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rA j m� O� PLEASE PAY BY INVOICE . IDENTIFY PAYMENT <br /> vL BY INVOICE NUMBER AND DATE. MAKE CHECK <br /> PETROLEUM MARKETER PAYABLE TO KLUDT OIL, INC. <br /> 1126 E . Pine Street Lodi , CA 95240 . REMIT TO: P. O. BOX 166 Lodi, CA 95241 -0166 <br /> 41muff (a Lodi (209 ) 368-0634 Stockton (209) 466-8969 <br /> �cE :esE Fax : (209) 368-9016 Web : www. kludtoil . com INVOICE NUMBER 251167 <br /> ) ACCOUNTNUMBER 66440 DATE 05 - 22 - 19 L <br /> SOLD TO NAME SHIP TO SAN JOAQUIN COUNTY <br /> (ICT pi AGRICULTURAL OIL <br /> ADDRESS : COLLECTION PROGRAM <br /> ENVIRONMENTAL HEALTH <br /> PURCHASE ORDER NUMBER fl S SMAN TERMS DUE DATE <br /> CORRADI KLUDT & SONS NET 15 DAYS 06 - 06 - 19 <br /> DELIVERY DATE DRIVER TRUCK NUMBER DELIVERY TIME BIL NUMBER <br /> 05 - 22 - 19 AUSTIN SAULI 2 315 <br /> NO. OF BULK OR PRODUCT DELIVERED TAXES <br /> PKG' S PKG. SIZE ORDERED DELIVERED PRICE AMOUNT <br /> FED STATE SALE <br /> BULK USED OIL , NON— RCRA HAZ . WASTE LQ 110 110 X 0 . 00000 0 . 00 <br /> 3 EA USED OIL FILTER 37 37 X 0 . 00000 0 . 00 <br /> * * DELIVERY MESSAGE * * * <br /> RECEIPT FOR USED OIL DELIVERED TO <br /> Ee Fo KLUDT & SONS , INC . WASTE OIL <br /> COLLECTION SITE AT 1126 Ee PINE ST <br /> LOI I , CA . <br /> PURCHASE ORDER SJ001 - 0000038338 <br /> KLXIDT OIL USAGE EPA # CAL000332948 <br /> I <br /> PAST DUE AFTER 06 - 06 ~ 19 ffaccount is unpaid witMn time permitted, customer agrees to pay interest at 189'0 STATE AND FEDERAL EXCISE <br /> PER ANNUM and attorneys fees d account is referred to an attorney for collection. The undersigned hereby states that he Is authorized to bindTAXES ARE INCLUDED IN THE SALES RESALE <br /> the principal to the terms hared. GASOLINE PRICES. TAX <br /> DRUMS DELIVERED DRUMS RETURNED DRUMS NET <br /> ERRORS IN PRICE , EXTENSION AND ADDITION SUBJECT TO CORRECTION TOTAL 0 . 00 <br /> ALL CLAIMS FOR ENVIRONMENTAL DAMAGE DURING DELIVERY OF ANY CHECK NUMBER <br /> PRODUCT MUST BE MADE WITHIN 15 DAYS FOLLOWING DELIVERY. CHECK AMOUNT <br /> DELIVERED BY (SIGNATURE IN FULL) RECEIVED IN GOOD ORDER <br /> X PLEASE PAY FROM THIS INVOICE <br />