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VL i �� PLEASE PAY BY INVOICE . IDENTIFY PAYMENT <br /> PETROLEUM MARKETER PAYABLE BY I TO EE KCE BUOT d 8ONSER AND E .INCAKE CHECK <br /> KLUDT ® 1126 E. Pine Steet Lodi , CA 95240 . REN41T TO% RO, BOX 106 LMi CA�5241 =816 <br /> Lodi (209) 368-0634 Stockton (209) 466-8969 <br /> suics �ss2 Fax : (209) 368-9016 Web : www. kludtoil . com INVOICE NUMBER 236197 <br /> L' <br /> � fii ACCOUNTNUMBER 66440 DATE 03 - 20 - 18 <br /> QLD TO NAME --3 '�-� �T-r.-� I{ �_ �_ <br /> SHIP TO SAN JOAQUIN COUNTY <br /> ( • ( `: L Q <br /> AGRICULTURAL OIL <br /> ADDRESS : COLLECTION PROGRAM <br /> ENVIRONMENTAL HEALTH <br /> PURCHASE ORDER NUMBER SALESMAN TERMS DUE DATE <br /> MICHAEL C KLUDT & SONS NET 15 DAYS 04 - 04 - 18 <br /> DELIVERY DATE DRIVER TRUCK NUMBER DELIVERY TIME B/L NUMBER <br /> 03 - 20 - 18 ARON KLUDT 2 1405 <br /> NO. OBULK PRODUCT DELIVERED ORDERED DELIVERED TAXES PRICE AMOUNT <br /> PKG' S PKG . SIZE FED STATE SALES <br /> BULK USED OIL , NON— RCRA HAZeWASTE LQ 55 55 X 0 . 00000 0000 <br /> * * DELIVERY MESSAGE * * * <br /> RECEIPT FOR USED OIL DELIVERED TO <br /> Es Fe KLUDT & SONS , INC . WASTE OIL <br /> CO LECTION SITE AT 1126 Eo PINE ST <br /> LOI Ill , CA <br /> PURCHASE ORDER SJ001 - 0000038338 <br /> PAST DUE AFTER 04 _ 04 - 18 If account Is unpaid ellhfn gme parmilled, customer agrees to pay interest et <br /> 18 % STATE AND FEDERAL EXCISE SALES <br /> PER ANNUM and attorney's fees it account is revered to an allemey forcollectlon, The undersigned hereby states that he is authorized to bind TAXES ARE INCLUDED IN THE RESALE <br /> the principal to the terns hereof. GASOLINE PRICES. TAX <br /> nRUMS DELIVERED DRUMS RETURNED DRUMS NET <br /> L'-s <br /> RORS 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 />