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~ OCT-31-2008 ©B:CEA FROM: Tr'. ,478880279 P.1 <br /> �.. .... ,. . - Yw}�'R--_�. , ,._. ....r -T r-..--. - f .. ^^'r;^D't!.225'�'.'"-•.1'��"-:.._Y_. ._ .::�,.._r..�"tl <br /> P.O. Box 449 <br /> Colton, GA 92324-0449 <br /> ' " 3 �. o INS 1-800-698-4377 <br /> c ' E ' '' . `E E. ° N ° C "PRESERVING OUR NATURAL RESOURCES" <br /> Date:10J � invoice Number f� <br /> ! 4 b 61l <br /> Customer Number, <br /> Customer Name: Phone#: Bill To: Phone#: <br /> Q)LIC`'K 5`I`CI-T 47789 209-952-2213 QUICK STUFF 916-366.1992 <br /> Site Address: Billing Address: <br /> 10858 'TRINITY PARKWAY <br /> City,State,Zip Code: City,State,Zip Code: <br /> ti"TtX"Iti'1'M ("A 95.210 <br /> SaIcs Rep. Site Contact C.O.D. On Account Purchase Order# Billing Contact Requested By <br /> J13 DAVID i`(X PFR XX DAVE <br /> Quantity Material Description Manifest Number Unit Price Total Price <br /> CAI.000 321 188 <br /> 15oo ENER(.iY ST xRC1iARGE C OST IMY APPLY <br /> Facility Name, Filter Recycling Services, Inc. Time Left Plant: <br /> Address: 180 West Monte Avenue-Rialto,CA 92316 Job Start Time: <br /> EPA ID Number- CAD982444481 Job End Time: <br /> Drivers Signature: Plant Return Time: <br /> is Generator's responsibility to correctly identify chemical composition. If material is rejected by <br /> cttsposal site,generator agrees to pay all testing&transportation charges. Invoice is subject to a 1,5%o Subtotal <br /> monthly interest rate,with net 30 day terms from date of service. Sales Tax <br /> Total <br /> Received By' <br /> Print Name: <br /> ti <br />