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LJG It SIL-U01 .1 Bull"nd Ga-laze 0L,14,11 10-50 VaLt I
<br /> Safety-M een Systems , Inc .
<br /> 2600 N Central Eyry. Suite 200
<br /> R idTardsun, T% 75080
<br /> CORPOWIIL'. SOO.609.5740
<br /> 24 "1 EIIERGETI 800 068-L/66 (Safety-N1eeN
<br /> 2095751011
<br /> REFERENCE NOH.
<br /> IUSIOULKq GU/Uvi Cal-Irma Shoe 10- Lmli 12099915-1/00000193
<br /> 815 E Pine St SRVC TEEN: 2017-6
<br /> Lodi CA 95240-1108 SHVC DATE: 02/14/17 IO:SO
<br /> PHONE 209-333-6953
<br /> BILL TO ws1u 11tRa BLLL IU ADDR1,W
<br /> CA39570 CAL I,.. - Dist 10
<br /> P. Bos 161E
<br /> Stockton CA 95201-3038
<br /> PHONE 209-908-7815
<br /> PURCHASE OROERtt IAt EXULPTK
<br /> PRODUCT/SERVICES
<br /> SERVICE/ TOTAL
<br /> PRODUCT 011 UNII PRICE IA% CHARGE
<br /> 26730 "DUEL Lb 0 ,IAND 6365 1.000 50.0000 1-88 53.88
<br /> SIN I1UL3id/ IAO OOUOIIILSk1101312/ (It AN 01)0 SPENT 000
<br /> SERVICE TERM 12 NEEN SC ANNEO YES
<br /> B INNIS: 1 IUE SCA 11aNLIL111 UUS631//USNS FORM to US SHILPi 1111{41317
<br /> CNIF'. 1611195585)4 IIIY: S RI/VOL 0 PHOI4 It"013 SNDUI 11026
<br /> 90837 MODEL 94 N/2187 C 6165 1 000 88.0000 8.82 94.82
<br /> SIN 94LLOI60 TAU IOOOODUO)C9WIO003 (LEU4 2.000 SPtNI 0.000
<br /> SERVICE TERM 12 WEEN SCANNED YES
<br /> p CONIS I TSUE'. SLA IIANLFt,.l4: O0)631i/OSRS FORM ID: US SI11PR 221141139
<br /> 11W lb1119558115 CITY: 20 L1,,VOL G PHOTP 15OUl SAUDI 14941
<br /> IUTAL SEHVICE;PROL 6 138,0000 10.70 108./U
<br /> TOTAL CHARGE 108.70
<br /> CREDITS 0.00
<br /> TOTAL DUE 113.70
<br /> ------------
<br /> UNPAID BALArl MIS RECElPf 108.10
<br /> Machine L1 can and Uood conditinn? Yez
<br /> Lao, Asl ll Condition Yes -
<br /> Dncals io Place and le9ibl e" Yes
<br /> Fusible link installed? Yes
<br /> Em..Oency cloy in9 of lid unubstrutted? Yes
<br /> U,ch ire pro,e rly grounded? Yes
<br /> Local Phone No, Sticker Affi,ul to blathill I'ea
<br /> Spent solo- rt leets Pl ptance criteria? Yes
<br /> GENERATOR SPANS
<br /> 220-2200 lbs/month
<br /> Cultu.nm- Olt tif,e that (i) till "Co, .1. "d n.Ote Ia1S .11 P'Ll= 1,
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