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BILLING_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LINDBERGH
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1795
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2300 - Underground Storage Tank Program
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PR0231641
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BILLING_PRE 2019
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Entry Properties
Last modified
2/23/2022 8:21:07 AM
Creation date
11/5/2018 5:01:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231641
PE
2381
FACILITY_ID
FA0003823
FACILITY_NAME
FAA - SCK
STREET_NUMBER
1795
STREET_NAME
LINDBERGH
STREET_TYPE
ST
City
STOCKTON
Zip
95206
CURRENT_STATUS
02
SITE_LOCATION
1795 LINDBERGH ST
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LINDBERGH\1795\PR0231641\BILLING.PDF
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EHD - Public
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U.S.GOVERNMENT <br /> PURCHASE ORDER—INVOICE- )UCHER <br /> DATE" RAIDER W 101747 <br /> i&/ <br /> PMT AM ADDRESS IF 5111E-11MmtlIr.900et.CRY and SMte)IN - <br /> PN fHlui�) iLo e.�+( /�EN,� f/c- JJ isfuic•% <br /> Y ,/ _ <br /> E aAU��_111AJ /7 ��.J.L�� <br /> NO&SUIPtIESOR SERVCES TD(NWM WW; <br /> ii • <br /> SUPPLIES OR SER CES GMNIIIY IRR PNCE AMDUNT <br /> t®,I .i/Ti� 14:_ <br /> rl L5�`ockfzl� �T� <br /> a �.� //tel/c�//f G✓ iAf/DiC' F l`JD'-"v <br /> AGENCY NAME AND MLLW ADDRESS i p Gr <br /> Federal Aviation Administration T0T^L <br /> oscalefr MS <br /> I F P.O.Box 92007,Worldway Postal Center,AWP-41B Kw ,r ___ptrs <br /> A Los Angeles,CA 90009 DATE INVOICERECEMEo <br /> O <br /> R <br /> ORDERED BY(5praWnl eM IAN) <br /> KWM ANO ACC WIND DATA <br /> quid//���/,2/19//�;'S>/ <br /> tix'K A' I/ <br /> PURCHASER— To sign Aetow for OW.iho-counter dervery Of Aems <br /> RECEIVE <br /> RECTITE <br /> DATE <br /> 'SELLI-fd— Pbsse read Instructions on Copy 2 <br /> ❑PAYMENTPAYMENT $-�(-�/J <br /> -- --_----_ <br /> RKUVED <br /> ------------------- REQUESTED <br /> NOFURTNERINVOENEEDBES TIED <br /> DATE <br /> SELLER <br /> INSTRUCTIONS TO SELLER <br /> After satisfactory identification of the Government representative preeentintt this <br /> purchase order, verify the Itemisation, including quantity, unit price, amount, <br /> total and diewmet sections. <br /> This form is so designed that COPY I may be and as a web payment reaclpt or <br /> y your invoice by completing, as appropriate, either the Payment Received or <br /> Payment Request blocks and glaring the Serer Section. but attach you would rather submit your own invoice,DO NOT SIGN COPY 1, <br /> it Assured b your invoice to expedite verification and processing for payment. <br /> STANDARD FORM Mb(Rev.10-63) <br /> 2.SELLER'S COPY OF ORDER PRESCRIBED BY GSA, of-wa-I <br /> FAR(as CFR)53.273(c) (7-86) <br />
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