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P <br /> it <br /> PACIFIC STATES PETROLE �TI�V1191TNC . MAY 1 2019 <br /> 2278 Pike Court, Suite A <br /> emKrRotfuConcord, CA 94520mPhone (800) 679- 1700 Fax (925) " 938 -7774 <br /> DELL AVERY UVOO DOE <br /> 'OLD <br /> DELIVER ; <br /> TO l _ - <br /> ATE . DRIVE <br /> IME IN TIME ROB JOB <br /> OUT -� NUMBER NUMBER j <br /> QUANTITY QUANTITY PRODUCT <br /> ORDERED DELIVERED UNIT PRICE AMOUNT <br /> UNLEADED GASOLINE 87 89 91 J <br /> PROPANE <br /> ULTRA LOW SULFUR CARB DIESEL #2 <br /> ` THIS DIESEL FUEL DOES NOT CONTAIN VISIBLE EVIDENCE OF DYE" <br /> ULTRA LOW SULFUR CARB DIESEL #2 (RED DYED) -- -- - - i i I <br /> THIS PRODUCT IS DYED DIESEL FUEL. NON-TAXABLE USE ONLY. <br /> PENALTY FOR TAXABLE USE, J <br /> QTY ' PKG. OTHER PRODUCTS GLS. LBS: UNIT PRICE AMOUNT ' <br /> NOTES \ \ <br /> I <br /> 4 <br /> i <br /> 0 <br /> i <br /> QTY. RATE <br /> ERROR IN PRICE, EXTENSION AND ADDITION SERVICE FEE ' <br /> SUBJECT TO CORRECTION <br /> TERMS : DRUM CHARGE <br /> AS ARRANGED OR 15 DAYS FROM DELIVERY DATE <br /> ustomer agrees to pay finance charge on past due balance of 1 .5 % per DRUM RETURN i <br /> onth or maximum allowed in customer's state of residence, whichever is less, i <br /> id further agrees to pay reasonable attorney's fees and costs if collection El RETAIN ❑ EMPTY i <br /> required . Venue for purposes of endorsement of this obligation shall be <br /> intra Costa County, <br /> INVOICE TOTAL <br /> ) UCTS RECEIVED AND TERMS ACCEPTED BY PRINT NAME: DATE; <br /> { 1 9 , A <br />