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C�o: i :- W11 SON WAY TERE CO INC,. <br /> REMIT`-0: J.S. Tire Sales & Serv),o.a 40 <br /> WILSON WAY TIRE (01) 221 N. WILSON WAY <br /> 148 N. WILSON WAY (02) 2211 N. WILSON WAY (05) 1133 W. 11TH ST. <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 STOCKTON, CA 95205 TRACY, CA 95376 <br /> (209) 242=3048 o FAX (209) ,5 3051 (209) 465-0281 (209) 466-2581 (209) 835-4087 <br /> BAR#AA002949 BAR#AF184429 <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 El <br /> Customer agrees to all terms and conditions contained on the"'reverse side of this Document. x <br /> (SIGNATURE) <br /> I acknowledge notice and oral approval of an increase in the original estimated price. x <br /> SOLD TO: SHIP TO: (SIGNATURE) <br /> COST. PO. # MAKE-MODEL PLATE MILEAGE I TELEPHONE ROUTE SLM SHIP VIA ORDER ## PAGE REMARKS <br /> I <br /> INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS ❑CASH [-]VISA/ ❑MONEY DAYTON <br /> NUMBER INVOICE NUMBER <br /> MC <br /> CHECK:...[:]AME X*.;-❑DISVR ACCT. <br /> STOCK NUMBER SIZE DESCRIPTION: QUANTITYUNIT 11s ;F.E" �ENSIQN <br /> - ORDERED SHIPPPEDPED'..REV:SHIP! PRICE <br /> 2' <br /> -" _.z70NE -ARE SALES*'CM€�AI114Y BRIDGES10ONE l ZIAESTCM 'F� .SgLE- �Ms�ANY <br /> GE's RAL. <br /> .,Z u� <br /> lon a re <br /> nd a ial <br /> PARTS, LABOR II TAX%_ AMOUNT <br /> T.",' f F.E.T. I` MISCI I :INVOICE TOTAL ,.�, w',; <br /> AMOUNT -AMOUNT � <br /> A FINANCE CHARGE OF 11/2% PER (MONTH (WHICH IS 18%ANNUALLY) <br /> WILL BE CHARGED ON ALL PAST DUE ACCOUNTS CUSTOMER-ORIGiN;;.l_ <br />