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CSG SK-SSL-BOX-23 Raymond Gomez 12/01/17 12:11 PAGE 1 <br /> Safety-Kleen Systems, Inc. <br /> 2600 N Central Expy, Suite 200 <br /> Richardson, TX 75080 <br /> CORPORATE: 800-669-5740 <br /> 24 HR EMERGENCY: 800--468-1760 (Safety-Kleen) <br /> 2095451011 <br /> REFERENCE NBR_ <br /> CUSTOMER4 M030843 Moe Auto Repair 75255706-1705789232 <br /> 2255 S Airport Way SRVC 91EEK: 2017-48 <br /> Attn: Moe SRVC PATE: 12/01/17 <br /> Stockton CA 95206-3338 <br /> PHONE 209-939-1490 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> M030843 Moe Auto Repair <br /> 2255 S Airport Way <br /> Attn: Moe <br /> Stockton CA 95206-3338 <br /> PHONE 209-939-1490 <br /> PURCHASE ORDER# TAX EXEMPT## <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 94837 MODEL 94 W/2387 & 6365 1.000 203.2100 18.29 221.50 <br /> S/9 12000575 TAG 00001260SK12000575 CLEAN 2.00 SPENT 0.000 <br /> SERVICE TERM 12 WEEK SCANNED YES <br /> 3383 DRUM,55 GAL FOR O.F. 1.000 0.0000 0.00 0.00 <br /> SERVICE TERM 12 WEEK <br /> CAUSE CODE VoidHeaderAndLine -SERVICE NOT NEEDED <br /> 83383 DRUM,55 WASTE O.F. 1.000 0.0000 0.00 0.00 <br /> SERVICE TERM 12 WEEK <br /> CAUSE CODE VoidHeaderAndLine -SERVICE NOT NEEDED <br /> 3101930 22B103X--PP-DR55-VT SAE 10 1.000 0.0000 0.00 0.00 <br /> SERVICE TERM 12 WEEK <br /> CAUSE CODE VoidHeaderAndLine -SERVICE NOT NEEDED <br /> 200001 FEE, FUEL SURCHARGE 1.000 11.8200 1.06 12.88 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 215.0300 19.35 234.38 <br /> TOTAL CHARGE 234.38 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 234.38 <br /> UNPAID BALANCE THIS RECEIPT 234.38 <br /> Machine clean and good condition? Yes <br /> Lamp Assembly Condition Yes <br /> Decals in place and legible? Yes <br /> Fusible link installed? Yes <br /> Emergency closing of lid unobstructed? Yes <br /> Machine properly grounded? Yes <br /> Local Phone No. Sticker Affixed to Machine Yes <br /> Spent solvent meets acceptance criteria? Yes <br /> GENERATOR STATUS <br /> 0-220 lbs/month <br /> Customer certifies that (i) the above--named materials are properly <br />