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Billable <br /> MN=M SERVICE REPORT I[= Factory Warr. <br /> Maintenance <br /> PETROLEUMFRESNO,C�i1NANCE CO. IQ Not Billable <br /> (559)444.1730 * Fax:(559)444.1735 * 3887 N.Valentine Ave.* Fresno,CA 93722 * License No.779267 <br /> � Bid Job <br /> Please Visit Our Website: www.Icservices.com <br /> Name: �� 4 �5 h- t\�/ 1��Z� # N'-- 100695 <br /> Aervice <br /> ddress: 3j,(l_ L_I\I �( UigDat / G j <br /> Date: ! —/ / ! <br /> City: MECO , Zip: Phone: Work Order I <br /> Dispenser Make Cust.Order I <br /> Dispenser Model: Close Confir.r <br /> Dispenser Serial#: Parts Order <br /> Pump Test: Gallons: Dollar Amt: <br /> Description of Work Performed <br /> P'orfi ' 2 . i _ C <br /> _ S r= '� — <br /> !21 37 t'i (D <br /> DATE COMPLETE I, give authorization to LC Sery <br /> Print Name <br /> IMS e,e a rseponab:e fa.575.00 Dooebeepmp lea d myloa art7un1�,asvgivd to a thyd perry M cdleceonf Should evil wmmenced to run my credit card as form of payment. <br /> to 111erry of the leans of this p-1.me prmrRnp party Shall be entified a reasonable III hes end the Cart of W%idnn <br /> 0811 be in(you Coun:y)a Fresno County&e hereby gsl L^you a any assgnm the flf;N to verity empoymenl a Nn a-dit report N <br /> ­.myloa abhty to WIN yl— obbgab.b this egeamem Card Type: Card#: Billing Zip: <br /> If Commumoabon by phone IS raassary.Vre genl pill i'S n b yds ol&e,a you a gs.to=!XI maws by phare HVre ee Exp Date: —Security Security Code: <br /> unMedaac and Is remdnp dery is operable.a meuape may w hf!pov diq a name and ph—number <br /> Name on Card: <br /> Wass all,"se pa.&if bylaw,Val seller SLC Sewall)haebyespeuty dsdame of we—be,,aRha eapresseda rmpied,"Iu66,q <br /> arty enybed warenty of merchentabdrt,•d beass b epabWw Purpose,",ePa assumes na eubwua any core pemn b asesma <br /> to it arty liability in m�aon MN his sale d sad poducts Work Authorized by Date <br /> Print Name <br /> Qty Part No. Inv. Description &S/N Each Amount <br /> Loc# <br /> t2.� O PO IZ <br /> Worker Date Depart Arrive Depart Stop _ O/T <br /> 501 — V — — + Total Labor <br /> Total Parts <br /> Mileage <br /> Travel <br /> Sales Tax <br /> Total Amount <br />