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CORONA P. 04 4234ST <br /> PM ROAD SERVICE Invoice I lo. 16069 <br /> 2327 Mariposa Road <br /> S{ackotn, CA 95205 <br /> Phone: (209)945-3052 Da te: April 12, 2010 <br /> Fax: (209)932-0723 — -- <br /> COMPANY NAME CONTACT PERSON <br /> Sierra Chemical Co. TITLE <br /> DOREss Dan/Juan Ramirez Dis ache /Contact Person <br /> COMPANY PHONE COMPANYFAX ALT PHONE <br /> 1010 Industrial Dr 209-769-?925 <br /> CITY,STATE,Zip CODE E-MAIL ADDRESS —- <br /> Stockton CA 95206 VeNde Make en Motlel <br /> Peterbi It <br /> V TNcI( UNRNo. CAR License# � <br /> VIN k ODOMETER <br /> ❑Trailer 1015 161098 09456A 408980 224078 <br /> Parts and Labor Costs <br /> Q DBSCfI Gori Labor Price Unit Price Unit Amount <br /> Customer Authorized the following work to be done: <br /> 71I <br /> Oil Change and Grease $180.0 <br /> RECEIVED <br /> I <br /> Sub Total I $180.00 <br /> Sales Tax 9.0000% _W_A <br /> Cost $180.00 <br /> Final Cost of Repairs <br /> The total amount is to be oa d in h II hv eh <br />