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Waste Management <br /> Industrial.Services, Inc. DAY � Y <br /> 4501 Caldomia Court Phone(707)745-0501 TODAY'S DATE '~ " <br /> Benicia CA 94510 Fax(707)745-0510 W/ O# S3 c2,/ <br /> CUSTOMER i C 4 C( ;:<, r, `' CONTACT <br /> 'vNTT P.O.# PROJECT COMPLETED YES�OR NO <br /> OB DESC: T&M BID 20K UNIT_RATE CERT_F/R CIRCLE ONE <br /> ��•-��5 ,;�7 :,le•i�uGc�'1 ..`,..c:.�i%+ dw_.:':'i1i•r.� �a'�i�''�'3 if'^;iCi l+I � 11:c7'.1, Y�.''u F'.`y. 4i! <br /> EMPLOYEE B NB OFFICE USE ONLY <br /> H IIT. CLASS EMPL.# LAST/FIRST NAME START OUT STOP TOTAL TRAVEL ST OT DT TRAV <br /> INITIALS AFFMM ACCURACY OF TIME AND NO UNREPORTED INJURIES OR INCIDENTS <br /> EQUIPMENT QTY HAS OFFICE USE ONLY EQUIPMENT QTY I-IRS OFFICE USE ONLY <br /> CODES OTY CODES Orry <br /> K® H�{,B P�1ViP# • 2 WAY .. IOS ti ;- ;' :304. <br /> K @=TV-8 PUI WA LEV&I ENSEIiYMM R/D <br /> BBL.VAC TRK.# SAFETY HARNESS 3134 <br /> 3c BBL.VAC.TRK.# r_� ` GAS METER <br /> TURBO-VAC_# BLOWER <br /> GUZZLER# HIGH PRESS.HOSE 3083 <br /> CAMEL# .AIR/FIRE HOSE <br /> TRUCK# "AIR/FIRE HOSE <br /> y. <br /> GEAR TRUCK# 1"LOW PRESS.HOSE 3086 <br /> CYAL COMP# "VAC HOSE <br /> 'FLEX LANCE "VAC HOSE. i <br /> 'ILEX LANCE 12V LIGHT BULBS 3111 <br /> i 30 MIN ATR PACK--SOBA 3029 12V TRANSFORMER 3112 j <br /> RESPIRATOR TYPE G.F.C.T. 3113 <br /> CARTRIDGES TYPE 12V LIGHTS 3114 j <br /> DUCT TAPE 3166. M- DIAPH.PUMP <br /> VISSQUEEN <br /> I <br /> I I <br /> i <br /> i <br /> I <br /> i <br /> NOTESr-^ <br /> C-r! r [:� P' /120 <br /> /1 .ri trJ Q !i '1 i ✓G <br /> B,,y,�purchaser, <br /> of the time ticket the purchaser and his agent or representative agrees for the <br /> purchaser,to the following Uerau and conditions: �F ,•y-r; �'r r ...r I - <br /> :•�Payment terms:net 30 days. _ •'fr �G�i 'y t,�`� L � <br /> WMIS REPRESENTATIVE <br /> I (1)In the.event that mnec.f:,and 1 or suit aW become nccmsary to enforce the provisions of the <br /> i <br /> i mnlydc.or the payment due hereunder,the contractor shall be entitled to add to the amount due for <br /> as collections fees CUSTOMER REPRESENTATIVE <br /> (3)15%interest per month will be charged os.accounts.over 30 days.Annual percentage rate 18%. <br /> INVOICE <br />