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PAGE: 1 OF 1 " <br /> Safety-Kleen Systeme, Inc. ORIGINAL INVOICE 5530 <br /> +' P.O.BOX 11393 <br /> COLUMBIA,SC 29211-1393 <br /> .y. <br /> yy DUNS NO.05-397-11551 <br /> s t hleen ®ED.ID NO.39-6090019 <br /> SK SERVICE FACILITY: TAX STATUS/NUMBER: INVOICE DATE: I RVC1 l Ce ',Number <br /> SKSTPHONE NR:E <br /> R: VENDOR NUMBER: TERMS: <br /> IL <br /> 0017853430 ' <br /> 209-545-1011 N30 <br /> SERVICE LOCATION: <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> MONKEYS RV INC MONKEYS RV INC <br /> PO BOX 823 PO BOX 823 <br /> MANTECA, CA 95336-1135 MANTECA, CA 95336-1135 <br /> ar <br /> ACCOUNT NUMBER: SERVICE NUMBER: LOCATION NUMBER: SPECIAL BILLING CODE: <br /> 0000-3702-50 0000-3702-50 718501 <br /> Department: Department Name: <br /> Service Date: 06/21/2001 Service Doc Number: 0017853430 PO Number: <br /> Release Number: Transporter: Manifest Number: <br /> QUANTITY DESC./REFERENCE NUMBER PRICE PER SALES TAX ITEM TOTAL <br /> 1.0000 CUSTOMER OWNED MACH W/105 R 169.4500 EA 0.00 169.45 <br /> 000053000-000043642-0000000 <br /> 000053000-12 <br /> 1.0000 TEMPORARY FUEL SURCHARGE 2.9000 EA 0.00 2.90 <br /> 000100001-000000000-0000000 <br /> 000100001-00 <br /> INVOICE TOTAL: <br /> COMMENTS: E P A * O S H A * D 0 T <br /> SOLUTIONS FOR YOUR COMPANY'S REGULATORY REQUIREMENTS ARE A CLICK AWAY. <br /> VISIT WWW.SAFETY—KLEEN.COM/COMPLIANCE TO DISCOVER EFFECTIVE SOLUTIONS <br /> OR CALL 888-560-3019 FOR A FREE CATALOG <br />---------------------------------N 0 T E S---------------- --------------- <br /> XP <br /> ----------- ------------ <br /> XP NOTICE: THIS LDR EXPIRES ON 12/31/2001. <br /> S�IPanP �lli �nn � i <br /> SIGNATURE � TYo <br /> T <br /> (PRINTED OR PED> <br /> ZW . 2147 LOC: 718501 TERR: 03 REF#: 17853430 SW: 0125 <br /> TOP COPY: GENERATOR MIDDLE COPY: FACILITY BOTTOM COPY: TRANSFE <br />