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n� wANNE'6reatie"te`rrs�B NO _ TIR� <br /> 409 <br /> �.. N.U.-Narx <br /> =- , <br /> , 4.?f tta <br /> -. <br /> PASSENGER,LT.TRUCK,TRUCK,RV,FARM,OFF-ROAD&AUTO SERVICE CENTERS 77 <br /> CE <br /> LOCATION <br /> I ;t t . . B.A.R.. REG.N <br /> O.: <br /> (2017 -'6 . !.fir# ri. f{Ti?�f �1 (2,j. T.., � l � <!a E,i f fir <br /> ACCOUNT NO: 409'E!"! PHONE HOME: DATE: P.O.: <br /> • G�. - <br /> ISUMPLOT -- r_ATHRITY PHONE WORK: e :�r.i D{"C [.' !? r1:i. TIME: <br /> 0B �'/fit RESALE#: <br /> . REFERENCE: <br /> • SOLD BY: <br /> � • - � IIS , <br /> I C) 375 <br /> w-rr�w �,r•�;ic+ <br /> ,. ,..,TUBEI 9F.. <br /> r i} 4 n0 111 11V T IF DISPOSAL4961-35229 <br /> 4`0 WAIM" <br /> {_,4? ?. ,0 003 i'+i!:E' 'illtiL;NFi1','t,r d40}'?;.t1d4I1c Ci3#"iT=' ,., ^nw_� <br /> ..a <br /> t") —1.0� 0 '13 T gj'-:L;(:f}t.(CE 9URCH(r.,rf" wor.i.-Jl is co r. ' r r ? ��•�t� <br /> Standard Voucher <br /> Brannon Tire Corporation vendor #10119529 <br /> Terms: Due Upon Receipt <br /> Account#3249 ( 5490 <br /> SubLedger#- SubType- W <br /> IMPORTANT: ALL LUG NUTS SHOULD BE CHECKED FUH i iuii r rvr-aa AFTER 30 DAYS. <br /> MAKE,MODEL&YEAR I LICENSE/STOCK MILEAGE SAVE OLD PARTS LABOR RATE SUB TOTAL <br /> i YES❑ NO❑ {� t,•i i (,a 1 <br /> C `-" <br /> hereby authorize the repair work to be done along with the necessary material,and hereby grant •�- - ��-•.r f w t <br /> ORIGINAL DATE .r.! r.. ':,1.�?•�5 you and/or your employees,permission to operate the car,truck or vehicle herein described on streets, <br /> ESTIMATE highways or elsewhere for the purpose of testing andlor inspection.An express mechanic's lien is hereby EXCISE TAX •!f,-! <br /> TIME acknowledged on above car,truck or vehicle to secure the amount of repairs thereto.You will not be held i.. _ <br /> AUTHORIZED BY responsible for loss or damage to vehicle or articles left in vehicle in case of fire,theft,accident or any SALES TAX ,{S{1 <br /> other cause beyond your control. <br /> TOTAL r-T r <br /> 1EVISED DATE IN PERSON ❑ REVISED DATE IN PERSON ❑ <br /> ESTIMATE TIME PHONE ❑ ESTIMATE TIME PHONE ❑ PAGE OF I <br /> WTHORIZED BY # AUTHORIZED BY # <br /> -- — — — PAID BY: <br /> • r • • CHECK NO: <br /> is hereby agreed that the purchaser is to pay all collection and attorney's tees,and other costs in connection with collecting this amount, <br /> id that title to any items purchased shall remain with the seller until the total price is paid.In the event of failure to pay the account <br /> ien due the seller shall have the right to repossess said Items with or without legal process or may enforce the payment of the balance <br /> re thereon with accrued interest. 1'y2%.FINANCE CHARGE PER MONTH WILL BE CHARGED ON ALL PAST DUE ACCOUNTS WHICH IS <br /> V ANNUAL PERCENTAGE RATE OF 18%. MINIMUM FINANCE CHARGE 500. <br />