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CRRNNON TIRE • PASSENGER, LT. TRUCK, RV, FARM, OFF-ROAD P.O. BOX 2496 �� STOCKTON, CA 95201 I NVO I CE LOCATION: ; - 3nWILSON t � . TOCKTON, CA. 95245 B.A.R.REG.NO.: .-Jrw. .30 NO. WAY :�, ., (209)467-0154 (300)488-8473 EFA I0: CAL000206765 AC177400 - • j< �, ACCOUNT NO: 48927 PHONE HOME: DATE: 02/12 r'(-)1 P.O.: P'006138e SIMPLOT - LATHROP PHONE WORK: ''800)832'-8891 TIME: 13:06.30 RESALE#: P 0 BOX 198 LATHROP. CA 95330 SOLD . SOLD BY: • PART NO. ■ • AMOUNT r; 1 .101 54R2B5 CAR PWT IND LUG TT 28X9X15 IEPLY 4931-95015 1.0 001 STATE TIRE RECYCLING ' , 4931-95015 Ot 1.0 540625 FST TUBE TR440 29X8i28Xr?.'8.t5R1J 4931-95015 03 1 .0 375 UIS-MOUNT 14.0 r 4931-95015 0? 1.0 003 INSURANCE SURCHARGE WOR KHANS COMP 2.5:', 2.50 4931-95015 --.1.0003 INSURANCE. SURCHARGE WCRKMANS COMP -2.50 4931-95015 IMPORTANT: ALL LUG NUTS SHOULD BE CHECKED FOR TIGHTNESS AFTER 30 DAYS. , MAKE,MODEL&YEAR LICENSE/STOCK MILEAGE SAVE OLD PARTS LABOR RATE SUB TOTAL 1_•� :r_,lc YES El NOC� j�=r,iif.+ i EieO 14.00 Ly, - ��5 tr- �r G / '�yy h I hereby authorize the repair work to be done along with the necessary material,and hereby grant PARTS 173•65 ORIGINAL DATE t!G f(}1 70.+� you and/or your employees,permission to operate the car,truck or vehicle herein described on streets, QQ highways or elsewhere for the purpose of testing and/or Inspectloo.An express mechanic's lien is hereby EXCISE TAX ESTIMATE ��y. :%TIME �_�q s CL:4th acknowledged on above car,truck or vehicle to secure the amount of repairs thereto.You will not be held •��1) responsible for loss or damage t;,fehicle or articles left in vehicle in case of fire,theft,accident or any SALES TAX 3 AUTHORIZED BY other cause beyond your control. TOTAL r .97 REVISED DATE 02/12.(i1N�ERSON ❑ REVISED DATE IN PERSON ElESTIMATE ";ji_�,10E 1 i):55):iBf�.ONE L1 ESTIMATE TIME PHONE ElPAGE 1 OF 1 AUTHORIZED BY # AUTHORIZED BY # / PAID BY: f'Nii' CE INVOICETHIS DUE BY THE 10THOF • CHECK NO: It Is hereby agreed that the purchaser is to pay all collection and attorney's fees,and other costs In connection with collecting this amount, and 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 when due the seller shall have the right to repossess said Items with or without legal process or may enforce the payment of the balance v due thereon with accrued interest.V12% FINANCE CHARGE PER MONTH WILL BE CHARGED ON ALL PAST DUE ACCOUNTS WHICH IS A AN ANNUAL PERCENTAGE RATE OF 18%. MINIMUM FINANCE CHARGE 50¢.