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DEC 05 2002 3:17PM SSSECO 2094648349 p.2 <br />SERVICE/REPAIR AUTHORIZATION10 <br />0 Co� �C�G3�If m <br />WED (Et�(l1JOmmDff CWmQ <br />CALIFORNIA CONTRACTOR LICENSE300105 A-C6'/DQ HAZ <br />We N. UNION ST. STOCKTON. CAUP. "M <br />P.O. BOK SOS STOCKTON. CALIF. $5201 <br />PHONE 2OW4 -5333 <br />5f <br />6 V <br />SALES SERVICE INSTALLATION OF PETROLEUM DISPENSING LUBRICATION A INDUSTRIAL SERVICE EOUIPMENT <br />P.O. I DATE <br />/Z- 3`-o2 <br />AUTHORIZING NAME COMPANY NAME <br />(R.ttc fCs C� rw, <br />BUSINESS ADDRESS ST. <br />DATION <br />CC CITY ZIP PHONE <br />AUTH�RIZ�-0R PAHR.:OFTNE1:0 ._ '"mfFlNEFkT <br />L csg4 l ecJ: i of <br />V. s4,+ -cd �PLLTesNI- k. <br />7" av b t C. S �w f rrJ ( =Fu ! w a`6 f t1•r -�r— <br />I HEREBY AUTHORIZE THE REPAIR/SERVICE WORK TO BE DON E BY STOCKTON_SMICE STATION EQUIPMENT COMPANY <br />IhC. AS DESCRIBED ABOVE ON THE EQUIPMENT NAMED HEREON. ALL REFAtR PAFFTS`ARE TO'BE'BILLE0�AT $:SS.E, <br />REGULAR"PRICES. I AGREE TO PAY CASH FOR SUCH REPAIR 3ARTSAND kA30R_ON DELIVERY OF EQUIPMENT OF: ON <br />TERMS SATISFACTORY TO S.S.S.E. AND UNTIL PAID IN FULL ANY UNPAID SALANCES'SHALL CONSTITUTE A USN ON "HIS <br />EQUIPMENT. I FUR AGREE THAT S.S.S.E WILL NOT BE HELD RESPONSIBLE FOR LOSS OR DAMAGE TO SAID <br />EQUIPMENT FROME, EFT OR OTHER CAUSES BEYOND SS.&.E'S CONTROL <br />I AGREE TO BE INVO D NO WILL BE SU8JEC7 TO TERMS, <br />AMEIGNATURE TITLE <br />X <br />FORM $10015 <br />