Laserfiche WebLink
BRANCH SSL CSG 24 David Buxton 05/29/14 10:45 PAGE 1V r <br />+1■ <br />UNPAID BALANCE THIS RECEIPT 487.95 <br />GENERATOR STATUS <br />0-220 lbs/month <br />Customer certifies that (i) the above-named materials are properly <br />Page 26 <br />Safety-Kleen Systems, Inc. <br />AUG 0 7 2015 <br />2600 N Central Expy, Suite 400 <br />Richardson, TX 75080 <br />`��o� <br />ENVIRONMENTAL, <br />CORPORATE: 800-669-5740 <br />M ENTAD <br />24 HR EMERGENCY: 800-468-1760 {Safety-Kleen} <br />f-+��=9�71�r1COAPf�R�lI�T <br />2095451011 <br />REFERENCE NBR. <br />CUSTOMER# <br />MC22499 Mcneilus Truck <br />63911838 <br />3100 N Ad Art Rd SRVC WEEK: 2014-22 <br />Attn: Ralph Cortez SRVC DATE: <br />05/29/14 10:45 <br />Stockton CA 95215-2218 <br />PHONE 209-931-4282 <br />BILL TO CUSTOMER# 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 209-931-4282 <br />PURCHASE ORDER# <br />TAX EXEMPT# <br />PRODUCTISERVICES <br />SERVICE/ <br />TOTAL <br />PRODUCT <br />QTY UNIT PRICE <br />TAX CHARGE <br />40604463/ <br />875060 <br />ORGNC SLD FOR FUEL 55GL 0.000 0.0000 <br />0.00 0.00 <br />SERVICE TERM 24 WEEK <br />CAUSE CODE Pull -SWITCHED TO A DIFFERENT SK SERVICE <br />8003369 <br />DRUM, 55 GL BLACK STEEL O 1.000 71.4000 <br />5.71 77.11 <br />SERVICE TERM 24 WEEK <br />40701002/ <br />875460 <br />NON HAZARDOUS SOLID 55GL 1.000 229.3200 <br />0.00 229.32 <br />SERVICE TERM 24 WEEK <br /># CONTS: <br />1 TSDF: BL MANIFEST#: 004211647SKS FORM CD: US SK <br />SHIP# 213264332 <br />CNT#: <br />140529840097 QTY: 400 WT/VOL P PROFILE: 040701082SKDOT 716B379 <br />7646 <br />ABSORBENT, OIL AND LIQUID 12.000 5.4600 <br />5.24 70.76 <br />SERVICE TERM 24 WEEK <br />7225 <br />SORBENT PADS NP 1.000 86.1000 <br />6.89 92.99 <br />SERVICE TERM 24 WEEK <br />100001 <br />FEE, FUEL SURCHARGE 1.000 16.4500 <br />-- <br />1.32 17.77 <br />TOTAL SERVICE/PRODUCTS 408.7300 <br />19.16 487.95 <br />TOTAL CHARGE 487.95 <br />CREDITS <br />0.00 <br />TOTAL DUE <br />--------------- <br />487.95 <br />UNPAID BALANCE THIS RECEIPT 487.95 <br />GENERATOR STATUS <br />0-220 lbs/month <br />Customer certifies that (i) the above-named materials are properly <br />Page 26 <br />