Laserfiche WebLink
tlI Billable <br />3887 N. Valentine Ave. FCA 93722 * (559j 444-1730 <br />f 1 v �,•- ve. resno, M Factory Warr. <br />License No. 7792137 * AN EMPLOYEE OWNED COMPANY i= COD <br />Ploase Visit Our Webslte: www.lcsofvlcos.com <br />PETROLFUNt MAINTENANCE CU. E --::]Not Billable <br />FRESNO, cA C:] B I d J o b <br />tit <br />Name:_ N° 1 796 <br />Service 2qo 3 (/Z <br />Address'.— <br />city:- <br />ddress:City: Zip: P11on©: Work Order N 2 r 9 22 <br />Dispenser Make Cult, P.ou <br />Dispenser Model: Close Conlir. n <br />Dispenser Serial #: PurchaieOrderk <br />Pump Test: Gallons: DollarAnit: <br />Description of Work Performed <br />A e PW tn. V -- <br />Signature & Date -D %`l j <br />Ne -9 x nen--i* kr E d $'S X S.xklx PN *e / mWw attain K a359red to a IaM Pal to calect a Shag 111 Hat 1 N'anea ad <br />C eto a^b—t d ar bRas air" to yevahV P"" M 41 10 reamnade alone ft ram and me <br />ur Cart d N�bon <br />Sle n par me71 or Fem C * Vna � vwn you d any assgnee fie rglt b serty woDyWN dr M a VOW rIP0110 <br />asz4 Sryb"51-Y Io fA myto isaaal O* -I C Chit afylYaCnL <br />r _annurr"aax dy Py 7ne K �=�y lhse 9'� oermasaT b lar olEm , o ynr assgry, b mrxad InlJ.a IY #�K r Nee era <br />usnaW7le, e+C a nmg dem a operable, a rrczsape may !e feR vaMnq a nm aM phpse ramoa. <br />LYtm o wmW vm*q M tan me soler CLC Seraoesl belly Imressly Ja UM at eenanw& velar &Vmedor meed, rriAd g <br />any myed raI of merCur`aSMy of f0en t7 a Pw4wlar P.rpose, and nether RYrnes nor aiOo¢cs airy oes person b asvme <br />tv It riy kt*1 r mme.'tar ere me sale of sW rrodicis <br />Qty Part No. Inv. <br />Loc# <br />11 give authorization to LC Services <br />Print Name <br />to run my credit card as form of payment. <br />Card 0: <br />Card Type: Billing Zip= <br />Exp Dater /^1 3 Digit Security Code: <br />Dame on Card: <br />NVork Authorized by Date <br />Signature <br />A 3% CONVENIENCE FEE WILL BE APPLIED TO ALL CREDIT CARD TRANSACTIONS <br />Description & SIN Each Amount <br />Worker Pate Depart Arrive Depart Stop O/T <br />Total Labor <br />Total Parts <br />Mirage <br />Travel <br />t� night <br />Sales `tax <br />Totai Amount <br />