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0 • <br />PRODUCT/SERVICES <br />SERVICE/ TOTAL <br />PRODUCT QTY UNIT PRICE TAX CHARGE <br />40701082/ <br />875460 NON HAZARDOUS SOLID 55GL 1.000 229.3200 0.00 229.32 <br />SERVICE TERM 24 WEEK <br /># CONTS: 1 TSDF: BL MANIFEST#: 004422530SKS FORM CD: US SK SHIP# 214064441 <br />CNT#: 140905461517 QTY: 400 WT/VOL P PROFILE: 040701082SKDOT 7168379 <br />40701082/ <br />875461 NON HAZARDOUS SOLID 30GL 1.000 155.4000 0.00 155.40 <br />SERVICE TERM 24 WEEK <br /># CONTS: 1 TSDF; BL MANIFEST#: 004422530SKS FORM CD: US SK SHIP# 214064441 <br />CNT#: 140905461518 QTY: 200 'WT/VOL P PROFILE: 040701082SKDOT 7168379 <br />TOTAL SERVICE/PRODUCTS 364.7200 0.00 364.72 <br />TOTAL CHARGE 384.72 <br />CREDITS 0.00 <br />--------------- <br />TOTAL DUE 384.72 <br />--------------- <br />UNPAID BALANCE THIS RECEIPT 384.72 <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 be 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 />Page 3 <br />09/15/14 <br />11:10 PAGE 1 <br />RECEIVEU <br />BRANCH SSL CSG 24 <br />David Buxton <br />AUG 0 7 2015 <br />Safety-Kleen Systems, Inc. <br />2600 N Central Expy, Suite 900 <br />ENVIRONMENTAL <br />Richardson, TX 75080 <br />CORPORATE: 800-669-5740 <br />IQC74 "-V ')Cr)h C?TgACA I <br />.T <br />24 <br />HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br />2095451011 <br />REFERENCE NBR. <br />CUSTOMER# MC22499 <br />Mcneilus Truck <br />64768294 <br />3100 N Ad Art Rd SRVC WEEK: 2014-37 <br />Attn: Ralph Cortez SRVC DATE: <br />09/15/14 11:10 <br />Stockton CA 95215-2218 <br />PHONE 209-931-4282 <br />BILL TO CUSTOMER# <br />BILL TO ADDRESS: <br />MC22499 <br />Mcneilus Truck <br />3100 N Ad Art Rd <br />Attn: Ralph Cortez <br />Stockton CA 95215-2218' <br />PHONE 209-431-4282 <br />PURCHASE ORDER# <br />TAX EXEMPT# <br />PRODUCT/SERVICES <br />SERVICE/ TOTAL <br />PRODUCT QTY UNIT PRICE TAX CHARGE <br />40701082/ <br />875460 NON HAZARDOUS SOLID 55GL 1.000 229.3200 0.00 229.32 <br />SERVICE TERM 24 WEEK <br /># CONTS: 1 TSDF: BL MANIFEST#: 004422530SKS FORM CD: US SK SHIP# 214064441 <br />CNT#: 140905461517 QTY: 400 WT/VOL P PROFILE: 040701082SKDOT 7168379 <br />40701082/ <br />875461 NON HAZARDOUS SOLID 30GL 1.000 155.4000 0.00 155.40 <br />SERVICE TERM 24 WEEK <br /># CONTS: 1 TSDF; BL MANIFEST#: 004422530SKS FORM CD: US SK SHIP# 214064441 <br />CNT#: 140905461518 QTY: 200 'WT/VOL P PROFILE: 040701082SKDOT 7168379 <br />TOTAL SERVICE/PRODUCTS 364.7200 0.00 364.72 <br />TOTAL CHARGE 384.72 <br />CREDITS 0.00 <br />--------------- <br />TOTAL DUE 384.72 <br />--------------- <br />UNPAID BALANCE THIS RECEIPT 384.72 <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 be 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 />Page 3 <br />