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Y <br /> `f <br /> • <br /> OUAN• PART NO. ARTICLE OR PART I PRICE <br /> _ / `" 53 DODGE-AND HARVESTORE, INC. <br /> DODGEVILLE,WISCONSIN 53533 i <br /> ROUTE 1 BOX 8 PHONE:(608)935-3393 ' <br /> A.O. SMITH HARVESTORE SALES&SERVICE <br /> N? I. 1 DATE /� ///// <br /> NAME t-L4- lamy. t-C,..-- -1 <br /> ADDRESS 17-77 e <br /> PHONE <br /> MODEL <br /> SERIAL <br /> MOTOR SERIAL <br /> DATE UNLOADER INSTALLED <br /> DATE LONG ARM / <br /> STRUCTURE SIZE o?O 70 �� �J '�6'" y <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 /> .- a 20 <br /> • <br /> CUSTOMER NO. <br /> SALES CODE ® ` !I <br /> 5000 ', <br /> 47 TOTAL LABOR /At ,0 '.7W• (".-C' '-/, G"V <br /> 5? WORK DONE <br /> 45 TOTAL PARTS j� _ / _///i1 /�1_� i <br /> A l P -J�/ / <br /> 45 GAS, OIL, GREASED/l� gj//�-7t� <br /> ACCESSORIES 7 I�" ,/, _ I `-/ !' �I „=_- <br /> 45 0 U TS IDE WORK . _- .. . /ma ■ //- e/././_a ./_ _ _ <br /> 48 MILEAGE aT ! L /J .o--0 ''� ill - - <br /> r <br /> TOTAL f <br /> 36, %� <br /> I hereby authorize the repair work to be done as described above <br /> on the machine (s) named hereon. All repair parts are to.be billed - --''l - Ate,ii.� <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 /��i MILEAGE ' Q'JL.2!, <br /> or other causes beyond your control. .D. / <br /> DATE <br /> - - ERVICEMAN <i..r./-�� <br /> Signed By ._., 7_ /`” <br />