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SERVICE/REPAIR AUTHORIZATION <br /> K.4 y".Iri <br /> RETOUCH' <br /> [EMAP UIOIIIE Y V90ogM <br /> CALIFORNIA CONTRACTOR LICENSE 309105 C-61,SA <br /> 808-820 N.UNION ST.STOCKTON.CALIF.95205 <br /> P.O.BOX 508 STOCKTON,CALIF.95201 <br /> PHONE 209/464-8333 TAX I.D.#94-1573741 <br /> SALES SERVICE INSTALLATION OF PETROLEUM DISPENSING LUBRICATION&INDUSTRIAL SERVICE EQUIPMENT <br /> P.O.# DATE <br /> ` <br /> AUTHORIZING NAME COMPANY NAME <br /> BUSINESS ADDRESS ST. <br /> LOCATION <br /> CITY / ZIP PHONE <br /> E AUTHORIZED REPAIR OF THE FOLLOWING EQUIPMENT <br /> E <br /> i <br /> G 7, 77 <br /> OUTSIDE LABOR <br /> --- - W.O.#_REQ.#_P.O.# -- <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 FULL ANY UNPAID BALANCES SHALL CONSTITUTE A LIEN ON THIS, <br /> EQUIPMENT.1 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 /> I AGREE TO BE INVOICED AND WILL BE SUBJECT TO TERMS. <br /> --- i .. SIGce= - <br /> �AUTH�RI L�CTURE TITLE <br /> FORM#0015 CUSTOMER COPY <br />