Laserfiche WebLink
BRANCH SSL CSG 24 <br />• 0 <br />Anthony Romero 07/24/14 14:19 PAGE 1 <br />Safety-Kleen Systems, Inc. <br />2600 N Central Erpy, Suite 400 <br />Richardson, TX 75080 <br />CORPORATE: 800-669-5740 <br />24 HR EMERGENCY: 600-468-1760 (Safety-Kleen) <br />2095951011 REFERENCE NBR. L.NVIRONlIIENTAI <br />64372816 `17Q1TW r'1CaeDTIgcftIT <br />SRVC WEEK: 2014-30 <br />SRVC DATE: 07/24/14 14:18 <br />RECEIVEt-) <br />AUG 0 7 2015 <br />CUSTOMER# MC22499 <br />Mcneilus Truck <br />3100 N Ad Art Rd <br />Attn: Ralph Cortez <br />PRODUCT <br />Stockton CA 95215-2218 <br />QTY <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 />876530 <br />Stockton CA 95215-2218 <br />1.000 <br />PHONE 209-931-4282 <br />PURCHASE ORDER# <br />404.25 <br />PRODUCT/SERVICES <br />TAX EXEMPT# <br />SERVICE/ <br />TOTAL <br />PRODUCT <br />QTY <br />UNIT PRICE <br />TAX <br />CHARGE <br />40701083/ <br />876530 <br />CAL UNIVERSAL AEROSOLS 55 <br />1.000 <br />404.2500 <br />0.00 <br />404.25 <br />SERVICE TERM 24 WEEK <br /># CONTS: I <br />TSDF: SS MANIFEST#: <br />72816 <br />FORM CD: BL SK <br />SHIP# 213719431 <br />CNT#: <br />140722291417 QTY: 100 <br />WT/VOL P <br />PROFILE: 040701083SKDOT <br />7369417 <br />8003369 <br />DRUM, 55 GL BLACK STEEL 0 <br />1.000 <br />71.4000 <br />5.71 <br />77.11 <br />SERVICE TERM 24 WEEK <br />100001 <br />FEE, FUEL SURCHARGE <br />1.000 <br />------------------- <br />16.4500 <br />--------------------- <br />1.32 <br />17.77 <br />TOTAL SERVICE/PRODUCTS <br />UNPAID BALANCE THIS RECEIPT <br />GENERATOR STATUS <br />0-220 lbs/month <br />492.1000 7.03 499.13 <br />TOTAL CHARGE 499.13 <br />CREDITS 0.00 <br />--------------- <br />TOTAL DUE 499.13 <br />499.13 <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 />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 />Page 10 <br />