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Com <br /> Q <br /> 4060276 -� A Pick Up ❑ Delivery <br /> Hauler Tire Program ID / Site Suffix <br /> OE Facility Telephone Number <br /> DATEPIE <br /> w Whole Tire Count ❑Weight in Lbs. <br /> o. ��e <br /> lei/ � �Volume Cubic Yds.❑Weight in Tons n <br /> ! ss <br /> oHauler Name � a <br /> w , <br /> Z-%,Mo.,.:.1: ;'Label iJ <br /> Hauler Telephone Number < ■ ❑ Address Same as Hauler <br /> J{ (N fA for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> g WhOIe Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE W(� <br /> INFORMATION PROVIDED ABOVE M TRUE AND CORRECT. <br /> 13� <br /> d` ALES <br /> PURCHASE ORDER NO, PERSON MAIN PERSON _ OTHER PHONE SHIP VIA �T .al< �.!'.,N'.` .r �L.�_d", f�II,_�„�,• <br /> 7A8 (M)983-9495 <br /> ¢ -- ITEM NO. DESCRIPTION QTY.ORDERED QTY.SHIPPED F.E.T. PRICE NET EXTENSION <br /> 1'1) LP 22.5 I II aS-'EED 1. i)«(3Gt 0i«00 0•.00 <br /> .: CTT rp WA�;'I'k 'l I Kt- 'Cl�X I 0 0.00 0«00 <br /> z S'.j4 r t^ S” f: a {.. h,. <br /> s itil >Z 3 f lI-�C; SHOP UV PL:CES 0 0 0..�►t1+ � 00 <br /> -0 stilcv <br /> p�p T P I DO 1.099876-01 (7. F)") <br /> U :x** SFE RF:TClRQUING) 1:14FORIrATIM—1 - <br /> -X** 011-1 INVOICE <br /> 8 :'ut)'f.t Pzvr4au 0»011(:1 <br /> fit r <br /> Customer authorizes TDS to erform the above written services to their vehicle. '� q j(�1 y •v '� - <br /> SEE INFORMATION STAT MENT OF REVERSE SIDE REGARDING CONSUMER CREDIT CONTRA AND SECCIITY ASR"EEMENT <br /> pNX <br /> -- V PRINT NAME/AUTHORIZED SIGNATURE Y;� <br /> NOTE: In order to save all FINANCE CHARGES,the customer must pay,in full,the entire unpaid balance by the 10th of the following Y 1leJ Tt'}ts? °a <<.')«YJ( <br /> ' month.FINANCE CHARGES are computed on amounts 30 days or more past due at the PERIODIC RATE of 1.5%PER MONTH <br /> (MINIMUM CHARGE OF$1.00)which is an ANNUAL PERCENTAGE RATE OF 18%.The above credit terms have been set out <br /> in accord with the Truth-In-Lending requirements of the Federal Government and are for the customers benefit and protection. <br /> DELIVERY PAY FROM THIS INVOICE <br />