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SERVICE/REPAIR AUTHORIZATION <br /> STOCSTATION Eo"u�Ep�VICE <br /> IENTCOM <br /> CALIFORNIA CONTRACTOR LICENSE 309105 0-61,SA <br /> 808-820 N,UNION ST,STOCKTON.CALIF.95205 1 <br /> P.O.f3OX 50 STOCKTON,CALIF.9520IN1 <br /> PHONE 209/464-8333 TAX I.D,#94-157374r <br /> SALES + SERVICE INSTALLATION OF PETROLEUM OISPENSWG LUBRICATION f N 6 INDUSTRIAL SERVICE EQUIPMENT �. <br /> P.O.# �DATE <br /> AUTHORIZING NAME COMPANY NAME <br /> BUSINESS ADDRESS �'� <br /> S { <br /> LOCATION <br /> CITY ZIP PHONE <br /> AUTHORIZED REPAIR OF THE FOLLOWING EQUIPMENT <br /> 1 <br /> l <br /> Y 1 <br /> F <br /> I HEREBY AUTHORIZE THE REPAI R/SERVECE WORK TO BE DONE BY STOCKTON SERVICE STATION EQUIPMENT COMPANY <br /> INC.AS DESCRIBED ABOVE ON THE EQUIPMENT NAMED HEREON.ALL REPAIR PARTS ARE TO BE BILLED AT S.S.S.E. <br /> REGULAR PRICES. AGREE TO PAY CASH FOR SUCH REPAIR PARTS AND LABOR ON DELIVERY OF EQUENT OR ON <br /> IPM <br /> TERMS SATISFAC Y TO S.S.S.E.AND UNTIL PAID IN FULL ANY UNPAID BALANCES SHALL CONSTITUTE A LIEN ON THIS <br /> EQUIPMENT. I FU ER AGREE THAT S.S.S.E.WILL NOT BE HELD RESPONSIBLE FOR LOSS OR DA <br /> EQUIPMENT FRO RE,THEFT OR OTHER CAUSES YOND S.S.S.E'S CONTROL, MAGE TO SAID <br /> I AGREE TO E 1 ICED AND WILL BE SU O TERM$, <br /> AU ORIZED G ATURE TITLE <br /> X <br /> FORM a 0015 CUSTOMER COPY <br />