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CftONA � <br /> • PM ROAD SERVICE <br /> 2327 Mariposa Road 0 R I GNAtiCe No. 13332 <br /> Stockotn,CA 95205 <br /> Phone: (209)945-3052 �y Date: M8 11 2009 <br /> Fax: (209)932-0723 37/.,T <br /> COMPANY NAME `�lj <br /> CONTACT PERSON <br /> Sierra Chemical Co. Dan/Alfonso Ochoa TITLE <br /> DDRESS COMPANY PHONE Dis acher/contact Person <br /> 10101ndustnal Dr COMPANY FAX ALT PHONE <br /> CITY,STATE,ZIP CODE 209-769-7925 <br /> -5206 E-MMLADDRESS <br /> e a et <br /> Peterbilt <br /> Truck IT No. <br /> �» cense# <br /> Trailer 1005 161098 2 397A vl"» ODOMETER <br /> 378967 <br /> O Descri tion <br /> Customer Authorized the following work to be done: gas°`P"Ce Unit Price one Amount <br /> V <br /> Oil Change and Grease <br /> $180.00 <br /> Sub Total $180.00 <br /> Sales Tax 8.0000% N/A <br /> Cost $180.00 <br /> t of <br /> ini <br /> The total amount is to b Unless f paid in toll by the companYne tomereat me of delivery of Unit. prior arrangements were <br /> approved by the agent of PM Corona Service as stated in the estimate. Labor Cost $ <br /> Parts Cost <br /> To $180.00 <br /> Type Name: Si nature of Authorization <br /> Slgnalure. pate: <br /> �/ TimaAuthorized In Persen <br /> ' \ � <br /> 0 <br /> Yes No <br />