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Mission Uniform Service <br />136 Coyado Ave <br />Modesto, CA 95350-5813 <br />Invoice #:503413417 <br />Page: <br />Customer #: <br />1 of 1 <br />280379 <br />9/29/2016Date: <br />Purchase Order #: <br />Payment is Due:October 10th <br />Delivery Plant: <br />Delivery Days: <br />4805 D <br />...H... <br />Delivery Stop:Rt 27 - 9999 <br />Stephan's Truck Repair <br />9241 S Harland Road <br />French Camp, CA 95207 <br />Deliver To <br />Customer Invoice <br />PH 209-523-6758 <br />Remit To: <br />Customer-Approved Delivery Process <br />Line Emp Item Identity Invty Qty Amount Adj <br />Qty <br />Adj Amount <br />1 SOY IND HANDCLEAN EA 1 17.00 * <br />Subtotal $17.00 Adj <br />Subtotal <br />Sales Tax $1.36 *Adj Tax <br />Prebill Total $18.36 Adj Total <br />Adjust Amount $ <br />Amount Due $ <br />Remarks: <br />Name # 6, RP <br />Received 9/29/2016 10:22:46 AM: <br />No Signature Available