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Contract For Storage and/or Services




                   Date


                   Company Name

                   Property or Service Description







                   I,                                              do hereby acknowledge a direct

                   Indebtedness in the amount of $           to
                                                                           (Company)
                   City                 State        related to storage and/or services of the above
                   described property or services.


                   Signed
                                          (Customer)

                   Signed
                              (Authorized Company Signature)




























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