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BILLING • P.O. BOX 1107, STOCKTON, CA. 95201 • PHONE (209) 465-3421 <br />SHIPPING • 1001 W. CHARTER WY., STOCKTON, CA. 95206 <br />OUTSIDE STOCKTON AREA (800) 736-3421 • FAX (209) 466-1910 <br />to, I�' / ��■ <br />STREET <br />ADDRESS <br />CITY <br />STATE <br />U CHARGE U CASH RECEIPT NUMBER <br />Im <br />• ;® a -®• <br />UNLEADED REGULAR GASOLINE UN 1203 ' <br />MID -GRADE EXTRA GASOLINE UN 1203 <br />UNLEADED PREMIUM GASOLINE UN 1203 <br />DIESEL #2 NA 1993 <br />i <br />KEROSENE UN 1223 <br />MINERAL SPIRITS NA 1263 <br />i <br />ERMIT SERVI ES ' <br />' <br />CA. OIL RECYCLING FEE <br />FEDERAL EXCISE TAX ' <br />i <br />STATE SALES TAX <br />STATE USE FUEL TAX <br />PREPAID TAX (SG KHE 78-005208) GASOLINE <br />PREPAID TAX (SG KHE 78-005208) DIESEL <br />DRUM CHARGE <br />DRUM RETURN < > e i <br />i <br />TERMS: AS ARRANGED OR NET 15 DAYS FROM DELIVERY DATE • <br />The purchse price is due and payable upon receipt of invoice and payable as shown under the terms of Invoice, and <br />unless paid by that due date, any u aid balance shall be delinquent and subject to a finance charge applying a periodic • - o ® "' <br />p- <br />rate of 1.5%. The ANNUAL PERCENTAGE RATE IS 18%. The finance charge stated herein is a charge for the credit <br />sale of the goods purchased. It is part of the puchase price when such purchase price is paid for over time rather than <br />when due. Delinquent accounts are costly to the seller to process and carry. The finance charge is an amount which <br />both seller and purchaser agree represents a reasonable attempt to estimate a fair average compensation to the seller <br />for such expense. The buyer and seller agree to presume that the finance charge is equal to the seller's expenses of <br />processing and carrying a delinquent account and they agree that it would be.impractical, or extremely difficult to fix the <br />actual expenses. <br />PRODUCTS RECEIVED AND TERMS ACCEPTED BY: <br />PRINT NAME. <br />I)I gOhi1i"n i:// nJ i A"b 11 <br />