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12On I aI11" ION WAY 71]RIECC INC. <br /> RE <br /> MTM U.S. Tre Sahes I Service <br /> 7 <br /> lNRL'ON WAY TIRE (01) 221 N.WILSON WAY (02) 2211 N. WILSON WAY (05) 1133 W. 11TH ST. <br /> 148 N. WILSON WAY <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 STOCKTON, CA 95205 TRACY, CA 95376(209) 242-3048 B FAX (209) 242-3051 BAR#AA002(209) 465-0281 81 (209) 466-2581 (209#A 5-4089 <br /> BAR <br /> (21)2600 YOSEMITE BLVD. (23) 1915 NATIONAL AVENUE (24)6530 FRANKLIN BLVD. <br /> MODESTO, CA 95354-4030 HAYWARD, CA 94545-1709 SACRAMENTO, CA 95823 <br /> (209) 571-5612 (510) 887-1282 (916) 395-2245 <br /> BAR#AA107508 BAR#AF167037 <br /> ALL PARTS NEW UNLESS OTHERWISE NOTED. RETAIN OLD PARTS YES❑ NO »�- <br /> Customer agrees to all terms and conditions contained on the reverse side of this Document. <br /> (SIGNATURE) <br /> I acknowledgenotice.and oral,approval of an increase,in the original estimated price. -" <br /> (SIGNATURE) <br /> SOLD TO: SHIP TO: <br /> CUST. PG. MAKE MODEL PLATE MILEAGE TELEPHONE ROUTE SLM SHIP VIA. ORDER # PAGE REMARKS <br /> !INVOICE PREVIOUS SHIPPEDcAsl+ Vlsa MONEY DAYTON <br /> Ia-VOICE DATE UMBER INVOICE NUMBER TERMS ❑ Mc <br /> CHECK AMEX. - DISVR ❑'NAT' <br /> ACCT. <br /> STOCK NUMBER SiLE DESCRIPTION _uANrrrY UNIT <br /> ORDERED*HIPPED IPREV.SHIPI PRICE T F:E.T. EXTENSION <br /> 14 <br /> j <br /> :4 <br /> 1 <br /> Dr.t ARE ^MLs` '` d�.4IL"' _ 7 c ) rI :RE_, Lt <br /> .. =.,..�L„t..� ........... 's � C ONE 31'x. Jf� � <br /> '1 <br /> r, <br /> AL <br /> l <br /> PARTS LAB.OR.; TAX% rnxAs�E Ta F.E.T. `* wlSC. ; <br /> I: AMQU14T I AMouur - ':IN:VQICE TOTAL <br /> A FINANCE CHARGE'OF 11/2%PER MONTH (WHICH IS 18%ANNUALLY) vUSTOMER-C;R!GINAL <br /> WILL BE CHARGED-ON-ALL PAST DUE ACCOUNTS <br />