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v <br /> JUL 0 9 2o18 <br /> CSG SK-SSL-BOX-21 Wilmer Garcia Garcia 05/21/18 09:12 PAGE 1 <br /> crw_�Rordr�;�.;vTF� <br /> Safety-Kleen Systems, Inc. H:^P'"j e=�Gd:RTMENT <br /> 2600 N Central Expy, Suite 200 <br /> Richardson, TX 75080 <br /> CORPORATE: 800-669-5740 <br /> 24 RR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 2095451011 <br /> REFERENCE NBR. <br /> CUSTOMER# KI18372 Kia Country 76912054-1802511724 <br /> 1515 N Main St SRVC WEEK: 2018-21 <br /> Manteca CA 95336-3243 SRVC DATE: 05/21/18 <br /> PHONE 999-999-9999 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> KI18372 Kia Country <br /> 1515 N Main St <br /> Manteca CA 95336-3243 <br /> PHONE 999-999-9999 <br /> PURCHASE ORDER# 83035 TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 3345 DRUM, 30 GL BLACK STEEL C 2.000 49.0000 8.09 106.09 <br /> SERVICE TERM 24 WEEK <br /> 100001 FEE, FUEL SURCHARGE 1.000 0.0000 0.00 0.00 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 49.0000. 8.09 106.09 <br /> TOTAL CHARGE 106.09 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 106.09 <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT 106.09 <br /> GENERATOR STATUS <br /> 0-220 lbs/month <br /> Customer certifies that (i) the above-named materials are properly <br /> classified, packaged, marked and labeled, and are in proper condition <br /> for transportation according to the applicable regulations of the <br /> Department of Transportation (ii) no material change has occurred <br /> either in the characteristics of the waste/material or in the process <br /> generating the waste/material, and (iii) the above referenced <br /> Generator Status is correct. Customer agrees to pay the above charges <br /> and to be bound by the terms and conditions (1) set forth in (a) the <br /> General Terms and Conditions provided separately to Customer or (b) <br /> any SK agreement signed by Customer and SK, and (2) i orporated <br /> herein by reference. Unless otherwise indicated in the payment <br /> received section, SK is authorized to charge Customer's account for <br /> this transaction. If Customer fails to make payment when due, an <br /> amount equal to the lesser of (i) 1.58 per month (188 per annum) or <br /> (ii) the maximum amount allowed by law, will be added to all unpaid <br /> amounts outstanding. Customer certifies that the individual signing <br /> this Service Acknowledgement is duly authorized to sign and bind <br /> Customer. Customer acknowledges that it is responsible for maintaining <br /> its Generator Status and obtaining an EPA ID number if required by <br /> applicable law. The following provision is applicable to <br /> Safety-Kleen's parts cleaner and paint gun cleaner services: Customer <br />