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Sylmar,Calffornia78923 lfern ,Arizorr <br /> e #; Ctdver City, q California HonoluluHawal <br /> 310-348-9600 808-851168 <br /> —DENTAL SUPPLIES INC. Houston,Texas ❑ Orlando,Florida <br /> 713-690-5111 407-291-7330 <br /> Matt(Ice Union City;California las Vegas,Nevada <br /> 13161 TelfairAvenue 510-441-1702 ❑ 702-457-1810 <br /> Sylinat, CA 91342 San Diego,California Kent,Washington <br /> 818-362-2600 858-457-1008 253-854-9696 <br /> DATE: 14 1 2. INSTALLATION <br /> Dr: „"' '" Act. No Lt' Date Time In Time Out <br /> Street: <br /> City: State: Zip: <br /> Phone: ' Fax: <br /> Installation Address: Total labor Hours: i "® <br /> City: State: Zip: Total Travel hours: ^ <br /> Phone: Fax: Total Hours: <br /> Date Call Received Repair Instaliation Warranty Technician Date Completed <br /> ,-. <br /> MFG. %T \A-\ Comp Vac Unit Light X-Ray Processor S/N;s—:5°1 Q3g L65S <br /> Service Required: <br /> v • '.4 6 J <br /> 7777 2 vey <br /> 50%,a 77 <br /> virnm- <br /> ;S 44`� 'n a Y• F ., Parts: <br /> Service Performed: in v c'` Labor: - <br /> G T Tax: <br /> Freight: <br /> Ky" • Total: <br /> .� .� Date: 4 <br /> Signature <br /> F FF "REMEMBER" <br /> s� Shut off your Equipment and your Main <br />