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589 <br /> Padilla Tire Disposal Date: <br /> P O. Box 1035, Linden, CA 95236 <br /> (209)405-5675 <br /> Customer: <br /> SPA) <br /> Lj <br /> Count Description Price Amount Manifest# <br /> -�Z .5,rr.�J Passenger Tires $ Trip Log# <br /> Light Truck Tires $ $ License# <br /> Truck Tires $ $ <br /> Misc. Tires $ $ <br /> Wheels $ $ Payment Information <br /> 00 X Trailer Placement $ $ Cash $ <br /> 1 cc, <br /> Trailer Switch $ $ Check $/ <br /> Trailer Removal is $ Charge $ <br /> r- CHTotal Due C7C�C). Total Received $ <br /> Driver Customer <br /> Signature: Signature: <br />