Laserfiche WebLink
, <br /> MID—VALLEY/HIGH SIERRA ;ILL OF LADDIs�IC � hiTtl �H <br /> P.O. BOX 906 EPA NUNDER LAL;3,t�; <br /> TRACY. CA. r n <br /> 06 <br /> ( 209) U66-0545 <br /> PICK—UP CHIP TO: I DATc NAME ICUST No. <br /> E <br /> U V. 3 <br /> T ADDRESSADDRESS TERMS <br /> O 916-A BLACK DIAMOND <br /> eL� --- — <br /> i E ICITY STATE ZIP (CITY STATE ZIP P(-tCPJE Zd� <br /> ' LORI CA ,520) r� <br /> PLEASE PAY FROM THIS INVOICE VOICE TERMS : <br /> PRICE <br /> PRODUCT <br /> — <br /> 1 DF:AINED USED OIL FILTEF'S 55 CL DR <br /> , <br /> it <br /> 1cF� i WSJ QED +!rICE:U'�HEP FNPT'r <br /> Oila <br /> j <br /> L --- TOTAL <br /> i <br /> CHARGE <br /> I <br /> I CERTIFY THAT THE INFORMATION AND THE AMOUNTS 'SHCIStNWOVE ARE TF:UE AHO <br /> CF.!rPEC T, AND THAT THE USED 7 I L FILTERS PF;C{V I OED TO i' I D--'�ALLE`�' <br /> NEE TS THE DEFINITION OF USED �3 I L FILTERS PCU SUANT "f( CALIFORNIA WEALTH <br /> AND SAFETY CODE SECTION 2525 +. 1 , UNLESS OTHERWISE NOTED. THIS FURTHER <br /> SERVES AS NOTIFICATION THAT THE r-+SOVE IWAS{-E I,��'C'r+i Jt 6Ea FROM I._AWD DISPOSAL <br /> PERSUANT TO SECTION 60268.7 ( 10) OF TITLE ??_/ I /ALSO ACKNOWLEDGE THAT I <br /> !-AVE READ APJs� Hip,-,EE Til THEA TERMS F,N i�Sd,J f I TI NA a__ f <br /> 7 I1 <br /> FOPTH <br /> I L� J <br /> OR I'-r EES-1. AN 91 Ul E DATE �Ei fLl�`ri J IIF;:aS '-i i GMAT IRE on rii._ <br /> it <br /> r <br /> i • <br />