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ILSON WAY TIR I E CO., INC. .
<br /> COMPLETED U.S. TIRE SALES & SERVICE
<br /> :...".-:WILSON WAYTIRE. (01)221 N.WILSON WAY (02)2211 N.WILSON WAY
<br /> 148 N.WIL50N WAY STOCKTON,CA 95205 STOCKTON,CA 95205
<br /> STOGKTON,CA'95205 (209)465-0281 (209)466-2581 (�
<br /> (209)242-3048•FAX(209)242-3051- BAR#AA002949
<br /> (21)2600 YOSEMITE BLVD, (23)1915 NATIONAL AVENUE (24)6530 FRANKLIN BLVD
<br /> MODESTO,CA 95354-4030 HAYWARD,CA 94545-1709 SACRAMENTO,CA 95823
<br /> (209)571-5612 (510)887-1282 (916)395-2245
<br /> BAR#AA107508 BAR#AF167037
<br /> ALL PARTS NEW UNLESS OTHERWISE NOTED.RETAIN OLD PARTS YES❑ NO❑ X
<br /> Customer agrees to all terms and conditions contained on the reverse side of this Document. (SIGNATURE)
<br /> I acknowledge notice and oral approval of an increase in the original estimated price. (SIGNATURE
<br /> SOLD TO: }IGLT 9F CALIFORNIA 2i, O/)1 SHIP TO: gV4,E !ti{iiflCEf? 44150
<br /> ATM ACIMMITS PAYABLE
<br /> COST.PO,#. .MAKE-MODEL PLATE MILEAGE TELEPHONE '''ROUTE,SLM • SHIP VIA: ORDER# PAce REMARKS
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<br /> • 'INVOICE PRE:VIOUSSHIPPED' -:❑CASH ❑VISA/ L)MONEY C)DAYTON
<br /> INVOICE DATE TERMS Mc
<br /> NUMBER
<br /> INV ENUMBER H �1 p ff��NAT
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<br /> 10/1`/21St()': 4410..117 NE1 1:'1'I I'I Awl.
<br /> STOCK NUMBER SIZE; ' pESCRPTION` ouaNritY . _ UNIT
<br /> :Q'i0sAE0:. SICPPEO MENsHt" PRICE T:., 'I'E:T. • EXTENSION-
<br /> 631717 1.3 aP „1, ?C,�l� SFRV(iL ;tn1F:L1: .): f .:5( 57
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<br /> 145 7C `lTCE Tt1Eiv SURC`H�PL"-E PEP lailP 1 I 1d,+1 a .t:
<br /> aET(;,r-lal Itk L; s ALIF 1,11A RECYCLING FEE 1 :( 1.15 t)v.• t.7
<br /> £��2,7!^?1)1µ f�t7`)•�: C3�ltG;;kE bPlTI !.i G !'' pL's 73.!14
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<br /> stin Relaford 10/22/2009
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<br /> 'aLscs,LC(' lug Mat-3 3.fter 30 ni%a5.v 7i}-Ii96708
<br /> PARTS LABOR TAX% aMourL,£r TAX' FET " nourvr r INVOICETOTALI��` to sl]S3 iikTAPd£%
<br /> 1.06.02 1c3.25 zX10 01 106.02 9.55 Z-01
<br /> A FINANCE CHARGE OF 1'/2%PER MONTH(WHICH IS 18%ANNUALLY)
<br /> WILL BE CHARGED ON ALL PAST DUE ACCOUNTS
<br /> CUSTOMER ORIGINAL COPY
<br />
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