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I ' <br /> IJ <br /> Lift Trucks inc. <br /> 335.5 Wetmore Street, Manteca,California 95337 Inv # 147000295 <br /> OFFICE#888.456.0694-FAX#209.249.5454 <br /> KOMAV Authorized Dealer ,.. ; Reference#28555 <br /> Inv Date 12/19/2017 <br /> P.M. Invoice Terms - Net 10 <br /> Salesman:House Account <br /> BILL SHIP <br /> T0: SI9720 T0: SI9720-1 <br /> Shape, inc. Shape, Inc. <br /> 5115-A Johnson Drive 119 Val Dervin Pkwy #2 <br /> Pleasanton, CA 94588 Stockton, CA 95206 <br /> 25-485-9720 <br /> PO# Ship Via FOB PM Due Date Make Model Serial# Unk# Meter <br /> 666OMS 11/17/20... DAEWOO G25-S-2 12.07816 3052.5 <br /> P.M.Se ce. <br /> nspec unit and test all function.Blow out unit and lube all points. <br /> Parts 0- Description Q4 BD Shipped Cost Per Item Total Cost <br /> 85768 Oil Filter 1 0 1 3158 31.58 <br /> 10w30 Engine Oil,Qt 8 0 8 5.95 47.60 <br /> 886396 Inner Slide Lube 1 0 1 4.50 4.50 <br /> E.P.A.Disposal Fee 1 u 1 5.00 <br /> Misc.-Shop Supplies 1 0 1 14.95 <br /> Flat Rate Labor 80.00 <br /> D <br /> 2580 <br /> .to <br /> 2 ZVI <br /> s►MppE, INC <br /> Remit payments to: <br /> Gold Coast Lift Trucks Inc. Sub Total 183.63 <br /> P.O. Box 4455 Sales Tax @ 9% 8.88 <br /> Manteca, California 95337 Total Amount Due 192.51 <br /> Page#1 of 1 <br />