Laserfiche WebLink
•Fnmily&Lncal(yOwneASinl9J7(2D VAN DE POL ENTERPRISES,INCA FOROROERS <br /> SezalAg ffll as Z`at6z �EZzoCEu.a �EEc d CALL TOLL FREE <br /> (800)7363427 <br /> STOCKTON OFFICE MERCED OFFICE TURLOCK OFFICE TTRANQU7LLLTY FFICE <br /> 48955.Ails D WY 3735.HIGHWAY 59 10018ERNELEv 2557OW,Mol<AAi OAVE. DELIVERY INVOICE <br /> ST——CA 95206 Mi—ED.CA 95341 TURLOCK.CA 95380 T.—.—.G 93668 <br /> (209)465.3421 (209)722-2752 (209)667-0236 (559)698-7201 127960 <br /> SOLO OATEl11ME 13G- AM <br /> PM Z <br /> roy�Gf •OrfM�JZGI/Y� <br /> STREET jORIVEFMHSE <br /> ADDRESS < <br /> CITY 'oeuvER TO T <br /> !STATE B , 1 <br /> P.O. 0 O B <br /> ❑Charge �Cash �Credo Card REGEIPT(CHECK F_ 'NUMBER <br /> stim—V BILL F LADING- OUANTITY UNIT ,1 1 z FT-1 <br /> aP1'� PONT NUMBER PRODUCT DELIVERED PRICE AMOUNT •T7 m <br /> UNLEADED GASOLINE GASOLINE,3,UN 1203,PG It D m <br /> MID-GRADE GASOLINE GASOLINE.3,UN 1203,PG Ili <br /> UNLEADED PREMIUM GASOLINE GASOLINE,3.UN 1203,PG <br /> CARE DIESEL 112 DIESEL FUEL,3,NA 1993,PG ill �T-I N <br /> THIS DIESEL FUEL DOES NOT CONTAIN VISIBLE EVIDENCE OF DYE. L I 1 r <br /> CARD DIESEL A2(RED DYED) DIESEL FUEL,3.NA 1993.PG III' _ "P <br /> TeS PRODUCT IS DYED DIESEL FUELNON-TAXABLE USE ONLY. <br /> PENALTY FOR TAXABLE USE <br /> KEROSENE KEROSENE,3,NA 1223,PG III' I i <br /> PRODUCT CODES, OTHER PRODUCTS f OTY. PKG. UNIT PRICE AMOUNT r <br /> I I -•T'1 <br /> I I <br /> i I <br /> OUANTRY <br /> CA.MOTOR OIL ASSESSMENT FEE(PER GALLON) i A A <br /> r CA.OIL RECYCLING FEE( -PER GALLON PER LB.) I S z T <br /> FEDERAL EXCISE TAX G_ -r ■■ , 9 <br /> 1 ; STATE SALES TAX TE <br /> I STATE USE FUEL TAX <br /> PREPAID TAX(SG KHE 76405208)GASOLINE 00 <br /> rn <br /> PREPAID TAX(SG KHE 78405208)DIESEL <br /> DRUM RECYCLING SURCHARGE <br /> FREIGHT <br /> .i (SUBJECT TO CORRECTION OF CLERICAL ERRORS) INVOICE TOTAL <br /> TERM :AS ARRANGED OR NET 15 DAYS FROM DELIVERY DATE rn <br /> The puS rchase fined is due and payable upon receipt of Invoke arld payahlo as f DISCOUNT AMOUNT IF PAID BY ' Z <br /> shown under the terms of invoke,and unless paid by that due date,any unpaid balance shell be delinquent and subject to Net Invoice -�D <br /> a finance charge applying a periodic rete of 1.5%.The ANNUAL PERCENTAGE RATE l5 18%.The bngrwe charge stated I after Discount <br /> herein is a charge for the credit sale of the goods purchased.It IS part of the purchase price when such purchase pace IS! METER I STICK READINGS <br /> paid for over lime rather than whet due.Delinquent accounts are cosily to the seller to process and carry.The linance PRODUCT BEFORE AFTER <br /> charge is an amount which both seller and purchaser agree represents a reasonable attempt to estimate a fair average <br /> compensahon to the seller for such expense.The buyer and seller agree to presume that the finance charge is equal to the <br /> sewer's expenses of processing arta car�adllNwmt account and swy agree 9rat It woultl be�mpraciiCal,or extremetyamicus tope ale acetal exp _P�R/ODUCTS RECEIVED AN IS' ;PRINT NAME <br /> X <br />