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ISCLAIMER <br /> _ >not made, and does not hereby make any representation or <br /> of California condition,quality,description,durability,or suitability for any <br /> such unit inanyrespect or m-connecuon-w�.,.�. �,o,,,,,pose and use of this sale. Purchaser acknowledges and agrees <br /> ` that the property was selected by purchaser and that the purchaser is satisfied that the property is suitable for purchaser's <br /> purpose.Purchaser further agrees that Holt of California's liability,if any,for breach of any express or implied warranty shall <br /> f <br /> .0. Box X, Sacramento, CA 95813 be limited to the cost of said personal property and purchaser further waives any right, if any, to lost profits, or any <br /> oll Free Message Phone (877) 379-6620 consequential damages of any type. <br /> All parts returned for credit must be accompanied by a copy of the Holt of California parts packing slip or invoice.No returns <br /> without authorization.All authorized returns are subject to a handling charge. <br /> SOLD TO <br /> JACOBSON WAREHOUSE SHIP TO <br /> COMPANY INC <br /> 2020 N MAC ARTHER DR <br /> TRACY CA 95376 <br /> INVOICE NUMBER INVOKE DATE CUSTOMER NO. CUSTOMER PURCHASE ORDER NUMBER STORE I DIV SALESMAN'' TERMS' PAGE <br /> SW080139607 10-09-07 0116699 130116 08 L 765 2 1 <br /> PSO/WONO. DOC, DATE ' PC LC' MC' SHIP VIA INVOICE!SEQ.NO;:: <br /> 0805877 08-21-07 1P lin 10 3814825 <br /> SERIAL NUMBER EQUIPMENT NUMBER METER READING MACH,ID NO: <br /> MAKEMODEL <br /> C6000 LP AT83FO2448 1751 .0 LN07-57 <br /> QUANTITY ITEM "N!R ;> DESCRIPT(Ot4.... a:,., UNIT PRICE EXTENSION <br /> REPAIR TIRE <br /> COMPLAINT: R&R TIRES <br /> CAUSE: CHUNKED OUT <br /> CORRECTION: R&R TIRES (2) 21X8X15 AND> ';.(2)::<:' <br /> 16X6X101/2 NO ZC PO# 130116 <br /> 2 2I8427 TIRE S 125. 84 251. 68 <br /> 2 2I9286 TIRE "S 209. 78 419.56 <br /> TOTAL PARTS SEG. 01 671.24 <br /> 4 .00 R & R TIRE 40 . 00 <br /> 4 . 00 TIRE DISPOSAL 24 . 00 <br /> 30 . 00 TIRE PRESS 75 . 00 <br /> i; <br /> TOTAL MISC CHGS SEG. Ol 139. 00 <br /> SEGMENT 01 TOTAL 810 .24 T <br /> ......: <br /> ..;:. MISC"'I WAR : < ` <br /> 10 . 07 T <br /> o.... C' <br /> b-.F1' .. <br /> 49 .39 T <br /> <. ` SALES TAS 7 1 4`0 <br /> cTOIaQUI N•`..CTY TAX <br /> 3 .41 T <br /> . 00 T <br /> PAY THIS <br /> AMOUNT , CONT r D <br /> TERMS OF PAYMENT: NET 10 for all equipment purchases and rental transactions; NET 10th AMOUNT <br /> PROX. for all parts purchases and service transactions. A FINANCE CHARGE OF 1.5% per month CREDIT , <br /> will be applied to all past due invoices. <br /> In the event the account becomes delinquent, the customer will pay all costs of collection <br /> including reasonable accrued attorney fees and court costs incurred by Holt of California in <br /> collecting any indebtedness of customer to Holt of California. <br /> tMNO.T12201,B(6/94) CUSTOMER ORIGINAL <br />