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Mission Uniform Service <br />136 Coyado Ave <br />Modesto, CA 95350-5813 <br />Invoice #:503505643 <br />Page: <br />Customer #: <br />1 of 1 <br />280379 <br />10/13/2016Date: <br />Purchase Order #: <br />Payment is Due:November 10th <br />Delivery Plant: <br />Delivery Days: <br />4805 I <br />...H... <br />Delivery Stop:Rt 27 - 130 <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 Service Charge 1 8.00 <br />2 Towel-Shop-Bagged 50 100 100 11.00 <br />3 1 Jean-Denim-Tradl-Rd Stephan 11 7.70 <br />4 1 Sht-Mtosprt-Rd/Nv-Ls Stephan 6 3.60 <br />5 1 SHT-REDKAP SHIRT LS Stephan 5 3.00 <br />Subtotal $33.30 Adj <br />Subtotal <br />Sales Tax $0.00 *Adj Tax <br />Prebill Total $33.30 Adj Total <br />Adjust Amount $ <br />Amount Due $ <br />Remarks: <br />Name # 6, RP <br />Received 10/13/2016 10:22:35 AM: <br />No Signature Available