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8454 111h Street,Tracy <br /> SR0080120 <br /> Windmill Portables <br /> PC)Box 839 <br /> Ripon,CA 95366 Rental and Service Agreement <br /> Telephone:(209)823-6110 <br /> ! Fax:(209)254-8780 <br /> Number: 014472 <br /> Billing Information <br /> FLORES EXCAVATION AND DEMOLI Job Number: <br /> Original P O.Number: Rental Tax Percent: 0 <br /> i P.O.BOX 1416 Terms Net 10 Days Rental Tax Area: No Tax <br /> PATTERSON,CA 95363 <br /> MapGrid: Service Tax Percent 0 <br /> ! MapBook: Service Tax Area: No Tax <br /> (209)892-1099 NATALIE ServiceArea: <br /> I Job Site Information Special Instructions: <br /> JOB PO 18-332 <br /> 1 8454 11TH ST. <br /> TRACY.CA <br /> 1 <br /> Cross Streets. Dmg.Wvr Delivery or <br /> Date Service or Unit Type Quantity Billing Method. Price Per Minimum or Minim. Trip Charge Deposit Taxable <br /> 25-Jan-2019 Domestic Pump 1 Each $0.00 $0,00 $0.00 $0.00 $0.00 No <br /> Unit Cost. $0.00 Delivery <br /> 5-Jan-2019 Septic Pump Domestic 1 Each $32750 $0.00 Weekly $0.00 $0.00 No <br /> Start Service Unassigned Mon Extension $327.50 <br /> 25-Jan-2019 Service As Requested 2 Each 50.00 $0.00 $0.00 $0.00 $0.00 No <br /> Unit Cost: $0.00 Delivery <br /> 25-Jan-2019 Restroom $24.000 <br /> Service 2 Each $12.00 $0.00 Weekly $1.25 $ <br /> &00 No <br /> Start Service Unassigned Mon Extension $24. <br /> Ti Customer agrees to the following terms and conditions.THIS IS A BINDING AGREEMENT, Subtotal Non-Taxable: $351.50 <br /> 1ri'= By signing below you agree to the following terms and conditions.You agree to pay for Subtotal Rental Taxable: $0.00 <br /> all services performed within 30 days.Any amounts past due more than 30 days will be Subtotal Service Taxable: $0.00 <br /> subject to a late charge.You are liable for the unit(s),all damages will be invoiced Subtotal Rental Tax: $0.00 <br /> immediately. Subtotal Service Tax: $0.00 <br /> CUSTOMEF DECLINES DAMAGE WAIVER(UP TO$250 PER Grand Total $351.50 <br /> INCIDENT)_(Inilin!I <br /> Unit <br /> Numbers <br /> Usromer Representativ Date Service <br /> Route'. <br /> tv, Service <br /> tidmill Portables Date Accept (4 O <br /> Sukhreet Kaur, EHS <br />