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r CO#QNA <br /> PM ROAD SERVICE Invoice No. 14086 <br /> 2327 Mariposa Road <br /> Stockotn, CA 95205 <br /> Phone: (209) 945-3052 Date: August 14, 2009 <br /> Fax: (209)932-0723 <br /> COMPANY NAME �;ONTACT PERSON TITLE <br /> Sierra Chemical Co. : zo: " -,amirez Dis acher/contact Person <br /> ADDRESS COMPANY PHONE COMPANY FAX ALTPHONE <br /> 1010 Industrial Dr 209-471-6308 <br /> Stockton CA 95206 Peterbilt <br /> Lid Truck UNIT No. CA# License# VIN# ODOMETER <br /> ❑Trailer 1771015 161098 09456A 408980 189345 <br /> Parts and Labor Costs <br /> Qty Description Labor Price Unit Price Unit Amount <br /> Customer Authorized the following work to be done: <br /> I <br /> Oil Change and Grease $180.00 <br /> ENTERSD AUG 2 1295 <br /> Sub Total $180.00 <br /> Sales Tax 9.0000% N/A <br /> Cost $180.00 <br /> Final Cost of Repairs <br /> The total amount is to be paid in full by the companylcustomer at the time of delivery of Unit. Unless prior arrangements were Labor Cost $180.00 <br /> approved by the agent of PM Corona service as stated in the estimate. <br /> Parts Cost <br /> Total $180.00 <br /> Signature of Authorization 77777-71 <br /> Type Name: sgB .Wre: Dale: TimeAumonzeo in Person? <br /> 0 Yes 0 No <br /> 07-04 INV:Corona <br />