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7oseph R Lima Ir - <br /> 02/07/18 09 : 20 PAGE 1 <br /> •CSC SK^SSL4MO-01 ;4 <br /> Safety - K1 een Systems, Inc . ` 10. <br /> 2600 N Central ExpYi Suite 200 <br /> Richardson ; ,TX 75080 <br /> CORPORATE:. SODm�669- 5740 , <br /> 24 HR EMERGENCY : 800-468 -1760 (Smfety-KleenI <br /> 2095451011 REFERENCE NSR . <br /> 76064204 <br /> CUSTOMER# SA27226 Salvation Army SRVC WEEK : 201$4 X ,y <br /> 1247 S Wilson Way SRVC DATE : 02ID7/18 <br /> Stockton CA 95:eDS403 , <br /> P 6NE . Z49-46663871 <br /> ' BILL TO CUSTOMER# BILL TO ADDRESS : "- <br /> Salvation;•Army <br /> SA2T226 <br /> 1247 $' Wil"son Way ! <br /> Stockton CA 9t2Q5 -7036 <br /> .PRONE 209::466 -3871 TAX £XEt;1FT# <br /> kA <br /> w . <br /> • FURCHASE RROER# r; • " . ," <br /> PR(3WtIls- RVI:CES <br /> TOTAL <br /> SERVICE/ :' QTy UNIT"PRICE . TAX CHARGE <br /> PRODUCT 1 , 000 Y15 , 0000', 0 . 60 215. 000 <br /> 10256 FEE , OIL SERVICE/STOP NON - F <br /> SERVICE TERM 24 WEEK ..: 55 :OD0'•� 0 .2904 ' 0 . 00 iS • 95 <br /> M36 USED DSL RECYCLE AUTOMOTI , , , <br /> 1 SERVICE TERM 24 WEEK <br /> HALOGEN I CLOR-D -TECT TEST RESULT PASS : PPM s 30004 _ <br /> 21S . 290D^ D :OD 23D . 9S <br /> TOTAL SERVYCE/P,RODUCTS . <br /> TOTAL CHARGE 230 :95. ' <br /> CREDITS D':O0 , <br /> X. TOTAL OUEr - _ " - , - 230 . 95• <br /> UNPAID BALANCE THIS RECEIPT <br /> 230 . 95 <br /> zc)Sb5 � <br /> Is <br /> Szii <br /> nign risk source , rep . .=ert•. <br /> • - c¢ : Gaa ;.peei eo+� <br /> testing have been completed prior to Pumping this load . <br /> GENERATOR STATUS <br /> CESQG: Vehicle <br /> are <br /> Customer certifies thamarkedoperly <br /> ttandalabeled ea daare1insproperrcondition <br /> classified . p g to the applicable regulations of the <br /> for transportation according <br /> Department of Transportation Ltii) no material change has occurred <br /> ced <br /> either in the characteristics of the was or in the process <br /> generating the waste/material , and (iii) the above refereUove charges <br /> Generator Status is correct . Customer agrees to set forth in Cal the <br /> and to be bound by the terms and conditions (1) Omer or <br /> General Terms and Conditions provided separately <br /> yand Cto Cust <br /> incorporated <br /> Cb) <br /> any SK agreement signed by Customer and 5K . <br /> I herein by reference isnauthorizedvJtoechargeated in customer ' s haccount for <br /> raceived section , an <br /> this transaction • if Customer fails 5% peremon payment(18% perannum) or <br /> amount equal to the lesser of Ci) <br /> (ii) the maximum amount allowed by law , will be added to all unpaid <br /> amounts Outstadin9 , Customer certifi uthorizedes that etonsign dand bind <br /> ual ' ng <br /> this Service Acknowledgemtnt is duly <br /> Customer . Customer acknowledges that it is responsible for maintaining <br />