WORK ORDER

By signing this work authorization, I acknowledge I have received and understand the billing terms and service/labor rates for the herein described work and understand an invoice based on the work performed will follow. Including parts, additional requested on/off premises work/repairs, plus tax. Such invoice (s) is /are due upon presentation. 30 day delinquent balances carry interest charges of 1.5% monthly. Collection/legal costs/fee shall be at the customer's expense.

LICENSE # U-20930

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MAIN WORK DESCRIPTION

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Work Order Signature