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QUAN• %PART NO. ARTICLE OR PART PRICE HELGES N HARVESTOR.E, INC. - _
<br /> 1 _ ,p ,' ROUTE 2 BOX 3181k_____.'
<br /> 1 8 JANESVILLE, WISCONSIN 53545
<br /> ( �r4/14-1 u Fn %!'-;�'/�rl,l,( „ !1%/kP-r % .t
<br /> r � � �, Phone: area code 608-752-7491 1
<br /> --,C 1.�? 7z/c, - r,�/n,� -rtr4 /lt'-.1)
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<br /> /_279f- / !/:,tv.A, -- nmt%-:+n.-,/,-Pi� )_ A. 0. Smith Harvestore Sales Sr Service I
<br /> 7.-2/74---/� r'I()n4r.n .) +i
<br /> N° 7- 16485 DATE �i ' / L _ -•
<br /> f • I i/ r
<br /> NAME i' / ,, : V �-' ';'/,'.–;/...; u
<br /> -ter- bi. I
<br /> ADDRESS ,---7) /--d v
<br /> PHONE
<br /> MODEL
<br /> SERIAL
<br /> MOTOR SERIAL
<br /> DATE UNLOADER INSTALLED
<br /> DATE LONG ARM
<br /> STRUCTURE SIZE "/' /''// 71 /./--.: // -
<br /> MATERIAL STORED
<br /> HAYLAGE - OATLAGE - CORN SILAGE
<br /> SHELLED CORN – GROUND CORN
<br /> MOISTURE - DRY – MEDIUM – WET
<br /> CUT - FINE - MEDIUM - LONG
<br /> _ WORK TO BE DONE
<br /> I
<br /> • 4 l /`
<br /> _ - 14 < 11 71`
<br /> j
<br /> L 5/%--
<br /> MJ, ■ F—�.c-..
<br /> 1 I . q.,--,t-p•
<br /> w •1 i
<br /> y
<br /> CUSTOMER NO. ?s,-.! /I 1.) . /t- %�d /.'>c,�r /i r P i:) . ,-rf
<br /> I i n I ,i sY .(A.+r i a7 r.
<br /> SALES CODE I'IsllrI I{t[rl _ ._._ ./ 1 A ._•A1 . ,e _!
<br /> 5000 -V C
<br /> 47 TOTAL LABOR WORK DONE
<br /> 45 TOTAL PARTS /.� r/ I)�,.�/– /1
<br /> 45 GAS, OIL, GREASE ,--- t
<br /> n /
<br /> ACCESSORIES I ° 'I 41'–?; ^ _l'-1'" •
<br /> 45 OUTSIDE WORK ////i/,(a _ I 4,:l.'7. - C.
<br /> 48 MILEAGE ug_ 4.2/..1..1/2_,-, 40 4444 / .r t_, '
<br /> TOTAL I �-,0 ti-e.L/ ,4_,)`, f,,‘,_ _/ Ai.4 '
<br /> I hereby authorize the repair work to be done as described above
<br /> i on the machine (s)named hereon. All repair parts are to.be billed
<br /> at your regular prices. I agree to pay cash for such repair parts
<br /> and labor on delivery of machine (s) or on terms satisfactory to
<br /> you, and until paid in full, any unpaid balance shall constitute a
<br /> lien on this machinery. I further agree that you will not be held
<br /> responsible for loss or damage to said machinery from fire, theft HOURS //'} MILEAGE
<br /> or other causes beyond your control. / v
<br /> DATE lfa /,gyp /1 SERVICEMAN %—
<br /> Signed By ....--r---'"
<br /> _r'"
<br /> CUSTOMER'S INVOICE ` -
<br />
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