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<br />I,., <br /> <br />PRECISION POWDER COATING <br />1236 E. NORMANDY PLACE <br />SANTA ANA, CA 92705 <br />714-648-0280 FAX: 714-648-0291 <br /> <br />CREDIT APPLICATION <br /> <br />DATE: <br /> <br />~/c;.:2 <br /> <br />COMPANY NAME: (JI ry ~/' ~,vrA fl,l\lA <br />ADDRESS: ~~S- ~~ST ~w~7# STREET <br />CONTACT PERSON: :I8"t;se ALI//~A"e-z.. <br />TYPE OF BUSINESS: ~"VM~AJ.II'14".N r <br />DATE STARTED: <br />CORPORATION: PARTNERSHIP: PROPRIETORSHIP: <br />SS#: 113SALE PERMIT #: <br />FEDERAL EMPLOYMENT #: q 5- _'D07'iJ S <br />CONTRACTOR LICENSE #: <br /> <br />NAMES OF ALL OWNERS AND ADDRESSES <br /> <br />TELEPHONE <br />7/1./ /~J6-/kJo' <br />I <br /> <br />BANK~7?S: <br /> <br />- <br /> <br />OFFICER: ACCOUNT #: <br /> <br />TELEPHONE <br /> <br />TRADE REFERENCES: ADDRESSES: <br /> <br />TELEPHONE: <br /> <br />FAX: <br /> <br />ESTIMATED MONTHLY PURCHASES: $._ <br />UNDER NORMAL CIRCUMSTANCES, TERMS WILL BE GRANTED WITHIN 10 DAYS. <br /> <br />IN THE EVENT THIS ACCOUNT BECOMES PAST DUE BEYOND NORMAL TERMS, I (WE) <br />AGREE TO PAY A SERVICE CHARGE OF 1-1/2% PER MONTH (18%) PER ANNUAL RATE. <br /> <br />AUTHORIZATION: I HEREBY AUTHORIZE YOU, TO WHOM THE APPLICATION IS MADE, <br />OR ANY CREDIT BUREAU OR OTHER INVESTIGATIVE AGENCY EMPLOYED BY SUCH <br />PERSON TO INVESTIGATE THE REFERENCES HEREIN LISTED OR STATEMENTS OR <br />OTHER DATA OBTAINED FROM ME OR FROM ANY OTHER PERSON PERTAINING TO MY <br />CREDIT AND FINANCIAL RESPONSIBILITY. <br /> <br />NAMElTITLE: ~ SS E .11/0' ..t?A"e;;l ~# b~ /IIJ!7M ~;::'e?,171(),<JS ..:5W/'c;e/l/~OI{' <br /> <br />SIGNATURE: 0 ~~ DATE: b-'?-~.:1 <br />/" <br />