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1 .1 :" <br />-dddgmlzmmlbb- WOr RLDWIDE <br />AM— <br />E RECOVERY <br />' <br />SYSTEMS, INC. <br />2621 GREEN RIVER RD. # 105, PMB 226, CORONA, CA 92882-7454 <br />PHONE: 909-597-2999 FAx: 909-597-2995 <br />Date: L I Rep: <br />A 'T <br />14 <br />Tec; <br />Invoice A <br />Map Page: Tickle- "i tl' <br />Contact Name: Ext: <br />Hours of Operation: <br />Customer Name: 1 K, i, <br />Serial # Service <br />Term <br />as <br />Service <br />Customer Bill To: <br />11;.: <br />Unit Cost <br />Address: <br />Total Cost <br />Address: j <br />City <br />State zip <br />cit i' i: if d <br />State zip <br />Phone: <br />EPA I D No: , - i " f' <br />Phone: <br />Fax <br />LJI Veolia <br />U Demenno/Kerdoon <br />Ll Rineco, <br />U U.S. Ecology <br />Waste <br />State Code <br />Mainfest# Quantity <br />1704 W. Frist St. <br />2000 N. Alameda St. <br />1007 Vulcan Rd -Haskell <br />Highway 95,11 mi Beatty <br />Ll Waste Oil <br />221 <br />Azusa, CA 91702 <br />Compton, CA 90222 <br />Benton, AR 72015 <br />Beatty, NV 89003 <br />CAD008302903 <br />CAT080013352 <br />ARD981057870 <br />NVT330010000 <br />(3 Antifreeze <br />134 <br />'16 AA Sydcol <br />Q K -Pure Waterworks <br />UAERC <br />U Western Environmental <br />Ll Oily Water <br />223 <br />1925 S. Factor Ave. <br />8910 Rochester Ave. <br />1475 Crocker St. <br />62-150 Gene Waimea Drive <br />Yuma, AZ 85365 <br />Rancho Cucamonga, CA 91730 <br />Hayward, CA 94544 <br />Mecca, CA 92254 <br />Sales tax <br />Special Instructions: <br />AZR00050151 0 <br />CAR000019943 <br />CAD982411993 <br />CAR000157206 <br />U Siemens <br />U Phibro Tech, Inc. <br />U Industrial Service Oil <br />Balance Due <br />J , iS <br />5375 South Boyle Ave. <br />8851 Dice Rd. <br />1700 S. Soto Street <br />Customer Sin atu Ile, <br />? <br />Vernon, CA 90058 <br />Santa Fe Springs, CA 90670 <br />Los Angeles, CA 90023 <br />We Accept Visa & Mastercard <br />CAD097030993 <br />CAD008488025 <br />CAD099452708 <br />Card # <br />Driver Signature:`- <br />Ll OTHER <br />Unit Type <br />Serial # Service <br />Term <br />as <br />Service <br />Product Description <br />Qty. <br />Unit Cost <br />Tx <br />Total Cost <br />LI PLEASE PAY FROM THIS INVOICE <br />LJ Send Invoice First Terrn.44,` <br />Sales tax <br />Special Instructions: <br />Invoice Total <br />Amount Received <br />Balance Due <br />Check # <br />Customer Sin atu Ile, <br />? <br />Credit Card <br />Date: <br />We Accept Visa & Mastercard <br />A service charge of 1 1/2% per month (but not exceeding the lawful <br />Card # <br />Driver Signature:`- <br />applicable rate) will be added to all accounts not paid within the specified <br />terms. Collection costs, includinq attomev fees, will be added to Past due <br />Exp. Date <br />E <br />