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CORONA, PO# 4303ST <br /> PM ROAD SERVICE Invoice No. 16541 <br /> 2327 Mariposa Road <br /> Stockotn, CA 95205 <br /> Phone: (209) 945-3052 Date May 28, 2010 <br /> Fax: (209)932-0723 <br /> COMPANY NAME CONTACT PERSON TITLE <br /> Sierra Chemical Co. Dan/Juan Ramirez Dispacher/contact Person <br /> ,a <br /> ADDRESS COMPANY PHONE COMPANY FAX ALTPHONE <br /> 1010 Industrial Dr 209-769-79 5 <br /> CITY,STATE,ZIP CODE E-MAIL ADDRESS <br /> Vehicle Make and-7 M ode] <br /> Stockton CA 95206 International <br /> LJ Truck UNIT No. CA# License# VIN# ODOMETER <br /> ā¯‘Trailer 1019 161098 11844A #014021 560209 <br /> Parts and Labor Costs <br /> Qt <br /> Description <br /> Labor Price Unit Price Unit AmountCustomer Authorized the following work to be done: <br /> i <br /> i <br /> i <br /> 2 Pounds of Fri on $13.991 $27.98 <br /> I I <br /> I <br /> 1 I <br /> I I <br /> Charged the A/C system $70.00 <br /> i' <br /> J <br /> I <br /> Sub Total $70.00 $27.98 <br /> Sales Tax 9.0000% N/A $2.52 <br /> Cost $70.00 $30.50 <br /> Final Cost of Repairs <br /> The total amount is to be paid in full by the comoanv/customer at trip am<nt d=ine,..,.f i i-+ --- - <br />