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SRN_ NON TIRE <br /> P.O.o. Box 1 see .A.R'. PEt3#: AC 177114()C <br /> STOCKTON, CA 95201 EPA, I.D: CALF 0 a20 7 6` <br /> WORE: ORDER <br /> 3730 JV-tiWilson WA�YY((L Ea 4905 Claremont Ave. <br /> Stockton, CA 95205 Stockton, CA 95207 PAGE <br /> PF,(20&467--0154 PH{..@Qq)q7-9000 / <br /> FAX(209}644-4443 'FAX(209j'477-5742 T <br /> C-. T..ME STARTED OSP 26 <br /> r , <br /> 2? f46Er-.1 N3S.1 <br /> CUSTONEP: EXEL, INC. - !.:RAFT SHIT' TO: STOCF-,:TON YARD <br /> 19325 45.,1E FRONTIER WAY � <br /> STOCK:TON'd, SCA <br /> 9X215 rn V <br /> FAX Nu`UMEBER: 269.932.2411 <br /> WOR:F;::: 2i?^%952-2400 t i PO NUMBER: 12. 52 <br /> SAt_ESl"{AP•N: SIL L`I Ar•iO SAEtd L I CENSE: CdC-4`EH I CLE CA <br /> WPk:: ORD DATE: C)4/19.1`14 DUE: 05/10/14 s <br /> _ ------------- <br /> PROtDUCT LC.T Dl-r-SCR I PT I ON 0UAlN-I'T T PRICE EXTENSION - <br /> ----------------------------------------_--------------------------------- ----- <br /> S-200( 0* .SER�r ICE CALL REGULAR 1 .i'f_? i5.t�t-t;. i7'75.i itva <br /> FSC }^ j t i 'FUEL SURCHARGE1 1 t a.(:ai a : <br /> 1100502109.. 0i t1X5X 6.:5 , ITL SMOOTH ELECTRIC 1 u -69.95. P9,5(� <br /> S-i39O ia . I NDUSTPiA.L- TIRE PRESSING 12 _15.00 �2ti,rir:a <br /> ITD ;- INDUSTEiIAL `TIRE DISPOSAL 12 `'...; ; ?"2.Sfa'�(�- :.30.00 <br /> UN I T`1 6 HPS#t x#85_ <br /> R!til I T#b9 HPS# 469,s <br /> UNN I T#7t:a HF.S#i i tr 29 <br /> N_IN I T#51 HPS#74^i a <br /> UNI T W4,`; HR'S#qy$.S- <br /> UNIT#,_ HlzS# 17// e 16X7X1o.5 <br /> i 6 r:7 X 1 Q 1 r'2 M I T L SM BLACF,:: 2 156.95 313._ <br /> 11ER:CHA-.N��ISE: l o 13.41 <br /> LABOR.- 255.o(.) <br /> OTHER: 40.oi_, <br /> SALES TAX: S 1 .07 <br /> WORK: ORD.ER TOTAL: 136,?.47 <br /> The Brannon Tire shop labor 1—ai= is $89,CjOiN'•'.1' . <br /> THANK: YOU FOR CHOOSING ,�a-FHNNON'�! TIRE --- WE APPREC I ATE YOUR BUS I NESS <br /> Customer Signatur <br /> r ;r . <br /> Printed Names � <br /> AUTHORIZED B �E t1 , '-� CE 14`Ea 'r -7 <br /> RE NSE _,___�— E�ATE;.� ' '�" TIME f=NM.�r'M <br /> N=:_ .!ISED 7"OTi+L: A---P0SCRIPTIONI <br /> _. <br /> PR I OP' TQTAL: N ! FOR AN INCREASE OF <br /> I hereby authorize the repair work to be done along with the necessarymaterial, and hereby grant you and/or your employees,permission to operate the vehicle herein described <br /> on the streets, highways or elsewhere for the purpose of testing and/or inspection.An express mechanic's lien is hereby acknowledged on above vehicle to secure the amount <br /> of repairs thereto.You will not be held responsible for loss or damage to the vehicle or articles left in the vehicle in case of fire,theft,accident or any other cause beyond your control. <br /> Thank You for your business. Retorque lug nuts after 50 miles. <br /> By signing below,the customer agrees to the service to be performed.Brannon Tire is not responsible for any item left in the vehicle.Any changes to the estimated charges will be <br /> approved before any work is done. Brannon Tire will charge a late fee of 11/235 per month up to a total of 18%per year on all invoices not paid by the terms on the invoice. <br />