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06 / 11 / 2021 3404 PM FAX 2094488625 y AMCE SAW 0002 / 0010
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<br /> CS4 SK•SS► �BOX-23 Rhymond Gomaz 07/10/19 17 : 58 P/
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<br /> \� 1 Safety , K`ieeri Systems , Inc .
<br /> C'0 Sk•59L •BOX.232600 N Central Expy , Suite 200
<br /> AOband Gomez •130/2VA9 .14R22 •f A8C1 Richardson , TX 75Q80
<br /> CORPORATE: 800 -060.6740
<br /> S$-F�K1. $ en 24 RR EMERGENCY: 800.468,17$0 (Safety- e
<br /> Kle��$a-'ti �tl�i , ��1�' . � 7095451011
<br /> 2600 N control Expy7 Suite ;04 CUSTOMERS ACIS642 Acme SaW . su ly REFERENCE N
<br /> "ILichordsgn , 'Il( 7fMM
<br /> 1tP 802$04 6; ..1903041
<br /> CORPORATE: •$0o96699S3AD 1204 E Main St SRVC0200 WEEK ; 3019
<br /> 34 RR EMERGENCV4 800.460.1760 (sapetyKloon) Stockton CA 95205 .5914 SRvC DATE: 07/19
<br /> 70954610]] E9LL TD CUSTOMERS BILI, TO PHONE AppR�s09 . 048 -0735
<br /> CUSTOMfll9 AC1S6Q Arora Saw - Supply REp1:grFN$c"NBR , AC16091 Acme SEW Industrial Supply
<br /> SlU4 • El.Nain St 171 . 1!:04452631 1204 E Main St
<br /> Stockton CA 0520S -5514 4anvs_ .,Wieu, , _24044 Stockton CA 957054517
<br /> PHONE x09- r48 -6775 sRVC DATE : 08/x1/19 PHONE 209 -943 1.
<br /> AJ• .To _CUSTp]1E11I _O t, ,Tn, d011DE.;: PURCHASE 9RDERN
<br /> A[ib091 Arms Saw •X17dustrial •SygVly TAX EXEMPT
<br /> 1x04 E Mdlh St PRODUCT/SrRVICES
<br /> $lacktan , " ,205,S� SERVICE 4. 1 f! 1/ J.
<br /> PURCHASE ORDER! E 'z119�48•8A35 PRODUCT
<br /> QTY UNIT PRICE 70 �
<br /> TAX EXER"Iff 90$37 MODEL 90 W/23o1 036s 0 TAX 011.4
<br /> PRODUCT/SERVICES, Q� 177 , 8600 16 . 03
<br /> SERVICE/ s/N ;G029471 7AG 0(1.,. ; 1 ; ?oSK Ok9A71 CLEAN 2 . 50 SPENT tl , ODO
<br /> 11
<br /> SERVICE TERM 4 WEEN $C EO YES
<br /> PRODUCT TDTAL100030 RECOVERY PPE 14o0d 15 , 0000 ; , 35 ]G . :
<br /> 10254 MACHINE REpATR SRV AQ000 QTY UNIT PRZCAmocoIE TAX CHARGE
<br /> $ERVXCE , 1TaO4 • Z3 • WEEK O +QO ;U O0 TOTAL SERVICE/PRODUCTS
<br /> IS 0D
<br /> j� 71 192 . 8600 17. 36 210 , 1
<br /> 90837 CAOC $ VoidHeadargndliha -SARVICE R01 ' NeF; t
<br /> MADER 90 W/2387 A 6365 k16WED
<br /> 1 . 000 177 , 860Q 16 . pL TOTAL, CHARGE 2;0 . 2 .
<br /> SAN ;G02947! 7AG 00001470S0x9471 CLEAN •2 1 19; . 87 eSO0 •SpEyyy . O ;ylpp a
<br /> SEitVIcE TERM 4 WEEK SCANNED No CREOrm Q . Oi
<br /> 100030 RI; oViny FCE :Ls • __ _ e -
<br /> L, . . poo° :i 3; .t6 :�: lDTAL DUE "
<br /> 1 21D . 2�
<br /> firAL 'sdiVICE/pROtluClS . ;97 . $60D " - - -�- - -� -, �• __ � • —^�'�=-n°�
<br /> l� • ; 7. 38 • • 210 . x2 UNPAXu BALANCE THY RECWT
<br /> ,WtAL. a,1UOM 310 . 2;
<br /> _ _ �utvo ti
<br /> TOTAL _R416 • ZIQ�2z ' Machine clean and good condition? Yes
<br /> �nne^P�,�,A Lamp Assembly Cphdition Yes
<br /> UNPA;D ttA;plyGE TKS RECEYPT 2� Z7 0oc&ls in place and legible? Yes
<br /> Fusible link installed? Yor
<br /> Emergency closing of lid unohstructadY Yas
<br /> Iachine clean and Coad condifign7 Yes Machine properly grounded? Yes
<br /> Local phone No , Sticker Affixed to Machine Yes
<br /> a1hP Assembly Condition Yts Spent solvent meets acceptance criteriaY Yes
<br /> fetal & tin , place and laoible4 Yes
<br /> .,fibla 'link initaTic�7P. •�es �}
<br /> °1truenry cla3ing of lid 4nobstr4a
<br /> Achint P1'•.nu'ly 9rou0eirt tedY Yea Yes
<br /> oval P""' 4a , Sticker Affixed t„ glidchina •itrs U J
<br /> vent + ,. 1II', • meats 4CcePtanre _crittriA° -kas ` GENRRAlDR STATUS
<br /> _ . .. .._:.. .. _.: . . ' 0-2201bs/month
<br /> a CustftgP certifihs that <i) the above -nmoed materials art properly
<br /> 11 classified ) packaged , marked and labeltd, and are in proper condition
<br /> fgr transportation According to thr anplicablr Yp,0u14t 'f0115 of the
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