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1% 1 eCF1 aysicems, Inc. <br /> C5G SN-SSL- 62 Ali mel Onsuret W 42 Lotnmur Drive <br /> q /O8}Z4 11:39 PAGE 1 Nor.-All. HA 02061 <br /> 8 <br /> 24 IV EHEIRGUk'Y; 8100-468 176057 <br /> Safety-HCl ten Systems, Inc . <br /> 2095651411 (Safety Kisen) <br /> 42 3_omwater Drive L%TutieRN BR34504 HPALe Rasters M53 REFL9tME LIAR. <br /> Norwetl, MlA 02061 1210 N Tracy DDREBlind 82806115 <br /> CORPORATE; MO-469-5744 Tracy CA 953Tfi-3135 SRW B7 ". 262p-13 <br /> 24 1111 EHERGtNCY: 540-868-1760 (4afety-Rleen) DMIPliCLNE 2Dq-836-3540 SRW PATE: O4/DB/20 <br /> M95451411 BILL 14 CUS70MERN BILL 7ff AASS; <br /> BEFERENCL NEM. 581405 8rlrke Rasters <br /> €USTONERN BR385fl4 Brake Masters N163 8:2890274-206185493 6L79 P- <br /> 7 RastRSr"Aasy,Blvd <br /> 1210 N Tracy Blvd SRK MEEK: 2420-15 Tucson A2 8571I-0000 f <br /> Tracy CA 95376-3935 SRVC DATE. 04/08/24 PMNE 520-512-0000 <br /> PROW 20D-836-3500 i91"AW CROWN <br /> BILL <br /> MR34 95 ClISTDMER# BILL 7M A➢DRESSt PRODUCT/SERVICES TA% exEewT# <br /> X834095 Rrake Mmiters - �J <br /> 6179 E 6roa8Lrey Blvd # Stli42CE/ <br /> Tucson A2 85711-ODW PROO4CT TOTAL <br /> 4310NE 520-512-OM 102S6 LYE, OIL SEByECt TOP rWN QTY WaT Pian M CHARGE <br /> 1.000 4.0000 4.00 D.00 <br /> PIMtC11ASE ORDL798 p�y/�n+' p �• TASI E7iEMP7-M 4EERVxCE 1Y�4] 3 � <br /> PRODUCT SERVICES 6$634 "StoWL ftt5CYTERM F A1JRWIOTI I 143.000 0.eSOD D.00 23.75 <br /> SERVICE/ TOTAL ILALOGH,I /CL4R-0--R{-F ILMI ftE5UL1 PASS. PFM c jLM <br /> PROWT qTY UNIT PRICE TAX CHARGE <br /> 66669 - _ <br /> ANTIFREEZE ON-PHEQLIAL.} 111.000 0,0400 0,00 0.00 i41Ai StAVjCE/pM11C t5 <br /> S 4.2540 4.Do 25,75 <br /> ER4ICF TERM I2 WEE <br /> HALOGEN f CUM-O-TECT TEST RESRIL'f PASSI PNM < Lon <br /> TDTAL C1IARGE 23.75 <br /> TOTAL 5,ER4ICE/PR004CT5 0.0000 0.00 4.00 0.04 <br /> ------ <br /> TOTAL CHARGE O.DD TOTAL. OUE 25.75 <br /> CREDITS M.D4 <br /> --------------- LWA113 d3AL.ANL•t WIS RECEIPT 25,15 <br /> TDT•RL DUE O,qp <br />- UNPAID BALANCE UK$ RWEIP7 <br /> IF 4A%1N risk snya•cx, eeP, certifies that load slrecific PkV a Sii icon <br /> testinu dove Leel. celllylete.11 privy to Ihullpiuq this loml. <br /> IF hi011 risk suarce, rep, cerLifies Lllat load specific PCB S SiI icon <br /> test7nq hate Leen colr6lleted prior to PwyrinQ this load. GENYM701? STA11115 i <br /> CESQG-. Vehicle <br /> [ SqG Vehicle classifiedertiFies tlrat (i) the above uOred materials are p.•ollerly <br /> PLiu%ed, NdrL(ed meld labeled, aMll — iu Bruder iOnlliLipn <br /> far LraltsrortaLian aecurvlihU to theaRp?icgLle —U411ations of Lite <br /> De1tOrUneul of 1'r'd4l4porLgti4ju {i i} uE ulalel•ial cLunye Ilan uc€ur•red <br /> 51�iatr-tri either in the t"I'drter13tJrlY uF the argsLe./sla3Mr ig1 ur in' Lbe process <br /> {lenerdtliN the wazLx/6l'ate4ial, amid (ifi) the above reFerencea <br /> Generator Stales is correct. Clsstouler Ire" to Pay trite above charg4ts <br /> TRANSPORTM: MiquO Ousure2 azul to he hound by <br /> the terlt'8 and condi[ oles (1) set fic,rtl4 iu W the <br /> General Terms gild Cnrlditiuns Pruw'tdlnl separately to Custaotler ur (6) <br /> Orly SK ag—fJueut ci'u-41 by Castuuer and SK, and <br /> hEreilr b {2} tilejltarated <br /> y raFere�lce. Unlxsx uthertrise inlfieated 1u the Papuenf <br /> receivtJ se <br /> lst <br /> :till", SJf is aet160r xd to Charmltn <br /> Charge Customer's accuL fee <br /> this . ...LLioa, IF Cuslmllor Fails to uw16e darlleut ni—A [We, an <br /> anloueual to #diel lesser o (i) 3,596 Per lLontll {143% per anlluo <br /> or <br /> (i i} lbe ul sq"Hill ml~ allured by law, will he added Lu 417 IN aid <br /> uutxtaildilrq. Cuslnller Certifies khat the irdividual signilcu <br /> 9�a7GYe this Service A4-krenwlu1jjeuenl is duly aulho u an <br /> 6x612 to siDd bind <br /> 'IIS Lplllei'. 45tulller KtAiluwled0e5_that It is a'espooaible fui• qla into io ioy <br /> CUSTDIIER f GMERATCR. henry baias <br />