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PURCHASE ORDER <br /> HOLT r I I INVOICE MAILING ADDRESS: r CENTM o INMkLS <br /> of CaUfornia ]MORental POST OFFICE BOX X IL 5 0 2 5 91 3 g <br /> SACRAMENTO,CA 95813 THIS NUMBER MUST APPEAR <br /> ON ALL DO <br /> TO ❑ 7310 Panic Avenue ❑ 2950 Colusa Highway L] 463 4th Street El10000 Industrial Avenue 1234 W.Charter Way <br /> Pleasant Grove,CA 95688 Yuba C4,CA 95991 WiMams,CA 95987 Roserle,CA 95678 Stociaon,CA 95206 <br /> (916)991-8M (530)75533M (530)473-2860 (816)772-9600 (209)946.1776 <br /> (209)462-3680 <br /> ❑3850 Channel Drive ❑ 3440 E.Pacham Blvd. 1105A Airport Road ❑ 700 N.Walnut Road 2121 East Monte Vista Ave <br /> West Sacramento,CA 95691 Los Banos,CA 93835 Rlo Vista,CA 94671 Ttu(ock,CA 85380-9438 Vacaae,CA 95688 <br /> (916)373-4100 (209)828-4918 (707)374.7550 (204)664-3875 (707)455.7600 <br /> ❑ 1521 W.Charter Way Ej 4855 Caterpktar Road 8900 Frultridge Road OTKER: <br /> Stockton,CA GM Red&g,CA 56003 Sacramento,CA 95826 <br /> (209)466aW (530)225-8121 (916)381.9940 <br /> TO:Ui <on <br /> VENDOR CONTACT <br /> Sh d(�I� I VENDOR CONTACT PH# <br /> n ❑ Days Net <br /> SEND INVOICE COPY SUBMIT INVOICE ADD <br /> DATE: 6 TERMS: ❑ %Cash Discount TO ORGINATOR ❑ FOR APPROVAL ❑TAX <br /> Qty. Qty.Rec'd. Descriptlon Account NumbercCUnit Price Total <br /> � I►c v <br /> AUG E �fiif) <br /> ITEMS PURCHASED FOR CHARGE OUT <br /> WO SEG <br /> PREPARED ft <br /> PSO <br /> AGREEMENT#or ID 0 APPROVED BY <br /> (SIIINATUR <br /> AMT.CHARGED OUT <br /> MANAGER'S lNIl1ALS (PRINT NAME) <br /> HO0001-01•(REV.Ixes) WHITE-ORIGINATOR PINK-AP PAYMENT AUTHORIZATION YELLOW-ACCOUNTS PAYABLE GOLDENROD-FILE COPY <br />