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Billable <br />JILT&Ar SERVICE REPORT me: Et Factory Warr. <br />low <br />Q -E, ' .r�' <br />E--3Maintenance <br />1=1 Not Billable <br />(559) 444.1730 * Fax: (559) 444.1735 * 3867 N. Valentine Ave. * Fresno, CA 93722 * License No. 779267 <br />i0 Bid .lob <br />Please Visit Our Website: www.icservices.com <br />8% 1, <br />(Name: G'tv! .S' /"l/ <br /># <br />Service <br />Address: . LAG 1 t' �c G yr <br />5 <br />Zy —1-57 <br />Date: / <br />City:_ ra CG 1 A&A dt Zip:.,,S �t Phone: <br />�+� G'6 <br />Work Order# <br />Dispenser Make <br />cud. order# <br />Dispenser Model: <br />close toner. # <br />Dispenser Serial M <br />Parts order# <br />Pump Test: Gallons: Dollar Amt: <br />11ag 11 11iiiii !;;,I gi !I: i i: <br />ii 1 j;!jjjM <br />i <br />a <br />DATE COMPLETE pant Name <br />give authorization to <br />LC Services to run <br />rorpafdtabr e�7S.00600kk+eDiStaanm�laaaooanlbasdOMtabeNM�Ibca�s. ShoiM+�tbe ocemgkad <br />my credit card as form of payment. <br />baMora amdtia fenmdtiaapaeeaM,then++d*vPmCrdronam+�adbrmaawb4ammey+abea anOtl�aOaatd}aieddon Card <br />�t+r+U�a+rao'++►A akaww� LhNhmeb/@�+blaaad+�d0�+a8�erigl+uue�'eipaymwrtaanaa+6lrepatb <br />+s�esmiraea NmA�aa au t�ndatcrap+ronbawsaeexnent CardT'pe: <br />Billing Zip: <br />naananadcatlmb/pMrebp,�4m+P�SdoerbNW dba. ayaaesaigq, b oade�tmaha braha�. nYaa aro <br />WMKK MWb9WWwft a ramwaaowmmaaew. Exp Date: / ! <br />3 Digit Security Code: <br />aat.+Awn+sap*hftbYrmtewN10r"Sa a,lWU" Name on Card: <br />argbpWwwrarydaadw9abitpd braPx1mftP0=. grdWOW am= nor m9wUn agdapmmbaum <br />b<aaa,na«»a�xn,emh++aaadaara�oa� Work Authorized <br />9 7" <br />Za <br />t <br />B0 Cj <br />pil <br />Total Labor <br />Total Parts <br />Mileage <br />Travel <br />Sales Tax <br />lbtal Amount <br />