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::. tNVIKUHUK Wtb I VUKVUKAI Iuly <br /> �°► <br /> � 13331 N. Hwy 331 P.O. Box 1157 STATE MANIFEST#"1.-5 <br /> USED OIL HAULER# 86-050 <br /> Patterson, CA 95363 EPA# CAD08316672$- <br /> (209) 892-6742 ( <br /> 800 874-4444 HAZARDOUS WASTE <br /> } HAULER REG# 2591 <br /> �----� -- INV.# 71257 <br /> ,► ISI IINTERVAL DATE <br /> CNAME <br /> u i T <br /> S BILLING ADDRESS IF DIFFERENT E CASH <br /> ADD•PFss '7-' FI Q <br /> O W � I M NET 1 A <br /> M CITY 8 ATE IIP " PHONE CrrY STATE IIP S r7 <br /> APO# <br /> • PLEASE PAY FROM THIS INVOICE • <br /> PRODUCT GALLONS HOURS RATE AMOUNT <br /> p� <br /> HAZARDOUS WASTE OIL <br /> TEST FEE <br /> HAZARDOUS WASTE <br /> - HOURLY CHARGES <br /> I <br /> I certif amount sh wn ve to be correct. , <br /> (Customer Signature} (Driver Si nature) <br /> CD <br /> PAYMENT DUE UPON RECEIPT OF INVOICE.A service charge of 1 z%per month shall be charged TOTAL CHARGES <br /> - <br /> on all past due accounts. In the event this account becomes delinquent and it is necessary to institute <br /> legal proceedings,purchaser agrees to.pay reasonable attorney's fee and court costs. <br /> BSINVMMP91 WHITE:Cuslcrr er CANARY:Mphaba6 at PINK:Numenc GOLDENROD:Re <br />