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0 <br />BRANCH SSL CSG 24 <br />David Buxton 09/15/14 11:08 PAGE 1 <br />REGE1 VEL <br />Safety-Kleen Systems, Inc. <br />AUG p 7 2015 <br />2600 N Central Expy, Suite 400 <br />Richardson, TX 75080 <br />�^r�I <br />CORPORATE: 800-669-5740 <br />p <br />�N <br />24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br />�.,�4'� <br />2095451011 <br />A QT4A <br />REFERENCE NBR. <br />CUSTOMER# MC22499 Mcneilus Truck <br />64882806 <br />3100 N Ad Art Rd SRVC <br />WEEK: 2014-37 <br />Attn: Ralph Cortez SRVC DATE: <br />09/15/14 11:01 <br />Stockton CA 95215-2218 <br />PHONE 209-931-4282 <br />BILL TO CUSTOMER# BILL TO ADDRESS: <br />MC22499 Mcneilus Truck <br />310D N Ad Art Rd <br />Attn: Ralph Cortez <br />Stockton CA 95215-2218 <br />PHONE 209-931-4282 <br />PURCHASE ORDER# <br />TAX EXEMPT# <br />PRODUCT/SERVICES <br />SERVICE/ <br />TOTAL <br />PRODUCT QTY UNIT PRICE <br />TAX CHARGE <br />7646 ABSORBENT, OIL AND LIQUID 12.000 5.4600 <br />5.24 70.76 <br />SERVICE TERM 24 WEEK <br />8003369 DRUM, 55 GL BLACK STEEL 0 1.000 71.4000 <br />5.71 77.11 <br />SERVICE TERM 24 WEEK <br />TOTAL SERVICE/PRODUCTS T 76.8600 <br />10.95 147.87 <br />TOTAL CHARGE <br />147.87 <br />CREDITS <br />0.00 <br />TOTAL DUE <br />--------------- <br />147.87 <br />UNPAID BALANCE THIS RECEIPT 147.87 <br />GENERATOR STATUS <br />0-220 lbs/month <br />Customer certifies that (i) the above-named materials are properly <br />classified, packaged, marked and labeled, and are in proper condition <br />for transportation according to the applicable regulations of the <br />Department of Transportation and (ii) no material change has occurred <br />either in the characteristics of the waste/material or in the process <br />generating the waste/material. Customer agrees to pay the above <br />charges and to he bound by the terms and conditions (1) set forth in <br />(a) the General Terms and Conditions provided separately to Customer <br />or (b) any SK agreement signed by Customer and SK, and (2) <br />incorporated herein by reference. Unless otherwise indicated in the <br />payment received section, SK is authorized to charge Customer',s <br />account for this transaction. Customer certifies that the individual <br />signing this Service Acknowledgement is duly authorized to sign and <br />bind Customer. The following provision is applicable to Safety-Kleen's <br />parts cleaner and paint gun cleaner services: customer agrees that it <br />Page 1 <br />