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GEORGE W. LOWRY, INC. 50100935 <br /> PETROLEUM PRODUCTS DISTRIBUTOR <br /> (800) 310 0331t'wlJ�•� 20 <br /> MAILING ADDRESS: P.O. BOX 176 • SALIDA, CA 95368 <br /> 1249 WOODLERNANAND <br /> D SALIDA, , A 953 PH: (209) 9) 545-81 — op <br /> 1249 WOODLAND MODESTO, CA 95351 PH: (209) 545-8130 — <br /> 341 FIRST STREET • PATTERSON, CA 95363 PH: (209) 892-5291 — � % <br /> RIPON-MANY CA AREA PH: (209) 599-2433 <br /> DEL'Y DATE 20 TRUCK NO I J <br /> RCED <br /> DEL'D AT COUNTY ❑ STANISLAUS <br /> CUSTOMER N JOAQUIN <br /> ORDER NO. <br /> PACKAGES CODES <br /> NO. SIZE DRIV QUANTITY PRICE AMOUNT <br /> PRODUCT PKG. <br /> SUPER UNLEADED GASOLINE-UN 1203 01 <br /> UNLEADED PLUS GASOLINE-UN 1203 02 <br /> UNLEADED REGULAR GASOLINE-UN 1203 03 <br /> DIESEL FUEL-CARB NO.2 NA 1993 17 <br /> DIESEL FUEL-CARB NO.2(RED DYED)NA 1993,DYED DIESEL,FUEL,NONTAXABLE USE ONLY,PENALTY FOR TAXABLE USE 19 <br /> W <br /> Q I _z <br /> J <br /> Q <br /> _Z <br /> Senate Bill 1610 Req. Prepaid Sales Tax SG-KHC 78-005389 - Ga oline <br /> Senate Bill 1610 Req. Prepaid Sales Tax SG-KHC 78-005389 - Diesel <br /> (Subject to correction of clerical errors) SALES TAX X <br /> 55 GAL. DRUM DEPOSIT CHARGE 971028 8 <br /> 55 GAL. DRUM RETURN CREDIT 971028 8 <br /> SIGNA E CASH <br /> RECE ED BY F INVOICE TOTAL <br /> Dear Customer: w CREDIT CARD UNLESS OTHERWISE SPECIFIED ON THIS INVOICE <br /> Please be advised that the automotive fuels, lubricants and other products sold to you w SALES CO-65'S TERMS:Accounts due on the 10th of the month following the <br /> by George W. Lowry, Inc. may contain chemicals which are known to the State of CHECKS month of purchase. Past due accounts will be charged a <br /> California to cause cancer, reproductive harm, or birth defects.This warning is provided k ID #'S FINANCE CHARGE at the PERIODIC RATE of 1-1/2% per <br /> to you to comply with California Health and Safety Code 25249.6 and does not N TOTAL month,which is an ANNUAL PERCENTAGE RATE of 18%. <br /> Constitute an admission or waiver of any legal rights. RECEIVED PLEASE PAY FROM THIS INVOICE <br />