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SERVICE/REPAIR AUTHORIZATION <br /> cojv- <br /> o ! <br /> CALIFORNIA CONTRACTOR LICENSE 309105 C-61.SA <br /> 808-820 N.UNION ST.STOCKTON,CALIF.95205 - �"' L•. <br /> P.U.BOX 508 STOCKTON,CALIF.95201 •`i 1 "{� 1 } <br /> I%PtIONF209/464-8333 TAX LD.494-1573741 �� �� �•.,,:,.. �� <br /> SALES . SERVICE INSTALLATION OF PETROLEUM DISPENSING . LUBRICATION&INDUSTRIAL SERVICE EQUIPMENT <br /> P.O.#//i j DATE <br /> AUTHORIZING NAME COMPANY NAME <br /> BUSINESS ADDRESS ST. <br /> LOCATION <br /> CITY ZIP PHONE <br /> l 4, <br /> 71 1177777i <br /> 115ORIZED REPAIR OF THE FOLLOWING EQUIPMENT <br /> c-- \< .� r�.i� or VN <br /> - <br /> .,. <br /> �. <br /> C_ <br /> d�: 1 <br /> " <br /> JHMOYAUTHOAIZETHEREPAIR/SERVICE WORK TO BE DONE BYSTOCKTON SERVICE STATION EOUIPMENTC ANY <br /> AS DESCRIBED VE ON THE EOUIPMENT NAMED HEREON.ALL REPAIR PARTS ARE TO BE BILLED AT S.S.S.E. <br /> OULAR PRICES.I AGREE TO PAY CASH FOR SUCH REPAIR PARTS AND LABOR ON DELIVERY OF EQUIPMENT OR ON , <br /> 'PERMS SATISFACTORY TO S.S.S.E.AND UNTIL PAID IN FULL ANY UNPAID BALANCES SHALL CONSTITUTE A LIEN ON THIS <br /> EQUIPMENT.I FURTH AGREE THAT S.S.S.E.WILL NOT BE HELD RESPONSIBLE FOR LOSS OR DAMAGE TO SAID <br /> EQUIPMENT FROM11F E. HEFT OR OTHER CAUSES BEYOND S.S.S.E'S CONTROL. <br /> 1 AGREE TO BE IN IC AND WILL BE SUBJECT TO TERMS. <br /> UT ED SIG RE TITLE _ <br /> R`r' <br /> p <br /> ,/ +9 <br /> FORM#0015 CUSTOMER COPY <br />