NnrponCtiN e17300 Cao4�+YM da�w avew+lh guyed beVid dry ld m7ecbn�FIwU UXb°remree: j <br /> brrlaaa.yd►.,rmrol Nr aQwnertfr ysnlhpteq rn�t»rn6ledbrr.w�rottrVirrfr Orr rndMJcnNywi<tan n BilliZi <br /> r5dprhaa✓oengl vFrweCw[y Pnr Mn:ypeibraua a+d arW+n Mrid:bnftlrmPNN'yX°r"^r° 1°�b Card Type; Card i<f: & P:__ I <br /> nwarryCae aDlat°rd/d �ekaxlrteDiprmaf'.a arevnnN I <br /> Exp DRte:---r / Security Code: <br /> Ucor�err+utonhpAenelrnruawry.YerFW i+°+rbn bfw a9n,apv rtt�r,bcoN�t aroM lr 4'a^t MWrn --- <br /> inrrNrOL.au a nwGre dnfve 4 aN'db,•rr.urpd ny M bA pv,td.,p♦ana fid 9M'+w.+Or. <br /> NRrrle On Card: ! <br /> i <br /> UrM,+ofnnlx I�'1 h la,M rrra pt,ntieq IrrbY r+Ped/EWe"w rl rnr•te.,M}�n rrprrrrda a,p ed hdu3ry <br /> mare+errnr+denecrnulBrydfrwrbrfatoJ wP>».rd^1e.srn.,roruaaar7eea7dN+b„wr Work Authorized by WRte <br /> bnw,rl+dpha�wcbw.i<+tirn.Nridladwt, Print Name <br /> Qty Pert No. Inv, Description&SIN Each Amount <br /> Loc# <br /> i <br /> IF <br /> i <br /> I <br /> i <br /> Worker Date De art Arrive De act stop Orr <br /> Total Labor <br /> Total Parts i <br /> Mileage <br /> i <br /> Travel <br /> I <br /> Sales Tax <br /> Total Amount <br /> I <br /> .i <br />