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taYlar 06/07/18 13:08 PAGE <br /> C5G -:`..-VAC 47 <br /> Safi Systems , Inc . <br /> ,i <br /> "P" Suite 700 <br /> .a, <br /> IX 75080 ' <br /> AIL: 800-669-5740 <br /> 74 1Ot ENLKI(LNLV: 800-468-1750 (Safety-Klee") <br /> 2095451011 REFERENCE NW. <br /> 77079774-1802844354 <br /> CUSTOMER# 7B9793 1B Hunt - Stoca SRVC WEEK: 2018-23 <br /> 2660 Loomis Rd SRVC DATE: 06/07/18 <br /> Stockton CA PHONE209-235-1365 <br /> BILL TO CUS10M1_HK BILL TO ADDRESS: <br /> ] 7B Hunt <br /> 697HA <br /> 705 B North Bloanington <br /> Lowell 5-0 <br /> AR <br /> E4479-659-8505 <br /> TAX EXEMPT/ , <br /> PURCHASE OHUIH'' <br /> PRODUCT/SERVICE TOTAL <br /> SERVT!' QTV UNIT PRICE TAX CRARGE <br /> PRODu- .,rnutte (JON-POUAL) 420.000 1.2500 0.00 525.00 <br /> 66665 <br /> /ERM 24 WEEK <br /> CLOR-D-TECT TEST RESULT PASS: PPM a l000 <br /> .ST: 8 960.000 1.7500 0.00 1715.00 <br /> ••� 156677Vac LSO (JON P. <br /> TERM 14 g`Cfk < 1000 <br /> A J CLOR�D 1"EST RESULT PASS: PPF/ <br /> 'H ffsI 79774 FORM CD: BL SHIP# 225675798 <br /> N [ON1S: 1 <br /> UF; L%(- n y�'T/VOL P PROF <br /> 1SCO97 SKOOT 3299 <br /> 80 <br /> CNT#: x60756790 0.00 <br /> 1,000 0.0060 0.00 <br /> ID967 VAC SERVICE FEE P3 51, 00 13.77 166.77 <br /> DEGREASER, HEAP G <br /> 821 SERVICE TSRH _K <br /> 1RLE 6.000 96.0000 0.00 576.00 <br /> 0134 TECHNICAL LABO • <br /> SERVICE TERM 'EK I•600 520.0000 O.DO 520.00 <br /> 10906 VAC SVS SEEM6'' 1.000 300,0000 0.00 360.00 <br /> 10913 VAC TRUCK WASH 3.000 140.0000 0.00 420.00 , <br /> q Ff r. VAC KLEEN . J:N SRV 1.000 120.0000 0.00 120.00 <br /> 0.00 <br /> �.,+OLF TFST 1400.D0o 0.0000 0.00 <br /> V,,, nfy „LIDS <br /> TOTAL SttWW PRODUCT'S <br /> --'--------1230.0000 13.77 4342.77 <br /> TOTAL CHARGE 4342.77 <br /> CREDITS 0.00 <br /> TOTAL DUE ---4342.77 Y <br /> UNPAID 1411-4 NI HIS RECEIPT <br /> 4342.77 <br /> Per BOG n`12n u! the halogen detecting instrument has been <br /> zeraeil _,id ,alidoted. <br /> GENERATOR STATUS <br /> [fSQG: Vehicle <br /> (i) the above-named materials are properly <br /> Customer certifies that and <br /> re <br /> fartransportat <br /> classified. Packaged. <br /> according todthe <br /> the <br /> the <br /> tton <br /> Transportation (i i) no material change has occurred <br /> Department of <br /> either in the cwaracterterial.oandh(iii)ttheaabove referenced process <br /> generating the above charges <br /> Generator Status is correct. Customer agrees to pay the <br /> f and to be bound by the terms and cantltions (1) sto Customer oet forth in r (b) <br /> General Terms and Conditions provided d sk. and incorporated <br /> any SK agreement signed by Customer and SK. and Ci <br /> herein ag reference. Unless Other.ise indicated in the payment <br /> received section, SF. is authorized to U�argr Customer's account for <br /> this tran�nctian. If Cusinmei• fails t„ snake Pay�ient when due, an <br /> amount equal to the lesser of (i) I,", prr mo�,ti+ (1896 per annum) (11' <br /> rbr <br /> . ,i. <br /> fii) Ta+:,' <br />