|
A.d.A.P.
<br />act*
<br />MERCED - (209) 725-0232
<br />MODESTO - (209) 538-2821
<br />LODI -(209) 339-1417
<br />TURLOCK - (209) 667-7010
<br />OFFICE
<br />P.O. BOX 99452
<br />STOCKTON, CA 95209-0452
<br />LICENSE NO. 313219
<br />STOCKTON • (209) 473-8555
<br />STOCKTON -(209) 473-1633
<br />TRACY - (209) 836-9331
<br />MANTECA -(209) 239-0612
<br />FAX - (209) 473-1533
<br />PAGE OF
<br />JOVAME
<br />,,,Or
<br />DATe
<br />1-800-265-2727 'ASAP'
<br />EDD El '1:k_WCAC
<br />FEDERAL ID
<br />68-0342358
<br />DESCRIPTION OF WORK PERFORMED QTY. MATERIALS DESCRIPTION PRICE PER AMOUNT
<br />/
<br />r kf: -..,,,, ir- l'r--- _) A/ ."1(. i < f ) /C7 17 rv)...) /5. .-, r ii,fr ----
<br /> 2 /, ti,,,,,/ ,,,../d 1.<
<br />is 1:-• 2- 6,--i_7,-; 4. ..,!-. -i /3/- ---)c 7-, fr-"Ditt. - -/ E frt!/ iy5-4:' A
<br />-fr
<br />a /... 4, / 4 14-- c., ,1., c_1, /....)0 j 0 ,%) i 6 0 , 3,- , . 1
<br />'e —Gt., a I-: !,,,,:-. c, .c.--, "1'k ,..1 "i— /6 (IA 15: l *__;_,1 5) .,.1.'" ,
<br />7 -.(7:- cf;:,, ,- t4-- , 'Ie.:, ,-0_,14...)L; ./4 ici.../. 44 i 61, 1 ( .27 —N.
<br />,.. 1,, .. _-,.
<br />
<br />,A t , -?.:..1„,,,•5.,.„-1,i, ,-,4-, ./5:„...,),,,,_ ,----A r-c q., . ././ ._- ( EA5-11—
<br />L.,, - A ir
<br />oci." -1-0/,), ,./)
<br />0 0%-i, _, 4.,.../ / 6 ,4/ (-1,....s c %/dui,. - j—r-z) A ita-1 ‘..if s err e i f-,--5,‹ A 1 6 C i K. c?c-e i ,-1 ,.,a) ., )`- (f
<br />:
<br />I Ci ,k4 ..
<br />if‘lf ,/ I) -•. ' 4..- . •-r-7.. 06/6 fki iti t) e i4' t
<br /> f 1
<br />4 7 7-0 0 .4./,g 11 r -; f 47,4) )- C ... A,,O (c.74 -A"
<br />i .
<br />r• ,, 1,, , it / * • , 1.. ' • / -..., a. 11 /-..; A's - i'
<br />,
<br />. p•s, -,
<br />,/
<br />/ r r -, '',' /,41-7: /1) .-_.) Le. ,-,.. • A. --,, /3 .
<br />,
<br />.',.
<br />JOB STATUS
<br />JOB COMPLETED: 01, YES 0 NO
<br /> .., . :
<br />ADDITIONAL WORK NEEDED in YES 0 NO 1
<br />RECOMMENDATIONS (- '' /
<br />
<br />0 ) -/-/4/` *---- if --4 t-'41-1//:.:JC,1 /14,. AZ; c, i 6/ .'"'i-TE"' ,,';'
<br />.,/,..
<br />./....• 3 14.- (-:,, ci or'Y l; 0r--, arl f;"" 4-c... i; / 4..., .2,
<br />- _) , i f : 7 5. t"-- ' 2 " ,,k,e.., 77 4.d ;.' 1;,../ /1" i: ' "i' f .7(-C ) , 6 .... , .!.1.. .1",
<br />Please see your work ./ (MATERIAL) SUB TOTAL order for information
<br />- • / •
<br />.. regarding our warranty. TAX, HANDLING
<br />& PROCUREMENT MULTA FACTOR X 1.20
<br />. I hdreby acknowledge the satisfactory completion 'cif the LABOR TOTAL
<br />above desired work, and accept terms and conditions.
<br />ri ,J t _ --71 (
<br />JOB START DATE JOB FINISH DATE TIME IN TIME OUT TOTAL
<br />1/2 HOUR
<br />RATE PER
<br />1/2 HOUR
<br />SUB
<br />TOTAL
<br />X 0 r, • — - ' CUSTOMERS SIGNATURE 3I,. --,-)
<br />El Customer not available for signature ...1
<br />METHOD OF PAYMENT
<br />0 CASH 0 CHECK NO.: 0 c/c OTHER CHARGES AMOUNT TOTAL LABOR
<br />0 BILL OUT Terms: Net Upon Receipt SERVICE CHARGE 24.50
<br />Driver Lic. # Exp. Date: Birthdate:
<br />1 TOTAL OTHER
<br />$30 SERVICE CHARGE ON RETURNED CHECKS SUB TOTAL
<br />4
<br />i , THANK YOU!
<br />0 PREFERRED % DISCOUNT OFF LABOR
<br />We really appreciate your business! If you ever need PLEASE PAY FROM THIS INVOICE.
<br />our services again, please call. "We're as close as your phone!" NO STATEMENT WILL BE SENT. 0 SENIOR
<br />0 COUPON I PAY THIS AMOUNT
|