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'ogiN'able 1G' <br /> SERVICE REPORT It= Factory Warr. <br /> i !D Maintenance <br /> Pf MA1'NTEN�iNGFCO <br /> FRESNO,CA I[= Not Billable <br /> (559)444.1730 �r Fax:(559)444-1735 �k 3887 N.Valentine Ave.* Fresno,CA 93722 * License No,779267 Btd Job <br /> Please Visit Our Website: www.leservices.com ¢ <br /> Name, ��y�SFS M7\IVr�< �P2,q ''{rJ iOOfigS <br /> Address <br /> Address:.- 1131 , t�. ���I �{ j�(�I' <br /> �{ <br /> Data: Q / r�7 <br /> city:.N( �G�-_ Zip: Phone: Work Order# f ILI o)! 3 <br /> 1 <br /> 3 <br /> Dispenser Make cell.Order � <br /> i <br /> Dispenser Model: cio5a confer.a i <br /> i <br /> Dispenser Serial#: <br /> Pails order 0 <br /> Pump Test: Gallons: DollarAmt: <br /> Description of Work Performed <br /> 2Fit f G <br /> JC KET`. A(--S T-4 f 5Q - _ <br /> MELOH OFr (-� <br /> i <br /> l <br /> DATE COMPLETE 1, give authorization to LC Ser <br /> P'In(Nome <br /> n..tiwr.o.,�erb .usroemru,;�fbr� ,aa ally,v db.mrdp.rfroaoe,�.cwo,v,Eeo�..�a to run my credit cord as form of payment. <br /> b rbu ny d M kau d Ph q•✓Mnl M phYrn)d�4'Jed Ee 1N7cd n 3.+wneSle rtrnr/r 4 rs ndt,s Carl G laBdctnn <br /> shYi DO m(yo+twurl v ffts'p Cwh be s k3r0y paY b rc+o+ry n+U•+.l'++rlphi b W Ey nycpnsm n r�,a nretnpo t b <br /> u»sicq�3V.E1gbAy'ttarfp.l�f'1[i�.EfplEvlb�lc7.sTw�l <br /> Card Type: Card ll:- Billing Zip: <br /> pcon+ertalat Eyphw is^a+s,+rl.We peMpmr.k+hnb rA+dW,uln�+sl7.ibarJaU cnUs Cyphora Il Nee re l:+xl)Date:_ / Security Code. <br /> Nre+.'IE:e.YN8rwadM d.roelro{:etL4,.-Mq.—vb,.R"id:,3aiw.ssnc th" ,bx. <br /> Name on Card: <br /> U�Lr f ol�sr.fe<rM3n9 tl�w.Vr seFs'(lC S.iiwr]hr3sEynPsttti daio*s a'rnmks.�!u W�skdn F.W E.i+3.4 np . <br /> .^I e.p+ed••rtviy e(metc'wu0(ryd t7a1 fv.psa toµrµr,.,rd.e Pa assur�.es m.Wo4u am ecr prun p nyny <br /> *r�'*J r+E+MhprneWnKbMc.'�dsadpo+um <br /> Work Authorized by___ Date <br /> Prinl Name i <br /> Qty Part No. Inv, Description SIN Each Amount <br /> Loc# l <br /> O Po 2 <br /> I <br /> e <br /> i <br /> i <br /> I <br /> Worker Dale Depart Arrive Depart Stop 0/T l <br /> Total Labor <br /> Total Parts ' <br /> Mileage <br /> Travel I <br /> Sales Tax i <br /> Total Amount <br /> I <br /> HFAI,TH DEPARTMENT <br />