7928 Beverly Blvd. Los Angeles, California 90048
Phone No. 323-931-2838 Fax 323-931-7116
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I am sending you this shipment for the purpose of diagnosis and preparing an estimate of
repair. The shipping charges are to my account. I do not hold Stone Electronics liable
for any damage or claims to my equipment caused while shipping the item/s to Stone
Electronics and from Stone Electronics. Item/s are being shipped with adequate
(Please sign this form and include it in the shipment.)
_______________________ Date _______________________