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Fill and Sign the Montana Statutory Form Power of Attorney

Fill and Sign the Montana Statutory Form Power of Attorney

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MUFFLER SHOP DATE _____________________________ 19 _______ CUSTOMER'S ORDER NO. ________________________________________________ SOLD TO _______________________________________________________________ ADDRESS _______________________________________________________________ CITY _________________________________ STATE _______________ ZIP __________ CASH ON ACCT. MDSE. RET. PAID OUT SERVICE STATION DATE _____________________________ 19 _______ CUSTOMER'S ORDER NO. ________________________________________________ SOLD TO _______________________________________________________________ ADDRESS _______________________________________________________________ MAKE OF CAR MODEL RESONATORS CROSS-OVER PIPES TUBES TIRES POLISHING AMOUNT ACCT. FWD. CITY __________________________ STATE ___________________ ZIP ___________ LICENSE NO. DESCRIPTION GALS. GASOLINE QUANTITY QTS. OIL UNIT LBS. GREASE AMOUNT L LUBRICATION PRICE MUFFLERS R WASHING ITEM TAIL PIPES L R MAKE OF CAR _____________________________ LICENSE NO. _______________ PART NO. CHARGE QTY. TAIL PIPES R CLAMPS ACCESSORIES EXHAUST PIPES HANGERS SUB. TOTAL F MUFFLERS TAX TAX LABOR THIS INVOICE INCLUDES ALL TAXES TOTAL ALL CLAIMS & RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL RECEIVED BY _________________________________________ TOTAL SOLD BY __________________________ RECEIVED BY ________________________

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