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ARCO, Products Company WORK ACv "OWLEDGMENT A G 15 7 8 3 <br /> VENDOR NAME GETTLER-R N INC. DATE: <br /> 6747 SIERRA COU , <br /> ADDRESS FACILITY#: r ©c�0 AUTH#/JOB <br /> CITY CALIFORNIA 94568 LOCATION: 0 Z,/orr� /- � �.��, <br /> STATE, ZIP CODE <br /> SERVICE REQUESTED: �� T. z-, o <br /> J <br /> SERVICES ACTUALLY PERFORMED: <br /> 7 � S6z- S/�o �% T:?L- <br /> r <br /> � J <br /> �� C.�Q oft�i[- S SL�,Jb��t E� -f`o!P (�t�'/7 c� �i�a n�� � ,�.-•s• �,-� S� .� l� G..-�s,.� S <br /> r <br /> PARTS: <br /> NUMBER , <br /> LABOR <br /> PERSONNEL <br /> AW I AM <br /> - _; PM PM <br /> FOR NON-LESSEE/CONTRACT DEALER USE ONLY. FACILITY STAMP <br /> ❑ MAINTENANCE VENDOR (Attach white copy to invoice and mail to technician.) <br /> ❑ LIGHTING <br /> ❑ LANDSCAPING/ FLOOR/PEST CONTROL VENDOR <br /> ❑ FIXED COST (Dispensers, General Contractor, Signage) <br /> TOTAL <br /> PRINTED NAME OF DEALER V <br /> OR STORE MANAGER/EMPLOYEE: DATE: <br /> SIGNATURE OF DEALER <br /> OR STORE MANAGER/EMPLOYEE: <br /> SIGNATURE OF DEALER (OR STORE MANAGER) DOES NOT OBLIGATE DEALER IN ANY WAY, NOR DOES IT SIGNIFY ANY APPROVAL OF WORK <br /> DONE. CONTRACTOR IS RESPONSIBLE FOR FILLING OUT THIS FORM AND OBTAINING SIGNATURE. <br /> APC-3316 (10-95) Distribution: White: - Attach to invoice Canary- Left at location Pink-Vendor's copy <br />