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I <br />J.H. SIM S N CO. <br />State License No. 334724 <br />4025 Coronado Ave. <br />P.O. Box 8640 <br />Stockton, California 95208 <br />Phone (208) 466-1477 <br />RECEIVED <br />PROMISED <br />P.O. NUMBER <br />AUTHORIZED BY: <br />SPECIAL INSTRUCTIONS: <br />CALLED IN BY: <br />2 491 <br />JOB ORDERANVOICE <br />TYPE OF UNIT: <br />&AAMC <br />JOB NAME:CITY: <br />STATE: <br />PH. <br />MODEL <br />ADDRESS: <br />OTY. <br />SOUIFICE <br />M ,I ��PARTS EQUIPMENT <br />PRICE <br />AMOUNT <br />SERIAL NO. <br />MAKE <br />CITY: <br />STATE. <br />ZIP: `� <br />1 <br />HOME PH: <br />BUS. PH. <br />MODEL <br />UBLE AS REPORTED: <br />I <br />I <br />SERIAL NO. <br />I <br />I <br />t4; <br />.! : <br />t ✓ __ <br />i <br />TOTAL MATERIAL ' <br />.r <br />�" <br />w A r ~� P` <br />I <br />I <br />I <br />MINIMUM 1 H <br />SERVICE <br />LABQ <br />HRS. <br />OTHER SERVIGW a <br />DIA -SIS: <br />1 <br />LetI <br />FILTERS X X <br />_, <br />FILTERS X X <br />i <br />Tk <br />ec <br />Its . A <br />BELTS <br />i <br />PAY THIS AMOUNT <br />THANX YOUt <br />�• , <br />GENERAL SERVICE SUPPLIES <br />V <br />CARD NO. <br />EXP M <br />!j <br />JC <br />SERVICE PERSON DATE <br />IHAVETHEAU ORITYTOORDERTHEWORKWHICHHAS BEEN <br />SATISFACT®RIL PERFORMED, AS ABOVE. I AGREE THAT THE <br />SELLER WILL R AIN TITLE TO ANY EQUIPMENT OR MATERIAL <br />THAT MAV BE URNSHED UNTIL FINAL PAYMENT IS MADE, AND <br />IF PAYMENT 1 OT MADE AS AGREED, THEN SELLER SHALL <br />HAVE THE RIG TO REMOVE SAME AT SELLERS EXPENSE, AND <br />ANY DAMAGEVRESULTING FROM SAID REMOVAL SHALL NOT <br />BE THE RES NSIBILITY OF SELLER. ANY "SA TROUBI. E' <br />REPORTS MIAST BE F14CEIVED IN OUR OFFICE Y�T� IN TEN (10) <br />DAYS J ; <br />a <br />TOTAL MATERIALS, PARTS & EQUIPMENT <br />QTY. <br />AMOUNT <br />,-,,-'VACUUM PUMP <br />i <br />r✓ 1i\ WELDING EQUIPMENT <br />I <br />I <br />LEAK DETECTOR <br />PRESSURE CLEANER <br />i <br />) <br />il.l f tf PERMIT <br />l <br />1 <br />I <br />® Vr, CRANE LIFTING EQUIPMENT <br />RENTAL(S)kof <br />OTHER(S) <br />TOTAL OTHER SERVICES1 <br />10 <br />C TO SIGNATURE <br />C.O.D. <br />INSTALLED LOGO <br />