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C C <br /> Tf P.R.C. PATTERSON, INC. STATE MANIFEST# I T l0.63s� <br /> PRC <br /> DBA Refineries Service USED OIL HAULER # 86-050 <br /> IC 13331 N. Hwy. 33 / P.O. Box 1167 EPA# CAD083166728 <br /> cG a Patterson, CA 95383 HAZARDOUS <br /> REG WASTE 1500 <br /> 9C&s 00 (209) 892-6742 / (800) 874-4444 <br /> t - It—Qb INV. # 4284 <br /> DATE <br /> C fl S CL 1r� G` T S 198 `1 <br /> 5 I '�k C IVER TRUCK# <br /> S NAME BILLING AD KESS Z$FFERENT ECASH - <br /> 0 11E L4(4 c x 6 ,Y R <br /> M ADDRESS f r ,r r , M NET 10 DAY- <br /> R 't OGLC.f(9�1 (0.. vV 0, 8 /.�-a�9 S PO # <br /> CITY STATE <br /> //''� yy--������ZIP PHONE CITY STATE ZIP <br /> - PLEASE PAY FROM THIS INVOICE - <br /> PRODUCT GALLONS HOURS RATE AMOUNT <br /> HAZARDOUS WASTE OIL <br /> TEST FEE <br /> HAZARDOUS WASTE i <br /> HOURLY CHARGES <br /> I certify amount shown above to be correct. <br /> (Customer Signature) {Driver S' nature} <br /> PAYMENT DUE UPON RECEIPT OF INVOICE.A SERVICE CHARGE OF 1%%PER MONTH SHALL BE CHARGED ON ALL PAST <br /> DUE ACCOUNTS.IN THE EVENT THIS ACCOUNT BECOMES DELINQUENT AND rT IS NECESSARY TO INSTITUTE LEGAL <br /> PROCEEDINGS, PURCHASER AGREES TO PAY REASONABLE ATTORNEY'S FEE AND COURT COSTS. <br /> Total Charges s <br /> wHITE:CUSTOMER CANARY.ALPHABETICAL PINK:NUMERIC GOLDENROD:FILE <br /> MPCO.Z4o92(REv.afwl <br /> 1 <br /> r <br />