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VAN DE P& ENM <br />TERPRISES, INC. <br />BILLING P.O. BOX 1107CHA, STOCKTON, CA. 95201 • PHONE (209) 465-3421 <br />SHIPPIN OUTSID5206 <br />E STOCKTON AREA 800)735.3 21 FA)( (209) A. 9466- 910 INVOICE C 89505 <br />SOLD <br />TO <br />J / <br />DRIVERTREET/! n .. <br />• r RESS _jCITY <br />STATE a.. <br />DELIVER • <br />RECEIPT NUMBER <br />_ <br />MID -GRADE EXTRA GASOLINE <br />� It <br />I <br />UN 1203 <br />, <br />—_ <br />CARB DIESEL R2 <br />NA 1993 <br />Y <br />_— �_� '�"m�`•,C'.�`� �CARB�IESEL!'2 iREDD <br />, <br />'�_.. <br />_ <br />I <br />� - •.r <br />KEROSENE' <br />.• <br />THIS DIESEL FUEL DOES, <br />NOT CONTAIN VISIBLE <br />Tfte price of this fuel does not include <br />' <br />' <br />THIS PRODUCT <br />EVIDENCE OF DYE. <br />lederal motor fuel taxes and does not <br />IS DYED DIESEL FUEL <br />� <br />• • r <br />contain visible evidence of dye- <br />use onty, Penalty for taxable use. This fuel meets El <br />EPA equirements for <br />_. <br />• e•. <br />sulfur and Whine index or aromatic Content <br />pure has <br />ISS paid <br />Odle rate <br />FEDERAL EXCISE TAX <br />7A <br />�M��-+tea �•�-`. <br />STATE USE FUEL TAX <br />,♦iEt'�AI�TA7('�Sl �KflE2D8) '"A`_ <br />PREPAID TAX (SG KHE 78-005208) DIESEL <br />DRUM RETURN <br />• - vara r'VM.'ELIVERY DATE ' <br />due and payihle upon receipt of mvOico and payable as she under the terms of invoice, aMREADINGS <br />fue_ddfe, any .unpaid balance still be to inquinl and ;i�pject to a Lithe to ch of invoice, a BEFORE <br />The ANNUAL RERCE of lh E RATE IS IeP/o; The hnancechargei stated h<,cgt is,,f charge for tPRODUCT he <br />�s purchased It ti pst ar the purchase pnee whoa Snet, purchase pnee is paltl /or over hme rather <br />quem acGovnls arr costly to the sell et to,process and carry, The finance chart e. is'- <br />pufch ast r agreo'.reptesenfs'a'reasonabte ovempl to estimat a fa r aGer, r ro g an amount ' __ - <br />Tlrc• buyer Arid sr Iles agree to presume that the flnance-char "- g (n.Pv.S'atlon to the -- — <br />ymg a dc'Gnqucnf accoonf and They ugree9fSal d Would be impmcucal,,id or exiremely'd difficult to fix -- <br />r - — <br />;._ <br />ED D TERMS ACCEPTED BY. PRINT NAME - --- — "- -- — - — <br />PI[Gufi�y. G� Q�, fLOI(JL flGllt/l/oiiw. u...,,�I �� <br />I <br />, <br />I <br />• - vara r'VM.'ELIVERY DATE ' <br />due and payihle upon receipt of mvOico and payable as she under the terms of invoice, aMREADINGS <br />fue_ddfe, any .unpaid balance still be to inquinl and ;i�pject to a Lithe to ch of invoice, a BEFORE <br />The ANNUAL RERCE of lh E RATE IS IeP/o; The hnancechargei stated h<,cgt is,,f charge for tPRODUCT he <br />�s purchased It ti pst ar the purchase pnee whoa Snet, purchase pnee is paltl /or over hme rather <br />quem acGovnls arr costly to the sell et to,process and carry, The finance chart e. is'- <br />pufch ast r agreo'.reptesenfs'a'reasonabte ovempl to estimat a fa r aGer, r ro g an amount ' __ - <br />Tlrc• buyer Arid sr Iles agree to presume that the flnance-char "- g (n.Pv.S'atlon to the -- — <br />ymg a dc'Gnqucnf accoonf and They ugree9fSal d Would be impmcucal,,id or exiremely'd difficult to fix -- <br />r - — <br />;._ <br />ED D TERMS ACCEPTED BY. PRINT NAME - --- — "- -- — - — <br />PI[Gufi�y. G� Q�, fLOI(JL flGllt/l/oiiw. u...,,�I �� <br />